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Minor improvement o...
Minor improvement of venous blood specimen collection practices in primary health care after a large-scale educational intervention
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- Bölenius, Karin (author)
- Umeå universitet,Institutionen för omvårdnad
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- Söderberg, Johan (author)
- Umeå universitet,Klinisk kemi
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- Hultdin, Johan (author)
- Umeå universitet,Klinisk kemi
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- Lindkvist, Marie (author)
- Umeå universitet,Epidemiologi och global hälsa
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- Brulin, Christine (author)
- Umeå universitet,Institutionen för omvårdnad
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- Grankvist, Kjell (author)
- Umeå universitet,Klinisk kemi
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(creator_code:org_t)
- 2012-08-07
- 2013
- English.
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In: Clinical Chemistry and Laboratory Medicine. - : Walter de Gruyter GmbH. - 1434-6621 .- 1437-4331. ; 51:2, s. 303-310
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https://doi.org/10.1...
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Abstract
Subject headings
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- Background: Venous blood specimen collection is a common health care practice that has to follow strict guidelines, non-compliance among sampling staff may compromise patient safety. We evaluated a large-scale 2 h educational intervention that emphasised guideline adherence to assess possible improvements of venous blood specimen collection practices.Methods: Blood specimen haemolysis is usually caused by inadequate venous blood specimen collection and handling, reflecting overall pre-analytical handling. We monitored haemolysis of serum samples with haemolysis index corresponding to ≥150 mg/L of free haemoglobin for specimens sent from 11 primary health care centres and analysed on a Vitros 5,1 clinical chemistry analyser before (2008, n=6652 samples) and after (2010, n=6121 samples) the intervention.Results: The total percentage of haemolysed specimens was 11.8% compared to 10.5% (p=0.022) before the intervention. As groups, rural primary health care centres demonstrated a significant reduction [Odds ratios (OR)=0.744] of haemolysed specimens after intervention, whereas urban primary health care centres demonstrated a significant increase (OR=1.451) of haemolysis.Conclusions: A large-scale 2 h educational intervention to make venous blood specimen collection staff comply with guideline practices had minor effects on collection practices. Educational interventions may be effective in wards/care centres demonstrating venous blood specimen collection practices with larger deviations from guidelines.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- haemolysis
- intervention
- medical errors
- primary health care
- quality indicator
- venous blood specimen collection
Publication and Content Type
- ref (subject category)
- art (subject category)
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