Outpatient phlebotomy success and reasons for specimen rejection.

Archives of Pathology & Laboratory Medicine
Jane C Dale, David A Novis

Abstract

To determine the rate with which blood collection is successful on the initial phlebotomy encounter, the rate with which laboratory personnel judge specimens unsuitable for analysis, and the practice characteristics associated with fewer unsuccessful collections and fewer rejected specimens. Clinical laboratories participating in the College of American Pathologists Q-Probes laboratory improvement program prospectively characterized the outcome of outpatient phlebotomies for 3 months or until 20 unsuccessful phlebotomy encounters occurred. By questionnaire, participants provided information about test ordering, patient preparation, and specimen collection. Institutions in the United States (n = 202), Canada (n = 4), Australia (n = 3), and South Korea (n = 1). Percentage of successful encounters and percentage of unsuitable specimens. Of 833289 encounters, 829723 were successful. Phlebotomies were unsuccessful because patients were not fasting as directed (32.2%), phlebotomy orders were missing information (22.5%), patients specimens were difficult to draw (13.0%), patients left the collection area before specimens were collected (11.8%), patients were improperly prepared for reasons other than fasting (6.3%), patients presented...Continue Reading

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Citations

Jan 19, 2021·Journal of Clinical Laboratory Analysis·Fengfeng KangZhiming Shan
Nov 17, 2019·Clinical Medicine : Journal of the Royal College of Physicians of London·Keith L Dorrington, Matthew C Frise
Sep 5, 2006·Archives of Pathology & Laboratory Medicine·Giuseppe LippiGian Cesare Guidi
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