The increasing burden of phlebotomy in the development of anaemia and need for blood transfusion amongst trauma patients

Branco, Bernardino C.; Inaba, Kenji; Doughty, Reece; Brooks, Jennifer; Barmparas, Galinos; Shulman, Ira A.; Nelson, Janice M.; Δημητριάδης, Δημήτριος

doi:10.1016/j.injury.2010.12.003

Cited by 33 publications

(40 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With the increasing variability and interest in diagnostic laboratory tests, the number of laboratory tests per patient increased over the years. Consequently, the length of hospital stay and costs were increased, however no significant decrease in mortality was determined 3 . Above all, during hospitalisation, haemoglobin levels showed a decreasing trend, to make matters worse some patients needed a blood transfusion because of the impact of phlebotomy 3 .…”

Section: Resultsmentioning

confidence: 99%

“…Consequently, the length of hospital stay and costs were increased, however no significant decrease in mortality was determined 3 . Above all, during hospitalisation, haemoglobin levels showed a decreasing trend, to make matters worse some patients needed a blood transfusion because of the impact of phlebotomy 3 . Accordingly, Chant et al 45 suggested that even small decreases in the phlebotomy volume reduced the number of transfusions required.…”

Section: Resultsmentioning

confidence: 99%

“…sample collection, handling, transportation, storage which are mostly out of the laboratory's control. With the increasing number in laboratory tests per patients, the burden of phlebotomy increased 3 . In this review we will concentrate on the preventable preanalytical errors which include specimen type selection, blood collection, blood collection equipments and the factors interfering biochemical tests.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preanalytical variables and factors that interfere with the biochemical parameters: A review

uhadar¹

2013

OA Biotechnology

View full text Add to dashboard Cite

IntroductionThe total testing process, which begins with the order of the physician, includes the preanalytical, analytical and postanalytical phases and ends with the results ready for interpretation. To obtain a reliable test result requires detection of all steps however, to control the preanalytical stage is such a complex way that much of the steps are human dependent and out of the laboratory's control thus occupies the most erroneous part of the total testing. The worst side is that the error in that stage often becomes apparent in the analytical or postanalytical phase.The aim is to highlight the multifactorial human dependent erroneous stage that affects the biochemical routine test results, which can be easily prevented with awareness and laboratory staff education. We will concentrate on the preanalytical errors which include specimen type selection, blood collection, blood collection equipments and the factors interfering with biochemical tests. ConclusionThe quality of the analytical phase increased due to the interest, tight control and following the quality procedures both internal and external established by the medical laboratories and manufacturers.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preanalytical variables and factors that interfere with the biochemical parameters: A review

uhadar¹

2013

OA Biotechnology

View full text Add to dashboard Cite

show abstract

“…For example, unnecessary phlebotomy can lead to hospitalinduced anemia, need for transfusion, discomfort, work overload, and added cost. [5][6][7][8][9][10] Different strategies to ensure appropriate utilization of lab tests have been studied. 11 Nevertheless, objectively evaluating the necessity for tests is challenging, and the increasing reliance on electronic databases for this purpose has resulted in suboptimal quality of utilization reviews.…”

Section: Résumémentioning

confidence: 99%

Non-essential blood tests in the intensive care unit: a prospective observational study

Mikhaeil

Day

Ilan

2016

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose Non-essential blood testing in the acute care setting can be a prominent source of morbidity, patient discomfort, increased workload for the healthcare provider, and wasteful spending. The magnitude of such non-essential blood testing has not been well described. We aimed to measure the extent of unnecessary blood testing in a 33-bed intensive care unit (ICU) at a tertiary-care teaching hospital in Ontario, Canada. Methods Over a period of four weeks, all ICU attending physicians were asked to select, from a comprehensive list, blood tests that they deemed essential to the appropriate care for each of their patients on the following day. The actual tests processed on the following day were recorded. Descriptive statistics were used to determine what proportion of all processed tests were deemed essential blood tests. The association between patient characteristics and the total cost of unnecessary tests was assessed using the Wilcoxon rank-sum test and the Spearman correlation coefficient, as appropriate. Results Nine attending physicians provided input for a total of 81 patient days. In 65 (80%) of these days, at least one test was considered non-essential. Physicians deemed only 338 (48.7%) of 694 processed blood tests as essential,

show abstract

“…Another method to decrease phlebotomy loss is to add testing to an already drawn specimen. 6 The fourth step is to better understand where the institution's blood is being used. Understanding physician practice and pairing practice with outcome data are the crux of accountable care as well as PBM.…”

mentioning

confidence: 99%

Patient Blood Management

Shaz¹,

Hillyer²,

Waters³

2013

JAMA Surg

View full text Add to dashboard Cite

The increasing burden of phlebotomy in the development of anaemia and need for blood transfusion amongst trauma patients

Cited by 33 publications

References 9 publications

Preanalytical variables and factors that interfere with the biochemical parameters: A review

Preanalytical variables and factors that interfere with the biochemical parameters: A review

Non-essential blood tests in the intensive care unit: a prospective observational study

Patient Blood Management

Contact Info

Product

Resources

About