The Clinical & Laboratory Standards Institute (CLSI) provides standards and guidelines for medical professionals through its unique consensus process. Replaces GPA6. Collection of Diagnostic Venous Blood Specimens. Dennis J . Ernst, MT(ASCP), NCPT(NCCT). Anne-Marie Martel, MT. Judy C. Arbique. 31 Jul Compliance of blood sampling procedures with the CLSI H3-A6 guidelines: An observational study by the European Federation of Clinical.

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Elimination of the venous stasis error for routine coagulation testing by transillumination. Total quality in laboratory diagnostics. Patient identification and test tube labelling were identified as the key guideline issues with the highest combination of probability and potential risk of harm.

Quality improvement in laboratory medicine: The results of the survey are shown in Figure 1B. Recommended “order of draw” for collecting blood specimens into additive-containing tubes.

This standard is also available to be included in Standards Subscriptions. This standard is not included in any packages.

Quality in laboratory diagnostics: Your Alert Profile lists the documents that will be monitored. Relevant error sources associated to phlebotomy procedure before and after phlebotomy training program. Add to Alert PDF. Clinical Laboratory Standards Institute; Wagar EA, Yuan S.

Lippi G, Guidi GC. Effects of preanalytical variables on clinical laboratory tests. Clin Chem Lab Med. Bacteriol Virusol Parazitol Epidemiol ; Biosafety and biosecurity in the medical laboratory.

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Impact of phlebotomy decision support application on sample collection errors and laboratory efficiency. Need more than one copy?

Biochem Med Zagreb ; Twelve European countries participated with a median of 33 audits per country, and a total of audits. Add to My Bibliography. The activities involving phlebotomy, a critical task for obtaining diagnostic blood samples, are poorly studied as regards the major sources of errors and the procedures related to laboratory quality control. Drawing blood with vacuum tubes. Pediatr Emerg Care ; Procedures for the collection of diagnostic blood specimens by venipuncture from CLSI HA6 document 36 used during phlebotomy training program.

Notes Potential conflict of interest. Plebani M, Carraro P. Lippi G, Simundic A-M. Qual Health Care ;1: Is phlebotomy part of the dark side in the clinical laboratory struggle for quality? Our survey shows that CLSI documents are widely used in South America as from laboratories appear compliant with these documents to standardize their h3-a.

Governance of preanalytical variability: A risk occurrence chart of individual phlebotomy steps was created from the observed error frequency and severity of harm of each guideline key issue. Clsu phlebotomy training program was realized during 8 hours where the importance of each step of the procedure was explained Table 1.

If the document is revised or amended, you will be notified by email. Moreover, the procedure for collecting blood specimens should be revised to eliminate this source of laboratory variability and safeguard the quality. All the phlebotomists inappropriately requested the patient to clench the fist repeatedly i. Didn’t get the message?


You may delete a document from your Alert Profile at any time. Influence of two different buffered sodium citrate concentrations on coagulation testing. A comparison of glass and plastic blood collection tubes for routine and specialized coagulation assays: Table 4 Effect of phlebotomy training program on tourniquet application time. Incorrect guidelines for venipuncture affect the analytical results.

J Lipid Res ; Clinical and Laboratory Standards Institute document H3-A6 – Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture; Approved Standard – Sixth Edition provides a descriptive, stepwise procedure for the collection of diagnostic blood specimens by h3-q6.

Influence of a light meal on routine haematological tests. Administrative staff did not adhere to patient identification procedures during phlebotomy, whereas physicians did not adhere to test tube labelling policy. These proposals will help to reduce the tourniquet application time and consequently to eliminate important source of errors e.

Arch Pathol Lab Med ; Clin Chem Lab Med ; Influence of csi and time before centrifugation of specimens for routine coagulation testing. Suitability of a transport box for blood sample shipment over a long period. Geographic distribution of evaluated laboratories by survey.