scholarly journals Proficiency-based progression intern training to reduce critical blood sampling errors including ‘wrong blood in tube’

2021 ◽  
Vol 4 ◽  
pp. 77
Author(s):  
Noirin O' Herlihy ◽  
Sarah Griffin ◽  
Robert Gaffney ◽  
Patrick Henn ◽  
Ali S Khashan ◽  
...  
Keyword(s):  
Blood Sample ◽  
Error Rate ◽  
Sampling Error ◽  
Controlled Trial ◽  
Training Programme ◽  
Blood Sampling ◽  
Sampling Errors ◽  
Total Blood ◽  
Randomised Controlled ◽  
Historical Controls

Background: Blood sampling errors including ‘wrong blood in tube’ (WBIT) may have adverse effects on clinical outcomes. WBIT errors occur when the blood sample in the tube is not that of the patient identified on the label. This study aims to determine the effect of proficiency-based progression (PBP) training in phlebotomy on the rate of blood sampling errors (including WBIT). Methods: A non-randomised controlled trial compared the blood sampling error rate of 43 historical controls who had not undergone PBP training in 2016 to 44 PBP trained interventional groups in 2017. In 2018, the PBP training programme was implemented and the blood sampling error rate of 46 interns was compared to the 43 historical controls in 2016. Data analysis was performed using logistic regression analysis adjusting for sample timing. Results: In 2016, 43 interns had a total blood sample error rate of 2.4%, compared to 44 interns in 2017, who had error rate of 1.2% (adjusted OR=0.50, 95% CI 0.36-0.70; <0.01). In 2018, 46 interns had an error rate of 1.9% (adjusted OR=0.89, 95% CI 0.65-1.21; p=0.46) when compared to the 2016 historical controls. There were three WBITs in 2016, three WBITs in 2017 and five WBITs in 2018.  Conclusions: The study demonstrates that PBP training in phlebotomy has the potential to reduce blood sampling errors. Trial registration number: NCT03577561

scholarly journals Proficiency-based progression intern training to reduce critical blood sampling errors including ‘wrong blood in tube’

2021 ◽  
Vol 4 ◽  
pp. 77
Author(s):  
Noirin O' Herlihy ◽  
Sarah Griffin ◽  
Robert Gaffney ◽  
Patrick Henn ◽  
Ali S Khashan ◽  
...  
Keyword(s):  
Blood Sample ◽  
Error Rate ◽  
Sampling Error ◽  
Controlled Trial ◽  
Training Programme ◽  
Blood Sampling ◽  
Sampling Errors ◽  
Total Blood ◽  
Randomised Controlled ◽  
Historical Controls

Background: Blood sampling errors including ‘wrong blood in tube’ (WBIT) may have adverse effects on clinical outcomes. WBIT errors occur when the blood sample in the tube is not that of the patient identified on the label. This study aims to determine the effect of proficiency-based progression (PBP) training in phlebotomy on the rate of blood sampling errors (including WBIT). Methods: A non-randomised controlled trial compared the blood sampling error rate of 43 historical controls who had not undergone PBP training in 2016 to 44 PBP trained interventional groups in 2017. In 2018, the PBP training programme was implemented and the blood sampling error rate of 46 interns was compared to the 43 historical controls in 2016. Data analysis was performed using logistic regression analysis adjusting for sample timing. Results: In 2016, 43 interns had a total blood sample error rate of 2.4%, compared to 44 interns in 2017, who had error rate of 1.2% (adjusted OR=0.50, 95% CI 0.36-0.70; <0.01). In 2018, 46 interns had an error rate of 1.9% (adjusted OR=0.89, 95% CI 0.65-1.21; p=0.46) when compared to the 2016 historical controls. There were three WBITs in 2016, three WBITs in 2017 and five WBITs in 2018.  Conclusions: The study demonstrates that PBP training in phlebotomy has the potential to reduce blood sampling errors. Trial registration number: NCT03577561

scholarly journals Acceptability and experience of a functional training programme (ReTrain) in community-dwelling stroke survivors in South West England: a qualitative study

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e022175 ◽  
Author(s):  
Meriel Norris ◽  
Leon Poltawski ◽  
Raff Calitri ◽  
Anthony I Shepherd ◽  
Sarah Gerard Dean
Keyword(s):  
Controlled Trial ◽  
Sampling Strategy ◽  
Training Programme ◽  
Careful Consideration ◽  
Community Dwelling ◽  
Definitive Trial ◽  
Functional Training ◽  
Framework Approach ◽  
Training Post ◽  
Randomised Controlled

Rehabilitation Training (ReTrain) is a group-based approach to functional training post stroke. ReTrain has recently been evaluated through a pilot randomised controlled trial.ObjectiveThis article reports on the acceptability of the intervention as described by trial participants.DesignA qualitative approach was undertaken. Of the 45 participants recruited into the trial, 23 were randomised to receive ReTrain. Following a sampling strategy, 10 participants undertook 1:1 semistructured audio-recorded interviews. Transcripts were analysed following a modified Framework Approach.ResultsSix themes were developed including exploration of: the physical and psychological impacts of training,the perceived mechanisms of change, the interaction of the group and approach of the trainer. A further theme considered the reported longer term impact of participation. Overall, the results indicated the acceptability of the intervention, but also key areas for potential modification in the definitive trial. These include a need to consider potential impact on both physical and psychological function, careful consideration of dosing and fatigue and the interpersonal factors that facilitate appropriate level of delivery, the trainer to participant ratio, and enhancing features that support continuation of activity postintervention.ConclusionOverall, this study supports the acceptability of ReTrain and the development of a definitive trial evaluation of this intervention to full.Trial registration numberNCT02429180.

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