scholarly journals A Study on Sample Rejection Rates due to Pre-analytical Errors: Associated Factors and Knowledge, Attitudes and Practices of Nurses on Blood Sample Collection for Haematology at a Teaching Hospital in Sri Lanka

2020 ◽  
Vol 1 ◽  
Author(s):  
L.K.M. Dilshika ◽  
W.V.R.T.D.G. Bandara ◽  
A.D.S.S. Karunanayaka
Keyword(s):  
Sri Lanka ◽  
Blood Sample ◽  
Teaching Hospital ◽  
Rejection Rate ◽  
Sample Collection ◽  
Blood Samples ◽  
Attitudes And Practices ◽  
Analytical Errors ◽  
Knowledge Attitudes And Practices ◽  
Rejection Rates

Introduction: Clinical diagnosis is mostly dependent on laboratory test results. Studies have shown that 70% of clinical laboratory samples are rejected due to pre-analytical errors. This study was conducted to assess; rejection rates of blood samples, major reasons for rejection of blood samples, and knowledge, attitudes and practice of nurses on blood sample collection. Methods: Details of rejected blood samples were collected using data sheets of rejected blood specimens at the Teaching Hospital Karapitiya, Sri Lanka. Knowledge, attitudes and practices of nursing officers on blood sample collection were assessed using a self-administered questionnaire. Data were analyzed using SPSS version 22. Results: Overall blood sample rejection rate was 3.3%. The major cause of rejection of blood samples was the clotting of specimens. Insufficient volume, hemolysis, unavailability of request form for investigation, discrepancies in bed head tickets, discrepancies of the names, and use of IV line for blood collection were among the other reasons for sample rejection. The highest rejection rate was reported from the samples obtained for Prothrombin time/International Normalized Ratio (PT/INR) test. According to the scores obtained for knowledge of the nurses on blood sample collection, 43% of them scored ‘average’ while 38% scored ‘good’. The nurses’ attitudes on blood sample collection were satisfactory. Conclusions: Overall rejection rate was higher in the Haematology Laboratory of Teaching Hospital Karapitiya compared to the values reported elsewhere. Although the overall knowledge of nurses was satisfactory regarding blood sample collection, aspects such as knowledge on the correct volume of blood needed for specific investigations, choosing a suitable site for blood drawing, and practices such as the provision of duly filled investigation forms need to be improved.Keywords: Rejection rate, Pre-analytical error, Haematology, Blood, Sample collection

Knowledge, Attitudes, and Practices on COVID-19 Among Medical Students in Sri Lanka

2021 ◽  
pp. 101053952199366
Author(s):  
Anne Thushara Matthias ◽  
Mathotage Sathiesha Nihari Padmasiri ◽  
Uduwaka Gam Aacharige Navoda Dharani
Keyword(s):  
Medical Students ◽  
Sri Lanka ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Changing the Time of Blood Collection to Determine Vancomycin Concentrations in Intensive Care Unit Patients

2018 ◽  
Vol 38 (1) ◽  
pp. 24-28
Author(s):  
Drayton A. Hammond ◽  
Taylor B. James ◽  
Lexis N. Atkinson ◽  
Jacob T. Painter ◽  
Katherine Lusardi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Sample ◽  
Medical Intensive Care Unit ◽  
Sample Collection ◽  
Blood Samples ◽  
Significant Difference ◽  
Vancomycin Trough ◽  
Medical Intensive Care ◽  
Trough Levels

BACKGROUND Clinical practice guidelines for initiation and therapeutic drug monitoring, but not timing, of vancomycin dosing exist at many institutions. Scheduling vancomycin trough measurements and doses around the morning blood sample collection could yield more interpretable troughs and increase patient safety. OBJECTIVE To evaluate the appropriateness of blood sample collection times for vancomycin trough measurements before and after an initiative to change the timing of blood sampling to determine vancomycin doses and trough levels in a medical intensive care unit. METHODS A retrospective cohort study was conducted of patients in a medical intensive care unit who received intravenous vancomycin at a scheduled interval. Differences in continuous and categorical data were compared between pre- and postintervention groups. The primary outcome was proportion of blood samples collected for vancomycin trough measurements within 30 minutes of the next scheduled vancomycin dose. RESULTS Baseline characteristics were similar between the preintervention (n = 68) and postintervention (n = 176) groups except for the percentage of blood samples drawn for trough measurements and morning laboratory tests (6% vs 81%; P < .001). Frequency of loading doses was similar between patients in the pre- and postintervention groups, as was weight-based maintenance dosing. There was no significant difference in the percentage of blood samples collected to measure vancomycin trough levels appropriately at 30, 60, or 75 minutes from the next scheduled dose. CONCLUSION Measuring vancomycin trough levels in morning blood samples did not affect the percentage of inappropriately collected blood samples used to measure vancomycin trough levels.

Knowledge, attitudes, and practices among mothers of children with epilepsy: A study in a teaching hospital

2017 ◽  
Vol 69 ◽  
pp. 147-152 ◽  
Author(s):  
Ali-Asghar Kolahi ◽  
Mohsen Abbasi-Kangevari ◽  
Pouya Bakhshaei ◽  
Farhad Mahvelati-Shamsabadi ◽  
Seyed-Hassan Tonekaboni ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

scholarly journals Nurses’ Experiences of Blood Sample Collection from Children: A Qualitative Study from Swedish Paediatric Hospital Care

2021 ◽  
Author(s):  
Henrik Hjelmgren ◽  
Britt-Marie Ygge ◽  
Björn Nordlund ◽  
Nina Andersson
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Blood Sample ◽  
Hospital Care ◽  
Blood Sampling ◽  
Sample Collection ◽  
Focus Group Interviews ◽  
Paediatric Hospital ◽  
Group Interviews ◽  
Analytical Errors

Abstract Background: Blood sampling collections are necessary and important for diagnosis and treatment in paediatric hospital care. Nurses play an active role in helping the children with the blood sampling experience. Unfortunately, the blood sampling collection procedure is often affected by pre-analytical errors, leading to consequences such as delayed diagnosis, treatment and hospital stay, as well as repeated sampling. Moreover, children state that needle procedures are the worst experience of their hospital stay. Nurses working in children’s hospitals are responsible for conducting most of the needle related procedures but their experience of errors occurring during blood sample collection is unknown. The aim of this study therefore was to describe paediatric nurses’ experiences of blood sampling collections from children. Method: We used a qualitative study design with a (reflexive) thematic analysis (TA) method. Three focus group interviews were conducted, with 19 nurses from Sweden working at two different paediatric hospitals, focusing on their experiences of the blood sample collection procedure. Results: From the three focus group interviews we analysed patterns and meanings of the following themes: Paediatric blood sampling is a challenge for the nurses, Nurses’ feelings of frustration with unsuccessful samplings, Nurses believe in team work, Venous blood sampling was experienced as the best option, and Nurses’ thoughts and needs regarding skills development in paediatric blood sampling. Conclusion: The narrative results of this study illustrate that nurses working in paediatric hospital care face a big challenge in blood sampling collection from children. The nurses felt frustrated due to unsuccessful blood samplings and frequently could not understand why pre-analytical errors occurred. Nevertheless, they felt strengthened by colleagues in their team and shared feelings of responsibility to help each other with this complex procedure. The implications of this study are that paediatric hospital care needs to focus on improving guidelines for and increasing competence in blood sampling children and helping nurses to understand why samplings may be unsuccessful and how this can be avoided.

scholarly journals Mastery and glove use in nursing practice at the Hassan II University Teaching Hospital of Fes- Morocco

2020 ◽  
Vol 16 (4) ◽  
Author(s):  
Benboubker Moussa ◽  
Nhili Aziz ◽  
Tarik Sadki ◽  
Boujamaa El Marnissi
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Evaluative Study ◽  
Individual Protection ◽  
Period Data ◽  
Self Administered Questionnaire ◽  
Knowledge Attitudes And Practices ◽  
Disposable Gloves

Gloves are worn to protect hands from contamination and microorganisms; this measurement tries to isolate the hands of the healthcare workers to ensure a better protection, with an aim of minimizing the risk of transmission of infectious agents to patients. This survey aims at assessing knowledge, attitudes, and practices towards disposable gloves use among nursing staff at Hassan II University Teaching Hospital in Fez. This is a cross-sectional prospective and evaluative study that covers a two-month period. Data were collected using an anonymous and self-administered questionnaire. The population studied was quite young with 76,5% aged between 20-30 years. The results have shown that 264 (85.99%) of participants had received training in disposable gloves mastering. Moreover, 161 (52.3%) claimed to change always disposable gloves while moving from one patient to another. In contrast, 231 (75.2%) emphasized the need to change gloves each time they have been in contact with blood or other body fluids. However, the Studies by self- administered questionnaires, as is the case for our investigation, inform about self-declared claims and are not always related to practical implications Inappropriate glove use was frequently declared in this study. This survey showed a misconception of the risk in several practice situations, some good results of wearing gloves reflect this engendered feeling of individual protection.

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