Capillary blood sampling increases the risk of preanalytical errors in pediatric hospital care: Observational clinical study.
Purpose: The blood sampling procedure is complex and prone to failure, as reflected by preanalytical errors in pediatric hospital care. The primary aim was to evaluate if the risk of preanalytical errors was higher with capillary blood sampling than with venous blood sampling, and secondary, explore...
| Publicado en: | Journal for Specialists in Pediatric Nursing Vol. 26; no. 4; pp. 1 - 8 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152886582&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152886582 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15390136 LH4 jtl: Journal for Specialists in Pediatric Nursing issn: 15390136 maglogo: Y pubinfo: dt: Oct2021 vid: 26 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 152886582 150163302 152886582 152886582 10.1111/jspn.12337 152886582 ppf: 1 ppct: 7 formats: tig: atl: Capillary blood sampling increases the risk of preanalytical errors in pediatric hospital care: Observational clinical study. aug: au: Hjelmgren, Henrik Nilsson, Anna Myrberg, Ida H. Andersson, Nina Ygge, Britt‐Marie Nordlund, Björn affil: Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden sug: subj: Blood Specimen Collection Methods Diagnostic Errors Risk Factors Risk Assessment Pediatric Care Human Nonexperimental Studies Record Review Surveys Descriptive Statistics Multivariate Analysis Multiple Logistic Regression Confidence Intervals Odds Ratio Body Weight Sweden Data Analysis Software Blood Coagulation Male Female Infant Child, Preschool Child Adolescence Funding Source Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Purpose: The blood sampling procedure is complex and prone to failure, as reflected by preanalytical errors in pediatric hospital care. The primary aim was to evaluate if the risk of preanalytical errors was higher with capillary blood sampling than with venous blood sampling, and secondary, explore specific factors associated with preanalytical errors, both overall and stratified by capillary and venous blood sampling. Design and Methods: This observational pediatric hospital study collected outcomes from medical records and blood sampling surveys from year 2014 to 2016. The risk of preanalytical errors was analyzed with adjusted‐odds ratio (adj‐OR) by multivariable logistic regression with 95% confidence intervals (CIs). Results: Overall, 128 (13%) preanalytical errors were identified among 951 blood samples. The proportion and adj‐OR of errors was significantly higher in capillary compared with venous blood samples, 72 (20%) of 354 versus 56 (9.4%) of 597, p =.001, adj‐OR 2.88 (CI 1.79–4.64). Blood collection with multiple sample tubes was significantly associated with increased risk of preanalytical errors (n = 97 of 601, 16%), while log weight (kg) significantly decreased the risk of preanalytical errors adj‐OR 0.66 (CI 0.50–0.86), indicating a protective effect of increasing weight. However, stratified analyses indicated a protective effect of increasing log weight for venous blood sampling adj‐OR 0.52 (CI 0.38–0.72), but not capillary blood sampling, adj‐OR 1.08 (CI 0.76–1.55). Conclusion: This study indicates that capillary blood sampling collection increases the risk of preanalytical errors. Further, a child's increasing body weight reduced the risk of preanalytical errors, while multiple sample tube collections significantly increased the risk of preanalytical errors. Practice Implications: This new information may help nurses improve their knowledge concerning blood sampling collection in pediatrics. Altogether, this study also indicates that implementing more venous blood sampling and improve the cases of capillary sampling could reduce the number of preanalytical errors in pediatric hospitals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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