Impact of a large-scale educational intervention program on venous blood specimen collection practices
Abstract Background Phlebotomy performed with poor adherence to venous blood specimen collection (VBSC) guidelines jeopardizes patient safety and may lead to patient suffering and adverse events. A first questionnaire study demonstrated low compliance to VBSC guidelines, motivating an educational in...
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ftbiomed:oai:biomedcentral.com:1472-6963-13-463 2023-05-15T17:45:13+02:00 Impact of a large-scale educational intervention program on venous blood specimen collection practices Bölenius, Karin Lindkvist, Marie Brulin, Christine Grankvist, Kjell Nilsson, Karin Söderberg, Johan 2013-11-05 http://www.biomedcentral.com/1472-6963/13/463 en eng BioMed Central Ltd. http://www.biomedcentral.com/1472-6963/13/463 Copyright 2013 Bölenius et al.; licensee BioMed Central Ltd. Adherence to guidelines Education Implementation Intervention Phlebotomy Pre-analytical errors Primary healthcare Venous blood specimen collection Research article 2013 ftbiomed 2013-11-10T01:21:39Z Abstract Background Phlebotomy performed with poor adherence to venous blood specimen collection (VBSC) guidelines jeopardizes patient safety and may lead to patient suffering and adverse events. A first questionnaire study demonstrated low compliance to VBSC guidelines, motivating an educational intervention of all phlebotomists within a county council. The aim was to evaluate the impact of a large-scale educational intervention program (EIP) on primary health care phlebotomists’ adherence to VBSC guidelines. We hypothesised that the EIP would improve phlebotomists’ VBSC practical performance. Methods The present study comprise primary health care centres (n = 61) from two county councils in northern Sweden. The final selected study group consisted of phlebotomists divided into an intervention group (n = 84) and a corresponding control group (n = 79). Both groups responded to a validated self-reported VBSC questionnaire twice. The EIP included three parts: guideline studies, an oral presentation, and an examination. Non-parametric statistics were used for comparison within and between the groups. Results Evaluating the EIP, we found significant improvements in the intervention group compared to the control group on self-reported questionnaire responses regarding information search (ES = 0.23-0.33, p < 0.001-0.003), and patient rest prior to phlebotomy (ES = 0.27, p = 0.004). Test request management, patient identity control, release of venous stasis, and test tube labelling had significantly improved in the intervention group but did not significantly differ from the control group (ES = 0.22- 0.49, p = < 0.001- 0.006). The control group showed no significant improvements at all (ES = 0–0.39, p = 0.016-0.961). Conclusions The present study demonstrated several significant improvements on phlebotomists’ adherence to VBSC practices. Still, guideline adherence improvement to several crucial phlebotomy practices is needed. We cannot conclude that the improvements are solely due to the EIP and suggest future efforts to improve VBSC. The program should provide time for reflections and discussions. Furthermore, a modular structure would allow directed educational intervention based on the specific VBSC guideline flaws existing at a specific unit. Such an approach is probably more effective at improving and sustaining adherence to VBSC guidelines than an EIP containing general pre-analytical practices. Article in Journal/Newspaper Northern Sweden BioMed Central |
institution |
Open Polar |
collection |
BioMed Central |
op_collection_id |
ftbiomed |
language |
English |
topic |
Adherence to guidelines Education Implementation Intervention Phlebotomy Pre-analytical errors Primary healthcare Venous blood specimen collection |
spellingShingle |
Adherence to guidelines Education Implementation Intervention Phlebotomy Pre-analytical errors Primary healthcare Venous blood specimen collection Bölenius, Karin Lindkvist, Marie Brulin, Christine Grankvist, Kjell Nilsson, Karin Söderberg, Johan Impact of a large-scale educational intervention program on venous blood specimen collection practices |
topic_facet |
Adherence to guidelines Education Implementation Intervention Phlebotomy Pre-analytical errors Primary healthcare Venous blood specimen collection |
description |
Abstract Background Phlebotomy performed with poor adherence to venous blood specimen collection (VBSC) guidelines jeopardizes patient safety and may lead to patient suffering and adverse events. A first questionnaire study demonstrated low compliance to VBSC guidelines, motivating an educational intervention of all phlebotomists within a county council. The aim was to evaluate the impact of a large-scale educational intervention program (EIP) on primary health care phlebotomists’ adherence to VBSC guidelines. We hypothesised that the EIP would improve phlebotomists’ VBSC practical performance. Methods The present study comprise primary health care centres (n = 61) from two county councils in northern Sweden. The final selected study group consisted of phlebotomists divided into an intervention group (n = 84) and a corresponding control group (n = 79). Both groups responded to a validated self-reported VBSC questionnaire twice. The EIP included three parts: guideline studies, an oral presentation, and an examination. Non-parametric statistics were used for comparison within and between the groups. Results Evaluating the EIP, we found significant improvements in the intervention group compared to the control group on self-reported questionnaire responses regarding information search (ES = 0.23-0.33, p < 0.001-0.003), and patient rest prior to phlebotomy (ES = 0.27, p = 0.004). Test request management, patient identity control, release of venous stasis, and test tube labelling had significantly improved in the intervention group but did not significantly differ from the control group (ES = 0.22- 0.49, p = < 0.001- 0.006). The control group showed no significant improvements at all (ES = 0–0.39, p = 0.016-0.961). Conclusions The present study demonstrated several significant improvements on phlebotomists’ adherence to VBSC practices. Still, guideline adherence improvement to several crucial phlebotomy practices is needed. We cannot conclude that the improvements are solely due to the EIP and suggest future efforts to improve VBSC. The program should provide time for reflections and discussions. Furthermore, a modular structure would allow directed educational intervention based on the specific VBSC guideline flaws existing at a specific unit. Such an approach is probably more effective at improving and sustaining adherence to VBSC guidelines than an EIP containing general pre-analytical practices. |
format |
Article in Journal/Newspaper |
author |
Bölenius, Karin Lindkvist, Marie Brulin, Christine Grankvist, Kjell Nilsson, Karin Söderberg, Johan |
author_facet |
Bölenius, Karin Lindkvist, Marie Brulin, Christine Grankvist, Kjell Nilsson, Karin Söderberg, Johan |
author_sort |
Bölenius, Karin |
title |
Impact of a large-scale educational intervention program on venous blood specimen collection practices |
title_short |
Impact of a large-scale educational intervention program on venous blood specimen collection practices |
title_full |
Impact of a large-scale educational intervention program on venous blood specimen collection practices |
title_fullStr |
Impact of a large-scale educational intervention program on venous blood specimen collection practices |
title_full_unstemmed |
Impact of a large-scale educational intervention program on venous blood specimen collection practices |
title_sort |
impact of a large-scale educational intervention program on venous blood specimen collection practices |
publisher |
BioMed Central Ltd. |
publishDate |
2013 |
url |
http://www.biomedcentral.com/1472-6963/13/463 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
http://www.biomedcentral.com/1472-6963/13/463 |
op_rights |
Copyright 2013 Bölenius et al.; licensee BioMed Central Ltd. |
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1766148068613292032 |