Recommendations for blood sampling in emergency departments from the European Society for Emergency Medicine (EUSEM), European Society for Emergency Nursing (EuSEN), and European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Working Group for the Preanalytical Phase. Executive summary.

Autor: Garcia-Castrillo L; Emergency Department, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain., Cadamuro J; Department of Laboratory Medicine, Paracelsus Medical University Salzburg, Salzburg, Austria., Dodt C; Emergency Department, Universitair Ziekenhuis Brussels, Brussels, Belgium., Lauwaert D; München Klinik gGmbH, Clinic for Acute and Emergency Care, Munich, Germany., Hachimi-Idrissi S; Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Emergency Medicine, Gent, Belgium.; Universitair Ziekenhuis Gent, Emergency Medicine, Gent, Belgium., Van Der Linden C; Haaglanden Medical Center, Den Haag, Netherlands., Bergs J; Faculty of Medicine and Life Sciences, Research Group Healthcare & Ethics, Hasselt University, Limburg, Belgium.; Department of Healthcare, PXL University of Applied Sciences and Arts, Hasselt, Netherlands., Costelloe S; Department of Clinical Biochemistry, Cork University Hospital Group, Cork, Ireland., Grossmann F; Emergency Department, University Hospital Basel, Basel, Switzerland., Koca A; Department of Emergency Medicine, Ankara University School of Medicine, Ankara, Türkiye., Palomäki A; Kanta-Häme Central Hospital, Tampere Universities, Hämeenlinna, Finland., Ruiz JL; Emergency Department, Hospital Universitario de La Ribera, Valenciana, Spain., Stonys R; Center of Laboratory Medicine, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania., Thorsteinsdottir TK; Faculty of Nursing and Midwifery, University of Iceland Faculty of Nursing and Midwifery, Reykjavik, Island., von Meyer A; Krankenhaus Barmherzige Brüder München, Munich, Germany., Vermeersch P; KU Leuven University Hospitals Leuven, Laboratory Medicine, Leuven, Belgium., Abellas Alvarez MC; Hospital do Salnés Xestión Integrada Pontevedra-Salnés, Vilagarcía de Arousa, Spain., Eker P; Biochemistry and Clinical Biochemistry, Maltepe Universitesi Tip Fakultesi, Istanbul, Türkiye., Golea A; Emergency Department, Cluj-Napoca County Emergency Hospital, Cluj-Napoca, Romania., Kurland L; School of Medical Sciences, Örebro University, Örebro, Sweden., Lippi G; Section of Clinical Biochemistry, Universita degli Studi di Verona, Verona, Italy., Zhilenkova Y; Department of Laboratory Medicine and Genetics, Almazov National Medical Research Centre, Sankt-Peterburg, Russia., Sehmi K; International Alliance of Patients' Organizations, London, UK.
Jazyk: angličtina
Zdroj: Clinical chemistry and laboratory medicine [Clin Chem Lab Med] 2024 Apr 08; Vol. 62 (8), pp. 1538-1547. Date of Electronic Publication: 2024 Apr 08 (Print Publication: 2024).
DOI: 10.1515/cclm-2024-0059
Abstrakt: Aim: Blood Sampling Guidelines have been developed to target European emergency medicine-related professionals involved in the blood sampling process (e.g. physicians, nurses, phlebotomists working in the ED), as well as laboratory physicians and other related professionals. The guidelines population focus on adult patients. The development of these blood sampling guidelines for the ED setting is based on the collaboration of three European scientific societies that have a role to play in the preanalytical phase process: EuSEN, EFLM, and EUSEM. The elaboration of the questions was done using the PICO procedure, literature search and appraisal was based on the GRADE methodology. The final recommendations were reviewed by an international multidisciplinary external review group.
Results: The document includes the elaborated recommendations for the selected sixteen questions. Three in pre-sampling, eight regarding sampling, three post-sampling, and two focus on quality assurance. In general, the quality of the evidence is very low, and the strength of the recommendation in all the questions has been rated as weak. The working group in four questions elaborate the recommendations, based mainly on group experience, rating as good practice.
Conclusions: The multidisciplinary working group was considered one of the major contributors to this guideline. The lack of quality information highlights the need for research in this area of the patient care process. The peculiarities of the emergency medical areas need specific considerations to minimise the possibility of errors in the preanalytical phase.
(© 2024 Walter de Gruyter GmbH, Berlin/Boston.)
Databáze: MEDLINE