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2015, vol. 34, br. 3, str. 288-294
Laboratorijska dijagnostika i kvalitet uzimanja uzoraka krvi
aAcademic Hospital of Parma, Laboratory of Clinical Chemistry and Hematology, Parma, Italy
bUniversity of Verona, Department of Life and Reproduction Sciences, Laboratory of Clinical Biochemistry, Italy
cFederal University of Parana, Department of Medical Pathology, Post-Graduate Program of Pharmaceutical Sciences, Curitiba, Parana, Brazil
dUniversity of Verona, Department of Life and Reproduction Sciences, Laboratory of Clinical Biochemistry, Italy + Federal University of Parana, Department of Medical Pathology, Post-Graduate Program of Pharmaceutical Sciences, Curitiba, Parana, Brazil

e-adresadr.g.lima.oliveira@gmail.com
Ključne reči: uzimanje uzoraka krvi; bezbednost pacijenata; flebotomija; medicinske greške; rukovanje uzorcima; poveska
Sažetak
Uzorci krvi za dijagnostiku uzeti pomoću flebotomije najčešći su od svih bioloških uzoraka koji se uzimaju i šalju u medicinske laboratorije na analizu, čime se pruža podrška nadležnim lekarima u postavljanju dijagnoze, praćenju i/ili terapijskom nadzoru bolesnika. Flebotomija, kao relativno invazivna medicinska procedura, zaista je presudna za postupke koji slede bilo u analitickoj fazi u laboratoriji ili u procesu interpretacije koji obavljaju lekari. Loš kvalitet flebotomije može kompromitovati postavljanje dijagnoze, upravljanje pacijentom, njegovo lečenje i najzad bezbednost pacijenta. Sa zanimanjem smo nedavno pročitali članak u kom se autori bave važnim aspektima uzimanja uzoraka venske krvi za medicinske laboratorijske analize. Autori su sproveli anketu o flebotomiji zasnovanu na dokumentu H03-A6 (danas ga zamenjuje dokument GP41-A6) Instituta za kliničke i laboratorijske standarde (IKLS) u tri vladine bolnice u Etiopiji da bi ispitali 120 zaposlenih (101 nije bio laboratorijski radnik, dok 19 jesu bili laboratorijski radnici) o praksi uzimanja uzoraka venske krvi. Cilj ovog mini (nesistematičnog) pregleda je osvrt na sugestije iz pomenutog članka kao i na trenutne prakse koje smo već primetili u drugim laboratorijama, i uz to kratka diskusija o četiri problematične aktivnosti koje prilikom uzimanja uzoraka venske krvi obavljaju zdravstveni radnici. Ovo se odnosi na: i) procenu restrikcija u ishrani; ii) čišćenje mesta punkcje; iii) vreme uklanjanja poveske i iv) mešanje uzoraka sa aditivima.
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O članku

jezik rada: engleski
vrsta rada: pregledni članak
PMC ID: PMC4922344
DOI: 10.2478/jomb-2014-0043
objavljen u SCIndeksu: 03.01.2020.