Ensuring timely completion of type and screen testing and the verification of ABO/Rh status for elective surgical patients
A blood bank can provide compatible blood for an elective surgical procedure, provided a blood sample is received by the laboratory with sufficient time to allow pretransfusion testing and acquire enough compatible red blood cell units. With the push for same-day admission surgical procedures, a pat...
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Veröffentlicht in: | Archives of pathology & laboratory medicine (1976) 2007-04, Vol.131 (4), p.576-581 |
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container_title | Archives of pathology & laboratory medicine (1976) |
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creator | Saxena, Sunita Nelson, Janice M Osby, Melanie Shah, Mrugesh Kempf, Raymond Shulman, Ira A |
description | A blood bank can provide compatible blood for an elective surgical procedure, provided a blood sample is received by the laboratory with sufficient time to allow pretransfusion testing and acquire enough compatible red blood cell units. With the push for same-day admission surgical procedures, a patient's pretransfusion blood sample is often collected the morning of surgery. However, if blood is needed, compatible units might not be immediately available.
To define and improve the process of completing presurgical/preadmission type and screen testing and verifying the ABO/Rh status of scheduled surgical patients before they receive a transfusion.
A list of surgical procedures that might necessitate blood transfusion was created. A checklist was used to ensure that the preoperative clinic nurse collects a baseline pretransfusion blood sample for type and screen testing from patients scheduled for a listed procedure. A new pretransfusion specimen was received on the day of surgery, if needed, so that a current specimen would be available for compatibility testing and to verify the accuracy of the patient's ABO/Rh status in case blood was requested.
During the 1-year study period, 666 patients qualified for baseline type and screen testing. Cholecystectomy was the most commonly scheduled surgery. In 99% of cases, a baseline type and screen specimen was received in the laboratory at least 1 day before surgery. The interval between the preoperative clinic visit and date of surgery varied from same day (6 patients) to 3 months.
Timely receipt of a presurgical specimen for type and screen testing and verification of a patient's ABO/Rh status can be ensured when clinical services collaborate and when the hospital blood utilization committee provides oversight to improve compliance. |
doi_str_mv | 10.5858/2007-131-576-ETCOTA |
format | Article |
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To define and improve the process of completing presurgical/preadmission type and screen testing and verifying the ABO/Rh status of scheduled surgical patients before they receive a transfusion.
A list of surgical procedures that might necessitate blood transfusion was created. A checklist was used to ensure that the preoperative clinic nurse collects a baseline pretransfusion blood sample for type and screen testing from patients scheduled for a listed procedure. A new pretransfusion specimen was received on the day of surgery, if needed, so that a current specimen would be available for compatibility testing and to verify the accuracy of the patient's ABO/Rh status in case blood was requested.
During the 1-year study period, 666 patients qualified for baseline type and screen testing. Cholecystectomy was the most commonly scheduled surgery. In 99% of cases, a baseline type and screen specimen was received in the laboratory at least 1 day before surgery. The interval between the preoperative clinic visit and date of surgery varied from same day (6 patients) to 3 months.
Timely receipt of a presurgical specimen for type and screen testing and verification of a patient's ABO/Rh status can be ensured when clinical services collaborate and when the hospital blood utilization committee provides oversight to improve compliance.</description><identifier>ISSN: 0003-9985</identifier><identifier>ISSN: 1543-2165</identifier><identifier>EISSN: 1543-2165</identifier><identifier>DOI: 10.5858/2007-131-576-ETCOTA</identifier><identifier>PMID: 17425387</identifier><identifier>CODEN: APLMAS</identifier><language>eng</language><publisher>United States: College of American Pathologists</publisher><subject>ABO Blood-Group System ; Agglutination ; Ambulatory care ; Antibodies ; Blood ; Blood banks ; Blood Grouping and Crossmatching - methods ; Blood Grouping and Crossmatching - standards ; Blood Specimen Collection - methods ; Blood Specimen Collection - standards ; Blood Transfusion ; Collaboration ; Diagnostic Tests, Routine - methods ; Diagnostic Tests, Routine - standards ; Elective Surgical Procedures ; Hospitals ; Humans ; Laboratories ; Management ; Medical care ; Medical screening ; Patients ; Quality management ; Rh-Hr Blood-Group System ; Surgeons ; Surgery ; Surgery, Elective ; Time Factors</subject><ispartof>Archives of pathology & laboratory medicine (1976), 2007-04, Vol.131 (4), p.576-581</ispartof><rights>COPYRIGHT 2007 College of American Pathologists</rights><rights>Copyright College of American Pathologists Apr 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-d975d78139a51a5f93fe0dde54243c77666b1036bcf905baa1c6c4d3e06e370a3</citedby><cites>FETCH-LOGICAL-c466t-d975d78139a51a5f93fe0dde54243c77666b1036bcf905baa1c6c4d3e06e370a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17425387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saxena, Sunita</creatorcontrib><creatorcontrib>Nelson, Janice M</creatorcontrib><creatorcontrib>Osby, Melanie</creatorcontrib><creatorcontrib>Shah, Mrugesh</creatorcontrib><creatorcontrib>Kempf, Raymond</creatorcontrib><creatorcontrib>Shulman, Ira A</creatorcontrib><title>Ensuring timely completion of type and screen testing and the verification of ABO/Rh status for elective surgical patients</title><title>Archives of pathology & laboratory medicine (1976)</title><addtitle>Arch Pathol Lab Med</addtitle><description>A blood bank can provide compatible blood for an elective surgical procedure, provided a blood sample is received by the laboratory with sufficient time to allow pretransfusion testing and acquire enough compatible red blood cell units. With the push for same-day admission surgical procedures, a patient's pretransfusion blood sample is often collected the morning of surgery. However, if blood is needed, compatible units might not be immediately available.
To define and improve the process of completing presurgical/preadmission type and screen testing and verifying the ABO/Rh status of scheduled surgical patients before they receive a transfusion.
A list of surgical procedures that might necessitate blood transfusion was created. A checklist was used to ensure that the preoperative clinic nurse collects a baseline pretransfusion blood sample for type and screen testing from patients scheduled for a listed procedure. A new pretransfusion specimen was received on the day of surgery, if needed, so that a current specimen would be available for compatibility testing and to verify the accuracy of the patient's ABO/Rh status in case blood was requested.
During the 1-year study period, 666 patients qualified for baseline type and screen testing. Cholecystectomy was the most commonly scheduled surgery. In 99% of cases, a baseline type and screen specimen was received in the laboratory at least 1 day before surgery. The interval between the preoperative clinic visit and date of surgery varied from same day (6 patients) to 3 months.
Timely receipt of a presurgical specimen for type and screen testing and verification of a patient's ABO/Rh status can be ensured when clinical services collaborate and when the hospital blood utilization committee provides oversight to improve compliance.</description><subject>ABO Blood-Group System</subject><subject>Agglutination</subject><subject>Ambulatory care</subject><subject>Antibodies</subject><subject>Blood</subject><subject>Blood banks</subject><subject>Blood Grouping and Crossmatching - methods</subject><subject>Blood Grouping and Crossmatching - standards</subject><subject>Blood Specimen Collection - methods</subject><subject>Blood Specimen Collection - standards</subject><subject>Blood Transfusion</subject><subject>Collaboration</subject><subject>Diagnostic Tests, Routine - methods</subject><subject>Diagnostic Tests, Routine - standards</subject><subject>Elective Surgical Procedures</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Laboratories</subject><subject>Management</subject><subject>Medical care</subject><subject>Medical screening</subject><subject>Patients</subject><subject>Quality management</subject><subject>Rh-Hr Blood-Group System</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgery, Elective</subject><subject>Time Factors</subject><issn>0003-9985</issn><issn>1543-2165</issn><issn>1543-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptktFqHCEUhofS0mzTPkGhSAu5m0THUcfLTUjaQmChpNfiOmd2DY5u1Qlsnz4Ou6VNWbwQD9-vHv2q6iPBl6xj3VWDsagJJTUTvL59uFk9LF9VC8JaWjeEs9fVAmNMayk7dla9S-mxLGXTkLfVGRFtw2gnFtXvW5-maP0GZTuC2yMTxp2DbINHYUB5vwOkfY-SiQAeZUh5hudS3gJ6gmgHa_Qffnm9uvqxRSnrPCU0hIjAgcn2CVA5ZlNIh3aFBp_T--rNoF2CD8f5vPp5V9r4Vt-vvn6_Wd7XpuU8170UrBcdoVIzotkg6QC474G1TUuNEJzzNcGUr80gMVtrTQw3bU8Bc6ACa3peXRz23cXwayoNqNEmA85pD2FKSmAqGJOkgJ__Ax_DFH25m2oIkUw0LS7QlwO00Q6U9UPIUZt5R7UknGLZcSwKVZ-gNuAhahc8DLaUX_CXJ_gyehitORm4-CewBe3yNgU3zR-RXoL0AJoYUoowqF20o457RbCaPVKzR6p4pIpH6uBRSX06PsW0HqH_mzmKQ58BH0_CFA</recordid><startdate>200704</startdate><enddate>200704</enddate><creator>Saxena, Sunita</creator><creator>Nelson, Janice M</creator><creator>Osby, Melanie</creator><creator>Shah, Mrugesh</creator><creator>Kempf, Raymond</creator><creator>Shulman, Ira A</creator><general>College of American Pathologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>200704</creationdate><title>Ensuring timely completion of type and screen testing and the verification of ABO/Rh status for elective surgical patients</title><author>Saxena, Sunita ; Nelson, Janice M ; Osby, Melanie ; Shah, Mrugesh ; Kempf, Raymond ; Shulman, Ira A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-d975d78139a51a5f93fe0dde54243c77666b1036bcf905baa1c6c4d3e06e370a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>ABO Blood-Group System</topic><topic>Agglutination</topic><topic>Ambulatory care</topic><topic>Antibodies</topic><topic>Blood</topic><topic>Blood banks</topic><topic>Blood Grouping and Crossmatching - methods</topic><topic>Blood Grouping and Crossmatching - standards</topic><topic>Blood Specimen Collection - methods</topic><topic>Blood Specimen Collection - standards</topic><topic>Blood Transfusion</topic><topic>Collaboration</topic><topic>Diagnostic Tests, Routine - methods</topic><topic>Diagnostic Tests, Routine - standards</topic><topic>Elective Surgical Procedures</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Laboratories</topic><topic>Management</topic><topic>Medical care</topic><topic>Medical screening</topic><topic>Patients</topic><topic>Quality management</topic><topic>Rh-Hr Blood-Group System</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgery, Elective</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saxena, Sunita</creatorcontrib><creatorcontrib>Nelson, Janice M</creatorcontrib><creatorcontrib>Osby, Melanie</creatorcontrib><creatorcontrib>Shah, Mrugesh</creatorcontrib><creatorcontrib>Kempf, Raymond</creatorcontrib><creatorcontrib>Shulman, Ira A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of pathology & laboratory medicine (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saxena, Sunita</au><au>Nelson, Janice M</au><au>Osby, Melanie</au><au>Shah, Mrugesh</au><au>Kempf, Raymond</au><au>Shulman, Ira A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ensuring timely completion of type and screen testing and the verification of ABO/Rh status for elective surgical patients</atitle><jtitle>Archives of pathology & laboratory medicine (1976)</jtitle><addtitle>Arch Pathol Lab Med</addtitle><date>2007-04</date><risdate>2007</risdate><volume>131</volume><issue>4</issue><spage>576</spage><epage>581</epage><pages>576-581</pages><issn>0003-9985</issn><issn>1543-2165</issn><eissn>1543-2165</eissn><coden>APLMAS</coden><abstract>A blood bank can provide compatible blood for an elective surgical procedure, provided a blood sample is received by the laboratory with sufficient time to allow pretransfusion testing and acquire enough compatible red blood cell units. With the push for same-day admission surgical procedures, a patient's pretransfusion blood sample is often collected the morning of surgery. However, if blood is needed, compatible units might not be immediately available.
To define and improve the process of completing presurgical/preadmission type and screen testing and verifying the ABO/Rh status of scheduled surgical patients before they receive a transfusion.
A list of surgical procedures that might necessitate blood transfusion was created. A checklist was used to ensure that the preoperative clinic nurse collects a baseline pretransfusion blood sample for type and screen testing from patients scheduled for a listed procedure. A new pretransfusion specimen was received on the day of surgery, if needed, so that a current specimen would be available for compatibility testing and to verify the accuracy of the patient's ABO/Rh status in case blood was requested.
During the 1-year study period, 666 patients qualified for baseline type and screen testing. Cholecystectomy was the most commonly scheduled surgery. In 99% of cases, a baseline type and screen specimen was received in the laboratory at least 1 day before surgery. The interval between the preoperative clinic visit and date of surgery varied from same day (6 patients) to 3 months.
Timely receipt of a presurgical specimen for type and screen testing and verification of a patient's ABO/Rh status can be ensured when clinical services collaborate and when the hospital blood utilization committee provides oversight to improve compliance.</abstract><cop>United States</cop><pub>College of American Pathologists</pub><pmid>17425387</pmid><doi>10.5858/2007-131-576-ETCOTA</doi><tpages>6</tpages></addata></record> |
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source | MEDLINE; Allen Press Miscellaneous; EZB-FREE-00999 freely available EZB journals |
subjects | ABO Blood-Group System Agglutination Ambulatory care Antibodies Blood Blood banks Blood Grouping and Crossmatching - methods Blood Grouping and Crossmatching - standards Blood Specimen Collection - methods Blood Specimen Collection - standards Blood Transfusion Collaboration Diagnostic Tests, Routine - methods Diagnostic Tests, Routine - standards Elective Surgical Procedures Hospitals Humans Laboratories Management Medical care Medical screening Patients Quality management Rh-Hr Blood-Group System Surgeons Surgery Surgery, Elective Time Factors |
title | Ensuring timely completion of type and screen testing and the verification of ABO/Rh status for elective surgical patients |
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