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Cited by 99Clinical Laboratory Practices and Quality ControlBacterial Identification and Susceptibility TestingBlood transfusion and management

Croatian Society of Medical Biochemistry and Laboratory Medicine: national recommendations for venous blood sampling

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Nikolac, Nora, Šupak Smolčić, Vesna, Šimundić, Ana-Maria, Ćelap, Ivana·2013·Biochemia Medica
DOI 10.11613/bm.2013.031PMC PMC3900082
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Abstract

Phlebotomy is one of the most complex medical procedures in the diagnosis, management and treatment of patients in healthcare. Since laboratory test results are the basis for a large proportion (60-80%) of medical decisions, any error in the phlebotomy process could have serious consequences. In order to minimize the possibility of errors, phlebotomy procedures should be standardised, well-documented and written instructions should be available at every workstation. Croatia is one of the few European countries that have national guidelines for phlebotomy, besides the universally used CLSI (Clinical Laboratory Standards Institute) H3-A6 Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture; approved Standard-Sixth Edition (CLSI, 2007) and WHO (World Health Organization) guidelines on drawing blood: best practices in phlebotomy (WHO, 2010). However, the growing body of evidence in importance of preanalytical phase management resulted in a need for evidence based revision and expansion of existing recommendations. The Croatian Society for Medical Biochemistry and Laboratory Medicine, Working Group for the Preanalytical Phase issued this recommendation. This document is based on the CLSI guideline H3-A6, with significant differences and additional information.

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  • Other potential factors such as regular or recent physical activity, food intake, and intake of drugs, over-the-counter medicines, food supplements, and herbal preparations are known to affect the concentration of certain analytes.

    “There are other potential factors such as regular or/and recent physical activity, food intake and intake of drugs, over-the-counter medicines, food supplements and herbal preparations, etc. which are known to affect the concentration of certain analytes and it should be verified whether the patient has followed necessary instructions before blood sampling [23], [24], [25].”

    From Joint EFLM-COLABIOCLI Recommendation for venous blood sampling (2018) · cites this paper as [25]

    The Procedure section, “Verifying patient preparation for venipuncture” (page not provided), says diet restrictions and therapy protocols can matter for test results and recommends checking patient preparation before blood sampling. It does not specifically address regular or recent physical activity, over-the-counter medicines, food supplements, or herbal preparations as factors affecting analyte concentrations. (LLM, conf=0.83)

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Cited by

Sorted by citations

Authors
Nikolac, N., Šupak Smolčić, V., Šimundić, A.-M., & Ćelap, I.
Affiliations
Croatian Society for Medical Biochemistry and Laboratory Medicine (HR)
Corresponding author
Nikolac, Nora
ORCID
Venue
Biochemia Medica
Publisher
Croatian Society for Medical Biochemistry and Laboratory Medicine
Published
2013
Volume
23
Issue
3
Pages
242-254
ISSN
  • 1330-0962 (ISSN-L)
  • 1846-7482
DOI
10.11613/bm.2013.031
PMC
PMC3900082
OpenAlex
W2131396546
Cited by
99
References
3
Citations by year
2026: 3 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 13 · 2018: 7 · 2017: 12 · 2016: 8 · 2015: 8 · 2014: 17 · 2013: 1
FWCI
7.89
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Biochemia Medica (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Hrčak Portal of scientific journals of Croatia (University Computing Centre) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Bacterial Identification and Susceptibility Testing
  • Health Sciences › Medicine › Biochemistry › Blood transfusion and management
Keywords
phlebotomy, venipuncture, venous blood sampling, pre-analytical phase, blood sampling, national guidelines
MeSH terms
Humans, Croatia, Phlebotomy

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