{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T20:18:30Z","timestamp":1772137110858,"version":"3.50.1"},"reference-count":13,"publisher":"Scientific Scholar","issue":"02","license":[{"start":{"date-parts":[[2021,9,22]],"date-time":"2021-09-22T00:00:00Z","timestamp":1632268800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Lab Physicians"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background\u2003Phlebotomy guidelines discourage tourniquet use whenever possible. We assessed phlebotomists' capability of not using the tourniquet in venous blood sampling, hypothesizing it to be equal to 50% of the patients attended, and identifying the most frequent venipuncture site.<\/jats:p>\n                  <jats:p>Materials and Methods\u2003We assigned two phlebotomists of the same age (41 years) and experience (20 years) to record 10 phlebotomy days, the first with prioritized and the latter with nonprioritized patients. Each acquired daily data for the number of attended patients, age, gender, frequency of nontourniquet usage, and punctured vein. To test our work hypothesis we used the two-tailed single sample t-test. Differences between age-group means and nontourniquet use means by each phlebotomist were tested by two-tailed t-test for independent means.<\/jats:p>\n                  <jats:p>Results\u2003In 10 phlebotomy days, 683 patients were attended (males 43.2%). We found no statistically significant difference between age-group means. The combined capability of nontourniquet use was 50.5%, which did not differ from our null hypothesis, but the difference in individual group means was statistically significant, the means being 33% and 66.9% (prioritized vs. nonprioritized). The medial cubital vein was the most prone to be punctured (77.7%).<\/jats:p>\n                  <jats:p>Conclusion\u2003Performing phlebotomies without tourniquet was possible in at least half of the attended patients, though it was more limited in specific group populations.<\/jats:p>","DOI":"10.1055\/s-0041-1735584","type":"journal-article","created":{"date-parts":[[2021,9,22]],"date-time":"2021-09-22T21:26:32Z","timestamp":1632345992000},"page":"218-222","source":"Crossref","is-referenced-by-count":1,"title":["Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use"],"prefix":"10.25259","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3485-5678","authenticated-orcid":false,"given":"Francisco","family":"Freitas","sequence":"additional","affiliation":[{"name":"Microbiology Laboratory, Clinical Pathology Service, Centro Hospitalar Tondela-Viseu, Viseu, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica","family":"Alves","sequence":"additional","affiliation":[{"name":"Central Laboratory, Clinical Pathology Service, Centro Hospitalar Tondela-Viseu, Viseu, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,9,22]]},"reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1515\/cclm-2018-0602","article-title":"Joint EFLM-COLABIOCLI recommendation for venous blood sampling","volume":"56","author":"A M Simundic","year":"2018","journal-title":"Clin Chem Lab Med"},{"key":"ref2","volume-title":"GP41: Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture; Approved Standard\u2014Seventh Edition","author":"Clinical and Laboratory Standards Institute","year":"2017"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1097\/MBC.0000000000000342","article-title":"Venous stasis and whole blood platelet aggregometry: a question of data reliability and patient safety","volume":"26","author":"G Lima-Oliveira","year":"2015","journal-title":"Blood Coagul Fibrinolysis"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"308","DOI":"10.11613\/BM.2013.037","article-title":"The effective reduction of tourniquet application time after minor modification of the CLSI H03-A6 blood collection procedure","volume":"23","author":"G Lima-Oliveira","year":"2013","journal-title":"Biochem Med (Zagreb)"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"152","DOI":"10.11613\/BM.2011.024","article-title":"New ways to deal with known preanalytical issues: use of transilluminator instead of tourniquet for easing vein access and eliminating stasis on clinical biochemistry","volume":"21","author":"G Lima-Oliveira","year":"2011","journal-title":"Biochem Med (Zagreb)"},{"issue":"08","key":"ref6","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1515\/CCLM.2005.146","article-title":"Influence of short-term venous stasis on clinical chemistry testing","volume":"43","author":"G Lippi","year":"2005","journal-title":"Clin Chem Lab Med"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"229","DOI":"10.5858\/arpa.2016-0400-OA","article-title":"Preanalytic factors associated with hemolysis in emergency department blood samples","volume":"142","author":"M P Phelan","year":"2018","journal-title":"Arch Pathol Lab Med"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1080\/10408363.2016.1250247","article-title":"Key factors influencing the incidence of hemolysis: a critical appraisal of current evidence","volume":"54","author":"E J McCaughey","year":"2017","journal-title":"Crit Rev Clin Lab Sci"},{"issue":"03","key":"ref9","first-page":"251","article-title":"How to prevent phlebotomy-related nerve injury","volume":"55","author":"H Ohnishi","year":"2007","journal-title":"Rinsho Byori"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1097\/PTS.0000000000000441","article-title":"Safety of venipuncture sites at the cubital fossa as assessed by ultrasonography","volume":"16","author":"K Mukai","year":"2020","journal-title":"J Patient Saf"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1309\/LM2XCV5SQML1ONTM","article-title":"Blood collection from intravenous lines: is one drawing site better than others?","volume":"45","author":"G Lippi","year":"2014","journal-title":"Lab Med"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"288","DOI":"10.2478\/jomb-2014-0043","article-title":"Laboratory diagnostics and quality of blood collection","volume":"34","author":"G Lima-Oliveira","year":"2015","journal-title":"J Med Biochem"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1111\/j.1751-553X.2011.01305.x","article-title":"Transillumination: a new tool to eliminate the impact of venous stasis during the procedure for the collection of diagnostic blood specimens for routine haematological testing","volume":"33","author":"G Lima-Oliveira","year":"2011","journal-title":"Int J Lab Hematol"}],"container-title":["Journal of Laboratory Physicians"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1735584.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T03:19:51Z","timestamp":1703387991000},"score":1,"resource":{"primary":{"URL":"https:\/\/jlabphy.org\/improving-the-quality-of-venous-blood-sampling-procedure-phlebotomy-avoiding-tourniquet-use\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,22]]},"references-count":13,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,8,16]]},"published-print":{"date-parts":[[2022,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1735584","archive":["Portico","CLOCKSS"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2020.04.05.20039560","asserted-by":"object"}]},"ISSN":["0974-2727","0974-7826"],"issn-type":[{"value":"0974-2727","type":"print"},{"value":"0974-7826","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,22]]}}}