Preanalytical Phase in the Clinical Laboratory: A Comprehensive Review of Best Practices for Medical Technologists and Phlebotomists

Authors: Musab Hassan Ibrahim Hakami, Saeed Mubarak S Aldosari, Abdulaziz Ahmed Abdulaziz Alhour, Mazen Saeed Gashmo Alzahrani, Ali Abdullah Saleh Alghammass, Abdulmohsin Abdulaziz M Alhassan

Country: Saudi Arabia

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Abstract: The preanalytical phase significantly impacts laboratory test quality and reliability but remains prone to errors. This review examines best practices for medical technologists and phlebotomists in preanalytics, focusing on patient preparation, specimen collection, handling, transportation, and processing. Adhering to standardized guidelines like CLSI's H03-A6 is critical for minimizing errors and maintaining sample integrity. Proper patient identification, venipuncture techniques, specimen handling protocols, and quality control measures are emphasized. Common preanalytical mistakes, including misidentification and labeling errors, are discussed, highlighting patient safety implications. Error prevention strategies, emerging technologies' roles in enhancing efficiency, training and continuing education's importance, and compliance with regulations are explored. Addressing challenges like point-of-care testing's rise and opportunities with advanced technologies is vital. A multifaceted approach involving standardization, quality control, education, and technology adoption optimizes preanalytics, ensuring accurate laboratory results and safeguarding patient care.

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Paper Id: 231197

Published On: 2023-01-15

Published In: Volume 11, Issue 1, January-February 2023

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