Reduction of blood loss from laboratory testing in hospitalized adult patients using small-volume (pediatric) tubes.

Abstract:

CONTEXT:Blood loss from laboratory testing (BLLT) can be significant in hospitalized patients. It is a common practice to draw full large-volume tubes of blood from adults. OBJECTIVE:To determine whether BLLT occurred when a small-volume (pediatric) blood collection tube (SVT) was substituted for each large-volume blood collection tube and to note whether an adequate sample still was obtained. DESIGN:During 2 consecutive weeks, hospital test requisitions were reviewed to collect patient demographics, tests requested, and number and type of tubes obtained. The amount of blood collected and BLLT per patient were calculated. Reduced sample requirements were calculated, and phlebotomists and ward nurses were required to use SVTs. After 2 weeks of familiarization, data were collected as previously described. Laboratory technicians logged problems related to the use of SVTs. RESULTS:Baseline: 227 patients had 664 requisitions, and median BLLT per patient was 13.5 mL (interquartile range [IQR], 7.6-27.3 mL). In critical care patients, the median was 19.9 mL (IQR, 12.0-35.8 mL), and maximum BLLT was 159.8 mL. Intervention phase: 246 patients had 696 requisitions, median BLLT was 3.7 mL (IQR, 1.2-6.3 mL; P < .001). In critical care patients, the median was 5.1 mL (IQR, 2.3-10.9 mL), and maximum BLLT was 61.8 mL (P < .001). All tests requested could be performed using SVTs, and no additional blood collections were required. Use of SVTs reduced overall BLLT per patient by 73% and by 74% in critical care patients. CONCLUSIONS:By decreasing the size of the blood collection tube for adults, we were able to markedly reduce BLLT without noting any insufficient specimen volumes.

journal_name

Arch Pathol Lab Med

authors

Sanchez-Giron F,Alvarez-Mora F

doi

10.1043/1543-2165-132.12.1916

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

1916-9

issue

12

eissn

0003-9985

issn

1543-2165

pii

2007-0677-OA

journal_volume

132

pub_type

杂志文章
  • Stage IE non-Hodgkin's lymphoma involving the dura: A clinicopathologic study of five cases.

    abstract:OBJECTIVE AND DESIGN:Non-Hodgkin's lymphomas rarely present as a localized mass involving the dura. In this report we describe the clinical, histologic, and immunohistochemical features of five cases of stage IE non-Hodgkin's lymphoma involving the dura. PATIENTS:Four women and one man, 36 to 67 years of age (median 5...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Miranda RN,Glantz LK,Myint MA,Levy N,Jackson CL,Rhodes CH,Glantz MJ,Medeiros LJ

    更新日期:1996-03-01 00:00:00

  • Mitral and aortic valve disease associated with ergotamine therapy for migraine. Report of two cases and review of literature.

    abstract::Ergotamine has been associated with numerous vascular complications but only rarely with fibrosing disorders or valvular heart disease. Two patients are described in whom severe valvular dysfunction developed during ergotamine therapy for migraine headache. The surgically excised mitral and aortic valves were involved...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hauck AJ,Edwards WD,Danielson GK,Mullany CJ,Bresnahan DR

    更新日期:1990-01-01 00:00:00

  • Laboratory determination of hereditary susceptibility to breast and ovarian cancer.

    abstract::Inherited mutations in the genes BRCA1 and BRCA2 are associated with a significantly increased risk of breast cancer, particularly before the age of 50 years, as well as an increased risk of ovarian cancer. Patients with early-onset breast cancer or ovarian cancer at any age with a family history of either disease are...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/0003-9985(1999)123<1023:LDOHST>2.0.CO;2

    authors: Frank TS

    更新日期:1999-11-01 00:00:00

  • Employer Expectations for Newly Trained Pathologists: Report of a Survey From the Graduate Medical Education Committee of the College of American Pathologists.

    abstract:CONTEXT:-Multiple sources have identified challenges that training programs face in preparing graduates for the "real world" practice of pathology, and many training programs have sought to decrease the gap between skills acquired during training and those required in practice. However, there exists the possibility tha...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2015-0138-CP

    authors: Post MD,Johnson K,Brissette MD,Conran RM,Domen RE,Hoffman RD,McCloskey CB,Raciti PM,Roberts CA,Rojiani AM,Tucker JA,Powell SZ

    更新日期:2017-02-01 00:00:00

  • Misdiagnosis of high-grade vulvar intraepithelial neoplasia (VIN III) as mild cervical intraepithelial neoplasia (CIN I) on Papanicolaou tests.

    abstract:CONTEXT:Although high-grade vulvar intraepithelial neoplasia (VIN III) is a clinically significant lesion, it can be overlooked because of nonspecific clinical findings and the fact that its cytomorphologic features mimic those of mild cervical intraepithelial neoplasia (CIN I). OBJECTIVE:To determine if there are cyt...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2003)127<68:MOHGVI>2.0.CO;2

    authors: August CZ,Ganji M,Froula E

    更新日期:2003-01-01 00:00:00

  • Precision medicine for lung cancer: role of the surgical pathologist.

    abstract::Precision medicine is altering the traditional role of the surgical pathologist in caring for patients with lung cancer. Diagnosing specific cell type is now a foundation for selecting lung cancers for predictive-biomarker testing by molecular techniques. Using conventional techniques and familiar equipment, the surgi...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2012-0390-RA

    authors: Cagle PT,Myers J

    更新日期:2012-10-01 00:00:00

  • Tumoral calcinosis of the hand: three unusual cases with painful swelling of small joints.

    abstract::Tumoral calcinosis is a rare ectopic calcification syndrome characterized by irregular soft tissue masses originally described as being found mainly in large joints. We report 3 cases of tumoral calcinosis that occurred in unusual locations, the metacarpophalageal and proximal interphalangeal joints of the hand. The p...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2006)130[548:TCOTHT]2.0.CO;2

    authors: Kim HS,Suh JS,Kim YH,Park SH

    更新日期:2006-04-01 00:00:00

  • Multiparameter flow cytometry in the diagnosis and management of acute leukemia.

    abstract:CONTEXT:Timely and accurate diagnosis of hematologic malignancies is crucial to appropriate clinical management. Acute leukemias are a diverse group of malignancies with a range of clinical presentations, prognoses, and preferred treatment protocols. Historical classification systems relied predominantly on morphologic...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/2010-0387-RAR.1

    authors: Peters JM,Ansari MQ

    更新日期:2011-01-01 00:00:00

  • Androgenic granulosa cell tumors of the ovary. A clinicopathologic analysis of 17 cases and review of the literature.

    abstract::We reviewed the clinicopathologic features of 17 androgenic granulosa cell tumors. The patients, two of whom were pregnant, ranged from 2 to 58 years of age (average age, 22.5 years). Fourteen of the patients were masculinized as evidenced by various combinations of facial acne, temporal recession of hair, clitorimega...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Nakashima N,Young RH,Scully RE

    更新日期:1984-10-01 00:00:00

  • Adenoid cystic carcinoma of the ovary.

    abstract::We describe a case of ovarian adenoid cystic carcinoma (ACC) of the left ovary in a 23-year-old woman. The tumor had the typical cribriform pattern of ACC, lacked any component of surface epithelial carcinoma, and showed myoepithelial differentiation. The features of salivary gland-type tumor seen in this case are unu...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2000)124<1529:ACCOTO>2.0.CO;2

    authors: Zámecník M,Michal M,Curík R

    更新日期:2000-10-01 00:00:00

  • Albert C. Broders' paradigm shifts involving the prognostication and definition of cancer.

    abstract:CONTEXT:In the 19th and early 20th centuries, cancer was defined by the demonstration of invasion and metastases, based upon gross findings at surgery or autopsy. Although histopathologic examination of tumors became possible with greater and greater resolution over time, the definition of cancer remained the same. Tum...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 传,历史文章,杂志文章

    doi:10.5858/arpa.2011-0567-HP

    authors: Wright JR Jr

    更新日期:2012-11-01 00:00:00

  • Malignant Mesothelioma and Its Non-Asbestos Causes.

    abstract:CONTEXT:- Although many mesotheliomas are related to asbestos exposure, not all are, and there is increasing information on other causes of mesothelioma. OBJECTIVE:- To provide a review of non-asbestos causes for malignant mesothelioma. DATA SOURCES:- Review of relevant published literature via PubMed and other searc...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2017-0365-RA

    authors: Attanoos RL,Churg A,Galateau-Salle F,Gibbs AR,Roggli VL

    更新日期:2018-06-01 00:00:00

  • Ectopic beta-human chorionic gonadotropin production by bladder urothelial neoplasia.

    abstract::Endocrine manifestations are rarely observed in bladder urothelial neoplasia. To our knowledge, only 11 cases of choriocarcinoma have been reported in this site, and recently the production of beta-human chorionic gonadotropin has been demonstrated in these tumors by applying the immunoperoxidase technique. Of 104 tra...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Shah VM,Newman J,Crocker J,Chapple CR,Collard MJ,O'Brien JM,Considine J

    更新日期:1986-02-01 00:00:00

  • Conjugated hyperbilirubinemia and renal function in bone marrow transplant recipients.

    abstract::Although it has long been recognized that hyperbilirubinemia is enhanced in patients with impaired renal function, a clear correlation between the levels of bilirubin and creatinine in serum has never been established. We have studied this relationship in 13 bone marrow transplant recipients who had episodes of combin...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Yasmineh WG,Killeen AA,Filipovich AH

    更新日期:1988-03-01 00:00:00

  • The causes of morbidity and mortality among infants born at term.

    abstract::Previous studies have reported on the pathologic spectrum of perinatal mortality; however, in our opinion, the problems pertaining to the term newborn have not been emphasized sufficiently. We reviewed the autopsies of all term infants up to 2 months of age in a ten-year period (July 1975 to July 1985). These 342 pati...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Rosenthal N,Abramowsky CR

    更新日期:1988-02-01 00:00:00

  • Evaluation of a dual hemoglobin A(2)/A(1c) quantitation kit on the bio-rad variant II automated hemoglobin analyzer.

    abstract:CONTEXT:Quantitation of hemoglobin (Hb) A(1c) and investigation of hemoglobinopathy on the Bio-Rad Variant analyzers require a switch between 2 separate kits that is time consuming and causes errors. OBJECTIVE:Evaluation of a new Variant II HbA(2)/HbA(1c) Dual kit capable of both Hb A(1c) quantitation and hemoglobinop...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2002)126<1494:EOADHA>2.0.CO;2

    authors: Lafferty JD,McFarlane AG,K Chui DH

    更新日期:2002-12-01 00:00:00

  • Multiple cerebral defects in an infant exposed in utero to anticonvulsants.

    abstract::A female infant exposed in utero to anticonvulsant therapy had bilateral encephaloceles, ventricular abnormalities, and defective neuronal migration. This is one of a few articles with pathologic data available that discusses central nervous system involvement in infants exposed to anticonvulsants. ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Trice JE,Ambler M

    更新日期:1985-06-01 00:00:00

  • Black cartilage after therapy with levodopa and methyldopa.

    abstract::A study was undertaken of 14 autopsy cases with pigmented rib cartilage. Twelve of these patients had been treated with levodopa because of Parkinson's disease for at least 6 years, and two had been treated with methyldopa because of essential hypertension for 19 years. Thirty-two percent of the autopsy cases of Parki...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Rausing A,Rosén U

    更新日期:1994-05-01 00:00:00

  • Ectopic or heterotopic liver (choristoma) associated with the gallbladder.

    abstract::A 43-year-old man with a history and symptomatology of hereditary spherocytosis underwent splenectomy and cholecystectomy for treatment of his underlying disease and of cholelithiasis. The removed gallbladder showed a serosal encapsulated nodule, supported by a short mesentery, measuring 11 x 6 x 4 mm, that histologic...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Tejada E,Danielson C

    更新日期:1989-08-01 00:00:00

  • Aspirin-induced glandular dysplasia of the stomach: histologic and histochemical studies in rats.

    abstract::Stomachs of 22 rats treated with aspirin for six months were examined histologically at times ranging from 6 to 18 months after completion of treatment. Healed chronic gastric ulcers were found in 20 rats. Glandular dysplasia was present at the sites of healed ulcers in 12 rats, the glands extending into the submucosa...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: St John DJ,Yeomans ND,Bourne CA,de Boer WG

    更新日期:1977-01-01 00:00:00

  • Solitary spindle cell tumor with myoid differentiation of the lymph node.

    abstract::Spindle cell tumors arising in the lymph nodes are very rare. We report the light microscopic, histochemical, immunohistochemical, and ultrastructural findings of an unusual solitary spindle cell tumor in a peripheral lymph node of a 45-year-old woman. Microscopically, the tumor was characterized by interlacing fascic...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Lee JY,Abell E,Shevechik GJ

    更新日期:1989-05-01 00:00:00

  • Progressive granulomatous pneumonitis in response to cosmetic subcutaneous silicone injections in a patient with HIV-1 infection: case report and review of the literature.

    abstract::Silicone, commonly used in cosmetic procedures owing to its presumed inertness, can yield serious sequelae including acute embolization and pneumonitis. Chronic pulmonary sequelae in response to silicone injection have not been previously described. We report a case of chronic progressive granulomatous pneumonitis in ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2011-0149-CR

    authors: Hariri LP,Gaissert HA,Brown R,Ciaranello A,Greene RE,Selig MK,Kradin RL

    更新日期:2012-02-01 00:00:00

  • Recent studies on 'hyalinized' glomeruli.

    abstract::Hyalinized glomeruli in tissue sections those isolated from kidneys of subjected with end-stage and diabetic nephropathies and from aged persons (older than 75 years) were studied by histochemical, immunohistochemical, electron microscopic, and chemical methods. Our purposes were as follows: (1) to clarify the pathoge...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Misra RP

    更新日期:1981-11-01 00:00:00

  • Impact of Referral Center Pathology Review on Diagnosis and Management of Patients With Appendiceal Neoplasms.

    abstract:CONTEXT.—:Data regarding the clinical impact of subspecialist pathology review of appendiceal neoplasms are limited. OBJECTIVE.—:To determine whether pathology review by gastrointestinal pathologists at a tertiary-care referral center resulted in significant changes in the diagnosis and clinical management of appendic...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2019-0214-OA

    authors: Jedrzkiewicz J,Tateishi Y,Kirsch R,Conner J,Bischof D,McCart A,Riddell R,Pollett A,Taylor EL,Govindarajan A

    更新日期:2020-06-01 00:00:00

  • Intestinal Neuronal Dysplasia Type B: An Updated Review of a Problematic Diagnosis.

    abstract:CONTEXT.—:Intestinal neuronal dysplasia type B (IND B) is a controversial histopathologic phenotype that has been associated with intestinal dysmotility, either as an isolated condition or in conjunction with established pathologic disorders (eg, Hirschsprung disease). Many factors contribute to the debate over the exi...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2017-0524-RA

    authors: Kapur RP,Reyes-Mugica M

    更新日期:2019-02-01 00:00:00

  • Prevalence of myocarditis at autopsy in Turin, Italy.

    abstract:OBJECTIVE:To evaluate the prevalence of myocarditis in a general hospital in Turin, Italy. DESIGN:We retrospectively reviewed 17162 postmortem records from autopsies routinely performed at San Giovanni Battista General Hospital, Turin, between 1965 and 1994. RESULTS:Applying the so-called Dallas criteria, myocarditis...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Passarino G,Burlo P,Ciccone G,Comino A,Cravello M,Iannicelli P,Mollo F

    更新日期:1997-06-01 00:00:00

  • Gonadal mixed germ cell tumor combined with a large hemangiomatous lesion in a patient with Turner's syndrome and 45,X/46,X, +mar karyotype.

    abstract::In this report, we describe bilateral gonadal tumors with characteristic histopathological findings in a patient with Turner's syndrome who had 45,X/46,X, +mar mosaicism. The left gonad contained a gonadoblastoma and a remnant of streak gonad. The right gonad was entirely replaced by a 15x11x7-cm solid and cystic tumo...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Tanaka Y,Sasaki Y,Tachibana K,Maesaka H,Imaizumi K,Nishihira H,Nishi T

    更新日期:1994-11-01 00:00:00

  • Rectal mucosa. Malignant and premalignant changes after radiation therapy.

    abstract::A spectrum of changes that range from crypt basophilia through varying degrees of dysplasia and carcinoma in situ have been observed in the flat, nonraised mucosa of the rectum in patient who received pelvic irradiation for carcinoma of the cervix. This case demonstrates (1) the morphological evidence of the relations...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Shamsuddin AK,Elias EG

    更新日期:1981-03-01 00:00:00

  • Postmortem recovery of human immunodeficiency virus type 1 from plasma and mononuclear cells. Implications for occupational exposure.

    abstract:OBJECTIVE:To determine the ability to recover human immunodeficiency virus type 1 (HIV-1) from the plasma and mononuclear cell (MNC) fractions of postmortem blood samples from patients with the acquired immunodeficiency syndrome. DESIGN:Blood was randomly cultured post mortem from 41 patients with the acquired immunod...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Bankowski MJ,Landay AL,Staes B,Shuburg R,Kritzler M,Hajakian V,Kessler H

    更新日期:1992-11-01 00:00:00

  • Basal/myoepithelial cells in chronic sinusitis, respiratory epithelial adenomatoid hamartoma, inverted papilloma, and intestinal-type and nonintestinal-type sinonasal adenocarcinoma: an immunohistochemical study.

    abstract:CONTEXT:The pathogenesis of respiratory epithelial adenomatoid hamartoma (REAH) and inverted papilloma (IP) is poorly understood, especially compared with sinonasal adenocarcinoma (SNAC). One feature of malignant glandular lesions is loss of the basal/myoepithelial layer. The immunophenotype of the basal/myoepithelial ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2007)131[530:MCICSR]2.0.CO;2

    authors: Ozolek JA,Barnes EL,Hunt JL

    更新日期:2007-04-01 00:00:00