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静脉血采集的标准与实践指南：韩国检验医学学会的共识性建议

Standards and Practice Guidelines for Venous Blood Collection: Consensus Recommendations from the Korean Society for Laboratory Medicine.

作者信息

Chang Jeonghyun, Choi Sooin, Cho Hanwool, Kim Sollip, Chung Jae-Woo, Yoo Soo Jin, Song Eun Young, Chun Sail

机构信息

Department of Laboratory Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.

Department of Laboratory Medicine and Genetics, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

出版信息

Ann Lab Med. 2025 Jul 1;45(4):343-357. doi: 10.3343/alm.2025.0022. Epub 2025 Jun 17.

DOI:10.3343/alm.2025.0022
PMID:40524635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12187494/
Abstract

High-quality specimens are essential for accurate laboratory results. Preanalytical errors due to issues, such as hemolysis, microclotting, and insufficient specimen volume, account for 60%-70% of laboratory errors and frequently result from improper blood collection techniques or negligence during the collection process. Therefore, standardized blood collection guidelines and continuous education are required. In Korea, standardized venous blood collection procedures have not yet been fully established, highlighting the need for an evidence-based protocol tailored to local requirements. The venous blood collection guideline presented here was adapted from international standards to conform to globally recognized practices and address the Korean clinical context. The guideline, developed by the Korean Society for Laboratory Medicine, outlines the critical steps in venous blood collection, from patient identification and consent to post-collection handling. Practical recommendations are provided for medical students, doctors, nurses, and medical technologists. The guideline addresses specific considerations for pediatric and older patients, as well as individuals undergoing blood culture tests, with an emphasis on minimizing errors and promoting the safety of patients and medical staff. The guideline includes practical tools, such as checklists and detailed information on sampling devices, to facilitate implementation. This initiative would help standardize blood collection practices, improve specimen quality, and enhance patient care by ensuring accurate laboratory results in clinical settings.

摘要

高质量的标本对于获得准确的实验室结果至关重要。由于溶血、微凝血和标本量不足等问题导致的分析前误差占实验室误差的60%-70%，且常常源于不当的采血技术或采血过程中的疏忽。因此，需要标准化的采血指南和持续教育。在韩国，标准化的静脉采血程序尚未完全确立，这凸显了制定符合当地需求的循证方案的必要性。此处呈现的静脉采血指南是根据国际标准改编的，以符合全球公认的做法并适应韩国的临床环境。该指南由韩国检验医学协会制定，概述了静脉采血的关键步骤，从患者识别与同意到采血后处理。为医学生、医生、护士和医学技术人员提供了实用建议。该指南涉及儿科和老年患者以及接受血培养检测的个体的特殊注意事项，强调尽量减少误差并提高患者和医护人员的安全性。该指南包括实用工具，如检查表和关于采样设备的详细信息，以促进实施。这一举措将有助于规范采血操作，提高标本质量，并通过确保临床环境中准确的实验室结果来提升患者护理水平。

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本文引用的文献

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