目标:已经制定了血液采样指南,以针对参与血液采样过程的欧洲急诊医学相关专业人员(例如医生,护士,在ED工作的抽血者),以及实验室医师和其他相关专业人员。指南人群侧重于成年患者。这些用于ED设置的血液采样指南的制定是基于三个欧洲科学学会的合作,这些学会在分析前阶段过程中发挥作用:EuSEN,EFLM,和EUSEM。问题的阐述是使用PICO程序完成的,文献检索和评价是基于等级方法的。最后的建议由国际多学科外部审查小组审查。
结果:该文档包括针对选定的十六个问题的详细建议。三个在预采样中,关于抽样的八个,三次抽样后,二是注重质量保证。总的来说,证据质量很低,在所有问题中,建议的强度都被评为弱。工作组在四个问题中阐述了建议,主要基于团队经验,评级为良好实践。
结论:多学科工作组被认为是本指南的主要贡献者之一。缺乏高质量的信息凸显了在患者护理过程的这一领域进行研究的必要性。紧急医疗领域的特殊性需要特别考虑,以最大程度地减少分析前阶段出现错误的可能性。
OBJECTIVE: Blood Sampling Guidelines have been developed to target European emergency medicine-related professionals involved in the blood sampling process (e.g. physicians, nurses, phlebotomists working in the ED), as well as laboratory physicians and other related professionals. The guidelines population focus on adult patients. The development of these blood sampling guidelines for the ED setting is based on the collaboration of three European scientific societies that have a role to play in the preanalytical phase process: EuSEN, EFLM, and EUSEM. The elaboration of the questions was done using the PICO procedure, literature search and appraisal was based on the GRADE methodology. The final recommendations were reviewed by an international multidisciplinary external review group.
RESULTS: The document includes the elaborated recommendations for the selected sixteen questions. Three in pre-sampling, eight regarding sampling, three post-sampling, and two focus on quality assurance. In general, the quality of the evidence is very low, and the strength of the recommendation in all the questions has been rated as weak. The working group in four questions elaborate the recommendations, based mainly on group experience, rating as good practice.
CONCLUSIONS: The multidisciplinary working group was considered one of the major contributors to this guideline. The lack of quality information highlights the need for research in this area of the patient care process. The peculiarities of the emergency medical areas need specific considerations to minimise the possibility of errors in the preanalytical phase.