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Croatian Society of Medical Biochemistry and Laboratory Medicine : national recommendations for venous blood sampling

Phlebotomy is one of the most complex medical procedures in diagnosis, management and treatment of patients in healthcare. Since laboratory test results are bases of large proportion (60-80%) of medical decisions, any error in the phlebotomy process can have serious consequences. In order to minimize the possibility of errors, phlebotomy procedure should be standardised, well-documented and written instructions should be available at every workstation. Croatia is one of the few European countries that have national guidelines for phlebotomy besides universally used CLSI (Clinical Laboratory Standards Institute) H3-A6 Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture ; Approved Standard- Sixth Edition (CLSI, 2007) and WHO (World Health Organization) guidelines on drawing blood: best practices in phlebotomy (WHO, 2010). However, the growing body of evidence in importance of preanalytical phase management resulted in a need for evidence based revision and expansion of existing recommendations. This recommendation is issued by the Croatian Society for Medical Biochemistry and Laboratory Medicine, Working Group for the Preanalytical Phase. Document is based on the CLSI guideline H3- A6 with some significant differences and additional information.

phlebotomy; venous blood; recommendations; health planning; laboratory errors; preanalytical phase

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