Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023:2663:39-50.
doi: 10.1007/978-1-0716-3175-1_2.

Preanalytical Variables in Hemostasis Testing

Affiliations

Preanalytical Variables in Hemostasis Testing

Robert C Gosselin. Methods Mol Biol. 2023.

Abstract

Hemostasis testing performed in clinical laboratories are critical for assessing hemorrhagic and thrombotic disorders. The assays performed can be used to provide the information required for diagnosis, risk assessment, efficacy of therapy, and therapeutic monitoring. As such, hemostasis tests should be performed to the highest level of quality, including the standardization, implementation, and monitoring of all phases of the testing, which include the preanalytical, analytical, and post-analytical phases. It is well established that the preanalytical phase is the most critical component of the testing process, being the hands-on activities, including patient preparation for blood collection, as well as the actual blood collection, including sample identification and the post-collection handling to include sample transportation, processing, and storage of samples when testing is not performed immediately. The purpose of this article is to provide an update to the previous edition of coagulation testing-related preanalytical variables (PAV) and, when properly addressed and performed, can reduce the most common causes of errors in the hemostasis laboratory.

Keywords: Phlebotomy; Plasma; Preanalytical variables; Sample processing.

PubMed Disclaimer

References

    1. Lippi G, Favaloro EJ (2017) Preanalytical issues in hemostasis and thrombosis testing. Methods Mol Biol 1646:29–42. https://doi.org/10.1007/978-1-4939-7196-1_2 - DOI - PubMed
    1. Plebani M, Favaloro EJ, Lippi G (2012) Patient safety and quality in laboratory and hemostasis testing: a renewed loop? Semin Thromb Hemost 38:553–558 - DOI - PubMed
    1. Gosselin RC, Marlar RA (2019) Preanalytical variables in coagulation testing: setting the stage for accurate results. Semin Thromb Hemost 45(5):433–448. https://doi.org/10.1055/s-0039-1692700 - DOI - PubMed
    1. Lippi G, Banfi G, Church S, Cornes M, De Carli G, Grankvist K et al (2015) European Federation for Clinical Chemistry and Laboratory Medicine Working Group for Preanalytical Phase. Preanalytical quality improvement. In pursuit of harmony, on behalf of European Federation for Clinical Chemistry and Laboratory Medicine (EFLM) Working group for Preanalytical Phase (WG-PRE). Clin Chem Lab Med 53(3):357–370. https://doi.org/10.1515/cclm-2014-1051 - DOI - PubMed
    1. Kitchen S, Adcock DM, Dauer R, Kristoffersen AH, Lippi G, Mackie I et al (2021) International Council for Standardisation in Haematology (ICSH) recommendations for collection of blood samples for coagulation testing. Int J Lab Hematol 43(4):571–580. https://doi.org/10.1111/ijlh.13584 - DOI - PubMed

LinkOut - more resources