The Order of Draw during Blood Collection: A Systematic Literature Review

Giacomo Bazzano, Alessandro Galazzi, Gian Domenico Giusti, Mauro Panigada and Dario Laquintana
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Giacomo Bazzano: Direction of Healthcare Professions, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, Italy
Alessandro Galazzi: Direction of Healthcare Professions, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, Italy
Gian Domenico Giusti: Corso di Laurea in Infermieristica, Dipartimento di Medicina Sperimentale, Università degli Studi di Perugia, Piazzale Gambuli, 06129 Perugia, Italy
Mauro Panigada: Department of Anesthesia, Intensive Care and Emergency, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, Italy
Dario Laquintana: Direction of Healthcare Professions, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, Italy

IJERPH, 2021, vol. 18, issue 4, 1-12

Abstract: Blood collection is one of the most common nursing procedures and is not devoid of complications. The order of draw during blood collection is a controversial theme. We aimed to define the efficacy of the order of draw during blood collection to guarantee an exact biochemical result. We carried out a systematic literature review on PubMed, Scopus, Web of Science, CINAHL, Embase, Joanna Briggs Institute, Cochrane Library, and Google Scholar. Articles written in English and published from 2000 to 2020 were considered suitable. The analysis of the 11 articles included highlighted different opinions; however, the most recent evidence declares that the cross-contamination caused by the incorrect order of draw is a trait only in the open system of drawing. The most recent evidence affirms the negligible effect of the order of draw during blood collection when using the closed blood collection system, while it is recommended when using the open collection system.

Keywords: blood collection; blood collection tube; nursing; order of draw; phlebotomy; preanalitical phase; venipuncture (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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