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Related Experiment Videos

Reducing bruising after venepuncture.

P G Godwin1, A C Cuthbert, A Choyce

  • 1Airedale General Hospital, Steeton, Keighley, West Yorkshire.

Quality in Health Care : QHC
|November 4, 1992
PubMed
Summary

Bruising after venepuncture can be reduced. A simple technique modification by phlebotomists significantly decreased the incidence and severity of bruising in patients, improving venepuncture service quality.

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Area of Science:

  • Medical procedures
  • Patient safety
  • Phlebotomy techniques

Background:

  • Bruising is a common and undesirable complication following venepuncture.
  • A new venepuncture system was introduced, prompting an audit to assess its impact on bruising incidence.

Purpose of the Study:

  • To verify an observed increase in bruising after implementing a new venepuncture system.
  • To improve the overall quality of the venepuncture service through procedural adjustments.

Main Methods:

  • Two prospective audits were conducted on 100 consecutive inpatients each.
  • Phlebotomists performed venepuncture, and the incidence and severity of bruising were recorded.
  • A modification in technique, focusing on ensuring hemostasis before patient departure, was implemented between audits.

Main Results:

  • The initial audit revealed bruising in 45% of patients, with 76% having large bruises (>100 mm²).
  • Following technique modification, the second audit showed a significant reduction in bruising to 25% of patients, with only 36% having large bruises (p < 0.01).

Conclusions:

  • Monitoring standards and implementing simple technique modifications can significantly reduce venepuncture-related bruising.
  • Improvements in phlebotomy technique enhance patient safety and the quality of healthcare services.

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