An episode of increased hemolysis due to a defective pneumatic air tube delivery system.
OBJECTIVE
To study an episode of excessive sample hemolysis associated with a recently installed pneumatic tube system from the Accident and Emergency Department.


METHODS
Hemolysis rates in samples delivered with a tube system installed 3-4 months previously were followed up retrospectively and prospectively. The laboratory database was searched over a 3-year period for serum potassium results and the number of hemolyzed samples rejected that had been delivered by pneumatic tube or by hand.


RESULTS
Before the tube system was installed, the weekly mean hemolysis rate was 3.3%. After installation, the rate was 10.9% for 12 weeks but then it increased to 54%. After a fault was corrected, values fell to 9.0% and to 7.1% after samples were bubble-wrapped. Other wards served as controls.


CONCLUSIONS
Laboratories should be aware that defects may arise in tube systems that may result in rapid sample deceleration and excessive hemolysis.
Ellis
Graham
G
Department of Clinical Biochemistry, St. John's Hospital, Livingston West Lothian, Scotland, UK. graham.ellis3@wlt.scot.nhs.uk
D001800:Blood Specimen Collection / Q000295:instrumentation / Q000379:methods; D004636:Emergency Service, Hospital; D004867:Equipment Design; D006461:Hemolysis; D006801:Humans; D011446:Prospective Studies; D011786:Quality Control; D012189:Retrospective Studies; D013048:Specimen Handling / Q000295:instrumentation / Q000379:methods