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Idogun, Precious, Jaiyesimi, Ishmael, Mallin, William, Smith, Marc. (1403). A Teachable Moment in Minimizing Morbidity with Bone Marrow Biopsy Procedures. , 12(4), 173-175. doi: 10.22038/psj.2024.82174.1440
Precious Idogun; Ishmael Jaiyesimi; William Mallin; Marc Smith. "A Teachable Moment in Minimizing Morbidity with Bone Marrow Biopsy Procedures". , 12, 4, 1403, 173-175. doi: 10.22038/psj.2024.82174.1440
Idogun, Precious, Jaiyesimi, Ishmael, Mallin, William, Smith, Marc. (1403). 'A Teachable Moment in Minimizing Morbidity with Bone Marrow Biopsy Procedures', , 12(4), pp. 173-175. doi: 10.22038/psj.2024.82174.1440
Idogun, Precious, Jaiyesimi, Ishmael, Mallin, William, Smith, Marc. A Teachable Moment in Minimizing Morbidity with Bone Marrow Biopsy Procedures. , 1403; 12(4): 173-175. doi: 10.22038/psj.2024.82174.1440

A Teachable Moment in Minimizing Morbidity with Bone Marrow Biopsy Procedures

Journal of Patient Safety & Quality Improvement
مقاله 4، دوره 12، شماره 4، دی 2024، صفحه 173-175    اصل مقاله (280.48 K)
نوع مقاله: Brief Report
شناسه دیجیتال (DOI): 10.22038/psj.2024.82174.1440
نویسندگان
Precious Idogun* 1؛ Ishmael Jaiyesimi2؛ William Mallin3؛ Marc Smith4
1Corewell Health William Beaumont Hospital
2Department Of Hematology/Oncology, Corewell Health/Royal Oak.
3Department Of Nuclear Medicine, Corewell Health/Royal Oak.
4Department Of Pathology, Corewell Health/Royal Oak.
چکیده
For adults, the iliac crest is the preferred site for bone marrow biopsy and aspiration. Attention to detail in the placement of the incision are necessary to obtaining an adequate specimen and avoiding injury in patients. In addition, awareness of the height and rotational position of the patient’s hips is important to prevent injury and need for repositioning during the procedure. We report a case where the biopsy needle was at an unusual angle that placed the patient at risk for retroperitoneal bleeding. Uniquely, the patient also had a Positron Emission Tomography (PET) scan done the next day and was noted to have an awkward trajectory that could have led to a hematoma or retroperitoneal bleeding. It was clear that if the operator continued to use this approach, it would put future patients at greater risk for morbidity. This unique case led to identification of a "near-miss" event and motivated the re-training of bone marrow biopsy operators.
کلیدواژه‌ها
biopsy؛ lymphoma؛ myeloma؛ near miss؛ quality improvement
مراجع
  1. Foucar, K. (2020). Bone Marrow Pathology (4th ed., pp. 49-61). ASCP Press.
  2. Bain, B. J. (2006). Morbidity associated with bone marrow aspiration and trephine biopsy: A review of UK data for 2004. Haematologica, 91(9), 1293-1294.
  3. Le Dieu, R. (2003). Complications of trephine biopsy. Br J Haematol, 121(6), 822.
  4. Neese, A. (2009). Clinical management of massive retroperitoneal hemorrhage after bone marrow biopsy. Leuk Lymphoma, 50(3), 475-477.
  5. Bain BJ. Bone marrow biopsy morbidity: review of 2003. J Clin Pathol 2005; 58:406–408.
 

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