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Table 4 Summary of key pre-analytical recommendations about specimen rejection

From: Pre-analytical issues in the haemostasis laboratory: guidance for the clinical laboratories

Specimen rejection

All samples deemed unacceptable due to pre-analytic handling and unfulfilled transport requirements should be rejected.

Inappropriate collection tubes and additives.

Outdated tubes.

Error in patient identification or lack of identification.

Insufficient volume (depending on the assay). An alternative may be to adapt the result depending on the additional dilutional (e.g. for factor assays, fibrinogen).

Haemolysed specimens (depending on the assay).

Identification of a clot.