If no specimen is obtained, nothing is measured

Some pediatric blood draws fail before testing even begins. These encounters go unmeasured but affect diagnosis & workflow

Explore a Low-Risk Observational Pilot

If no specimen is obtained, nothing is measured

Some pediatric blood draws fail before testing even begins. These encounters go unmeasured but affect diagnosis & workflow

Explore a Low-Risk Observational Pilot

The Problem

The encounters that fail before analysis are rarely counted. Access Before Analysis™ explores this upstream gap—before analytic quality can be evaluated.

In pediatric laboratory workflows, some encounters end before a usable specimen is obtained. When this happens, the encounter may disappear from traditional laboratory quality measurement.

Most laboratory dashboards track specimens received. Few track encounters where no specimen is obtained.

Examples include:

• no specimen obtained
• abandoned or escalated collection attempts
• workflow friction during pediatric encounters
• missed opportunities for improvement

Access Before Analysis™ was created to make these moments visible in a structured and measurable way.

What Access Before Analysis Is

A structured observational framework.

Access Before Analysis™ is an observational framework that documents specimen acquisition feasibility before laboratory analysis begins.

It focuses on the pre-analytic stage — the real-world conditions that affect whether specimen collection can occur reliably enough for analysis, workflow evaluation, and improvement planning.

The framework helps organizations:

• identify where access variability occurs
• document workflow barriers in pediatric care
• create a foundation for improvement efforts
• support safer pilot planning

Guardrails

A framework with clear boundaries

Access Before Analysis™:

• does not compare devices
• does not validate analytes
• does not make performance claims
• does not replace clinical judgment

It is an observational framework designed to characterize pre-analytic access variability before downstream evaluation begins.

Who This Framework Is For:

Designed for organizations that need visibility before analysis begins.

Health Systems

Understand where pediatric specimen collection workflows break down and where improvement efforts should begin.

Quality & Safety Teams

Capture pre-analytic variability that traditional metrics may miss.

Diagnostics & Device Partners

Understand pediatric workflow feasibility without analytic claims.

Looking for pediatric preparation and training resources? Visit Poke Pals™ at www.pokepalskids.com

A practical starting point

An exploratory Access Before Analysis™ pilot may include:

• structured observational access mapping
• workflow review of defined pediatric encounters
• identification of escalation points and barriers
• summary outputs to inform improvement planning

Built from frontline pediatric experience

Access Before Analysis™ was created by Franchesca Kelly, ASCP-certified pediatric phlebotomist (PBT), Medical Laboratory Assistant (MLA, AMT), and Registered Behavior Technician (RBT) with published work in Contemporary Pediatrics and ASCP Critical Values.

If no specimen is obtained, nothing is measured

If no specimen is obtained, nothing is measured

The Problem

The encounters that fail before analysis are rarely counted. Access Before Analysis™ explores this upstream gap—before analytic quality can be evaluated.

What Access Before Analysis Is

A structured observational framework.

Guardrails

A framework with clear boundaries

Who This Framework Is For:

Designed for organizations that need visibility before analysis begins.

Health Systems

Quality & Safety Teams

Diagnostics & Device Partners

A practical starting point

Built from frontline pediatric experience

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