Evaluation of 18 quality indicators from the external quality assurance preanalytical programme of the Spanish Society of Laboratory Medicine (SEQC ML ).

Autor:	Caballero A; Extra-analytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML). Department of Clinical Biochemistry, Echevarne Laboratory, Sant Cugat del Vallés, Spain., Gómez-Rioja R; Extra-analytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML). Servicio de Análisis Clínicos. Hospital La Paz-Cantoblanco-Carlos III, Madrid, Spain., Ventura M; Extra-analytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML). External Quality Assurance Programmes, Spanish Society of Laboratory Medicine, Barcelona, Spain., Llopis MA; Extra-analytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML). Clinical Laboratories Corporate Manager, Catalan Institute of Health (ICS), Barcelona, Spain., Bauça JM; Extra-analytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML). Servei d'Anàlisis Clíniques, Hospital Universitari Son Espases, Palma, Spain., Gómez-Gómez C; Extra-analytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML). Department of Clinical Laboratory, University Hospital Germans Trias I Pujol, Badalona, Barcelona, Spain., Marzana I; Extra-analytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML). Unidad extraanalítica, Laboratorios Hospital Universitario Cruces, Baracaldo, Vizcaya, Spain., Ibarz M; Extra-analytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML). Department of Clinical Laboratory, University Hospital Arnau de Vilanova, IRBLleida, Lleida, Spain.
Jazyk:	English; Spanish; Castilian
Zdroj:	Advances in laboratory medicine [Adv Lab Med] 2022 May 18; Vol. 3 (2), pp. 175-200. Date of Electronic Publication: 2022 May 18 (Print Publication: 2022).
DOI:	10.1515/almed-2021-0097
Abstrakt:	Objectives: Most errors in laboratory medicine occur in the pre- and post-analytical phases of the total testing process (TTP). In 2014, the Spanish Society of Laboratory Medicine (SEQC ML ) started the current Preanalytical Phase EQA Programme, with the objective of providing a tool for the improvement of the preanalytical phase. The aim of this study was to review the evolution of quality indicators (QI) and the comparability of established performance specifications (PS) with other EQA programmes. Methods: In the SEQC ML programme, participants were asked to register rejections of the main specimens and the causes for rejections. Data collected from 2014 to 2017, and then reviewed biennially (2018-2019), was used to calculate the percentiles; p25, p50, p75, and p90 for every round, and their means were set as PS. These PS were compared with the results of other programmes. Results: The evolution of QI results for 2018-2019 period showed general maintenance or improvement, e.g., a significant decrease in the number of serum samples with a haemolytic index ≥0.5 g/L, except for EDTA and citrate samples handle, maybe for an improvement in detection. The comparison with PS for the QI of the IFCC Working Group "Laboratory Errors and Patient Safety" and the Key Incident Management and Monitoring System (KIMMS) programme of the RCPA showed comparable results, supporting the validity of the established specifications. Conclusions: The PS obtained are a helpful tool for benchmarking and to identify processes of the preanalytical phase whose improvement should be set as a priority. Competing Interests: Competing interests: Authors state no conflict of interest. (© 2022 Andrea Caballero et al., published by De Gruyter, Berlin/Boston.)
Databáze:	MEDLINE
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