Preanalytical quality improvement. In pursuit of harmony, on behalf of European Federation for Clinical Chemistry and Laboratory Medicine (EFLM) Working group for Preanalytical Phase (WG-PRE)
| Autor: | Stuart Smellie, Ana-Maria Simundic, Gabriella De Carli, Stephen Church, Gunn B.B. Kristensen, Kjell Grankvist, Mauro Panteghini, Giuseppe Lippi, Mercedes Ibarz, Mario Plebani, Giuseppe Banfi, Mads Nybo, Michael P Cornes, Martina Zaninotto |
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| Přispěvatelé: | Lippi, G, Banfi, Giuseppe, Church, S, Cornes, M, De Carli, G, Grankvist, K, Kristensen, Gb, Ibarz, M, Panteghini, M, Plebani, M, Nybo, M, Smellie, S, Zaninotto, M, Simundic, Am |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
phlebotomy
preanalytical phase quality medicine.medical_specialty Quality management Standardization Clinical Biochemistry Medical laboratory Harmonization Specimen Handling External Quality Assessment Scheme Clinical Patient safety External quality assessment medicine media_common.cataloged_instance Humans Medical physics European Union European union Diagnostic Errors Laboratory errors media_common standardization Preanalytical variability quality indicators Blood Specimen Collection laboratory errors business.industry Clinical Laboratory Techniques Medicine (all) harmonization laboratory errors preanalytical variability standardization RESIDUAL PLATELET COUNT HEPARIN GEL TUBES PATIENT SAFETY ROUTINE COAGULATION UTILIZATION MANAGEMENT SAMPLE TRANSPORTATION CENTRIFUGATION TIME MANAGING DEMAND HEALTH-CARE LIGHT MEAL Biochemistry (medical) General Medicine Quality Improvement Chemistry harmonization Chemistry Clinical preanalytical variability business Blood sampling |
| Zdroj: | Repositorio Abierto de la UdL Universitad de Lleida Recercat. Dipósit de la Recerca de Catalunya instname Lippi, G, Banfi, G, Church, S, Cornes, M, De Carli, G, Grankvist, K, Kristensen, G B, Ibarz, M, Panteghini, M, Plebani, M, Nybo, M, Smellie, S, Zaninotto, M & Simundic, A M 2015, ' Preanalytical quality improvement. In pursuit of harmony, on behalf of European Federation for Clinical Chemistry and Laboratory Medicine (EFLM) Working group for Preanalytical Phase (WG-PRE) ', Clinical Chemistry and Laboratory Medicine, vol. 53, no. 3, pp. 357-370 . https://doi.org/10.1515/cclm-2014-1051 |
| Popis: | Laboratory diagnostics develop through different phases that span from test ordering (pre-preanalytical phase), collection of diagnostic specimens (preanalytical phase), sample analysis (analytical phase), results reporting (postanalytical phase) and interpretation (post-postanalytical phase). Although laboratory medicine seems less vulnerable than other clinical and diagnostic areas, the chance of errors is not negligible and may adversely impact on quality of testing and patient safety. This article, which continues a biennial tradition of collective papers on preanalytical quality improvement, is aimed to provide further contributions for pursuing quality and harmony in the preanalytical phase, and is a synopsis of lectures of the third European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)-Becton Dickinson (BD) European Conference on Preanalytical Phase meeting entitled ‘Preanalytical quality improvement. In pursuit of harmony’ (Porto, 20–21 March 2015). The leading topics that will be discussed include unnecessary laboratory testing, management of test request, implementation of the European Union (EU) Directive on needlestick injury prevention, harmonization of fasting requirements for blood sampling, influence of physical activity and medical contrast media on in vitro diagnostic testing, recent evidence about the possible lack of necessity of the order of draw, the best practice for monitoring conditions of time and temperature during sample transportation, along with description of problems emerging from inappropriate sample centrifugation. In the final part, the article includes recent updates about preanalytical quality indicators, the feasibility of an External Quality Assessment Scheme (EQAS) for the preanalytical phase, the results of the 2nd EFLM WG-PRE survey, as well as specific notions about the evidence-based quality management of the preanalytical phase. |
| Databáze: | OpenAIRE |
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