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)

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). Altho...

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Authors: Lippi, Giuseppe, Banfi, Giuseppe, Church, Stephen, Cornes, Michael, De Carli, Gabriella, Grankvist, Kjell, Kristensen, Gunn B., Ibarz Escuer, Mercedes, Panteghini, Mauro, Plebani, Mario, Nybo, Mads, Smellie, Stuart, Zaninotto, Martina, Simundic, Ana-Maria
Format: article
Status:Published version
Publication Date:2014
Country:España
Institution:Universitat de Lleida (UdL)
Repository:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/65120
Online Access:https://doi.org/10.1515/cclm-2014-1051
http://hdl.handle.net/10459.1/65120
Access Level:Open access
Keyword:Harmonization
Laboratory errors
Preanalytical variability
Standardization
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spelling 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)Lippi, GiuseppeBanfi, GiuseppeChurch, StephenCornes, MichaelDe Carli, GabriellaGrankvist, KjellKristensen, Gunn B.Ibarz Escuer, MercedesPanteghini, MauroPlebani, MarioNybo, MadsSmellie, StuartZaninotto, MartinaSimundic, Ana-MariaHarmonizationLaboratory errorsPreanalytical variabilityStandardizationLaboratory 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.De Gruyter2014info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.1515/cclm-2014-1051http://hdl.handle.net/10459.1/65120reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a https://doi.org/10.1515/cclm-2014-1051Clinical Chemistry and Laboratory Medicine, 2014, vol. 53, núm 3, p. 357-370(c) De Gruyter, 2014info:eu-repo/semantics/openAccessoai:repositori.udl.cat:10459.1/651202026-06-24T12:42:17Z
dc.title.none.fl_str_mv 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)
title 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)
spellingShingle 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)
Lippi, Giuseppe
Harmonization
Laboratory errors
Preanalytical variability
Standardization
title_short 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)
title_full 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)
title_fullStr 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)
title_full_unstemmed 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)
title_sort 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)
dc.creator.none.fl_str_mv Lippi, Giuseppe
Banfi, Giuseppe
Church, Stephen
Cornes, Michael
De Carli, Gabriella
Grankvist, Kjell
Kristensen, Gunn B.
Ibarz Escuer, Mercedes
Panteghini, Mauro
Plebani, Mario
Nybo, Mads
Smellie, Stuart
Zaninotto, Martina
Simundic, Ana-Maria
author Lippi, Giuseppe
author_facet Lippi, Giuseppe
Banfi, Giuseppe
Church, Stephen
Cornes, Michael
De Carli, Gabriella
Grankvist, Kjell
Kristensen, Gunn B.
Ibarz Escuer, Mercedes
Panteghini, Mauro
Plebani, Mario
Nybo, Mads
Smellie, Stuart
Zaninotto, Martina
Simundic, Ana-Maria
author_role author
author2 Banfi, Giuseppe
Church, Stephen
Cornes, Michael
De Carli, Gabriella
Grankvist, Kjell
Kristensen, Gunn B.
Ibarz Escuer, Mercedes
Panteghini, Mauro
Plebani, Mario
Nybo, Mads
Smellie, Stuart
Zaninotto, Martina
Simundic, Ana-Maria
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Harmonization
Laboratory errors
Preanalytical variability
Standardization
topic Harmonization
Laboratory errors
Preanalytical variability
Standardization
description 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.
publishDate 2014
dc.date.none.fl_str_mv 2014
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1515/cclm-2014-1051
http://hdl.handle.net/10459.1/65120
url https://doi.org/10.1515/cclm-2014-1051
http://hdl.handle.net/10459.1/65120
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a https://doi.org/10.1515/cclm-2014-1051
Clinical Chemistry and Laboratory Medicine, 2014, vol. 53, núm 3, p. 357-370
dc.rights.none.fl_str_mv (c) De Gruyter, 2014
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) De Gruyter, 2014
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv De Gruyter
publisher.none.fl_str_mv De Gruyter
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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