Towards harmonization of external quality assessment/proficiency testing in hemostasis

被引:11
|
作者
Favaloro, Emmanuel J. [1 ,2 ]
Jennings, Ian [3 ]
Olson, John [4 ]
Van Cott, Elizabeth M. [5 ]
Bonar, Roslyn [6 ]
Gosselin, Robert [7 ]
Meijer, Piet [8 ]
机构
[1] Westmead Hosp, Dept Haematol, ICPMR, NSW Hlth Pathol, Westmead, NSW 2145, Australia
[2] Sydney Centres Thrombosis & Haemostasis, Westmead, NSW, Australia
[3] UK NEQAS Blood Coagulat, Sheffield, S Yorkshire, England
[4] Univ Texas San Antonio, Hlth Sci Ctr, Dept Pathol & Lab Med, San Antonio, TX USA
[5] Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA
[6] RCPAQAP Haematol, St Leonards, NSW, Australia
[7] Univ Calif Sacramento, Hemophilia Treatment Ctr, Davis Hlth Syst, Sacramento, CA USA
[8] ECAT Fdn, Voorschoten, Netherlands
关键词
coagulation; external quality assessment; harmonization; hemostasis; proficiency testing; PROTEIN-S ASSAYS; DENSE-GRANULE DEFICIENCY; VON-WILLEBRAND-DISEASE; FACTOR-XIII DEFICIENCY; ASSESSMENT SCHEME; PLATELET-FUNCTION; CONSENSUS GUIDELINES; LABORATORY DIAGNOSIS; LUPUS ANTICOAGULANT; COAGULATION;
D O I
10.1515/cclm-2018-0077
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Quality in diagnostic testing represents a key target of laboratory medicine, for which an assurance around the quality of testing is expected from all involved in the process. Laboratories attempt to assure the quality of their testing by various processes, but especially by performance of internal quality control and external quality assessment (EQA). This is especially true for tests of hemostasis and coagulation. EQA in general provides information on test accuracy and on evaluation of long-term laboratory performance. EQA providers support laboratory performance by various means, including distribution of material for testing of analytes ("proficiency testing"), educational support through expert advice, distribution of publications or case series. Participation in EQA is often a laboratory accreditation requirement. This review aims to identify some of the strengths and weaknesses of EQA, and targets attempts towards harmonization of EQA practice, in order to achieve the best outcome for participant laboratories and, thus, for patients and their clinical care providers.
引用
收藏
页码:115 / 126
页数:12
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