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Licensed Unlicensed Requires Authentication Published by De Gruyter June 29, 2020

Successful implementations of automated minimum re-test intervals to overcome ferritin over-requesting in a Spanish hospital laboratory

Maria Salinas EMAIL logo , Maite López-Garrigós , Emilio Flores , Alvaro Blasco and Carlos Leiva-Salinas

Corresponding author: Maria Salinas, PhD, Clinical Laboratory, Hospital Universitario de San Juan Carretera Alicante-Valencia, s/n 03550 San Juan de Alicante, San Juan, Alicante, Spain; Department of Biochemistry and Molecular Pathology, Universidad Miguel Hernandez, Elche, Spain, Phone: +34 965169463, Fax: +34 965169460, E-mail:


Members of the PRIMLAB working group are the following: Beatriz Massa (Chief Executive, Hospital Universitario de San Juan); Norma Iranzo (Medical vice-director); Ramón de Juan (Director, Primary Care); Alejandro Canals-Baeza (CS Santa Faz-Ayuntamiento); Jose L López-Blasco (CS Hospital Provincial-Plá); Esperanza Gonzalez-Alvaro (CS Juan XXIII); Jordi Gisbert-Segura (CS Campello); Rosario Oliver-Ros (CS Xixona); Jose Luis Berenguer (CS Mutxamel); Juan J Ballester-Baixaulí (CS Sant Joan) and Carmen Pardo-Tomas (CSI Gerona).

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Ethical approval: The local Institutional Review Board deemed the study exempt from review.


1. Salinas, M, López-Garrigos, M, Tormo, C, Uris, J Primary care use of laboratory tests in spain: Measurement through appropriateness indicators. Clin Lab 2014;60:483–490. in Google Scholar PubMed

2. Salinas, M, López-Garrigós, M, Flores, E, Uris, J, Leiva-Salinas, C, Pérez-Martínez, A, et al. Potential over request in anemia laboratory tests in primary care in Spain. Hematology 2015;20:368–73. in Google Scholar PubMed

3. Salinas, M, López-Garrigós, M, Flores, E, Leiva-Salinas, C. Primary care requests for anaemia chemistry tests in Spain: Potential iron, transferrin and folate over-requesting. J Clin Pathol 2017;70:760–5. in Google Scholar PubMed

4. Salinas, M, López-Garrigós, M, Flores, E, Leiva-Salinas, C. Automated requests for thyroid-stimulating hormone and Ferretin tests in young primary care patients with Anorexia as an intervention to improve detection of underlying conditions. Lab Med 2019;50:268–72. in Google Scholar PubMed

5. Salinas, M, López-Garrigós, M, Flores, E, Leiva-Salinas, M, Asencio, A, Lugo, J, et al. Managing inappropriate requests of laboratory tests: from detection to monitoring. Am J Manag Care 2016;22:e311-6. PMID: 27662394.Search in Google Scholar PubMed

6. Seguí Díaz, M, Linares Pou, L, Blanco López, W, Ramos Aleixades, J, Torrent Quetglas, M. [Division of time in the consultation with the primary care doctor]. Aten Primaria 2004;33:496–502. in Google Scholar

7. The Association for Clinical Biochemistry and Laboratory Medicine. National minimum retesting interval project: a final report detailing consensus recommendations for minimum retesting intervals for use in clinical biochemistry. Available at: [Accesed 8 Feb 2020].Search in Google Scholar

Received: 2020-04-16
Accepted: 2020-05-30
Published Online: 2020-06-29
Published in Print: 2020-10-25

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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