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Clinical Chemistry and Laboratory Medicine (CCLM)

Published in Association with the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)

Editor-in-Chief: Plebani, Mario

Ed. by Gillery, Philippe / Lackner, Karl J. / Lippi, Giuseppe / Melichar, Bohuslav / Payne, Deborah A. / Schlattmann, Peter / Tate, Jillian R.

12 Issues per year


IMPACT FACTOR 2016: 3.432

CiteScore 2016: 2.21

SCImago Journal Rank (SJR) 2016: 1.000
Source Normalized Impact per Paper (SNIP) 2016: 1.112

Online
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1437-4331
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Volume 46, Issue 6 (Jun 2008)

Issues

Haemolysis: an overview of the leading cause of unsuitable specimens in clinical laboratories

Giuseppe Lippi
  • 1Clinical Chemistry Laboratory, University of Verona, Verona, Italy, EPSC – European Preanalytical Scientific Committee (www.specimencare.com) and International Federation of Clinical Chemistry Working and Laboratory Medicine Group on Patient's Safety
  • Other articles by this author:
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/ Norbert Blanckaert
  • 2Laboratory Medicine, University Hospital Leuven, Leuven, Belgium and EPSC – European Preanalytical Scientific Committee (www.specimencare.com)
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/ Pierangelo Bonini
  • 3Clinical Biochemistry, School of Medicine, University of San Raffaele, Milano, Italy, EPSC – European Preanalytical Scientific Committee (www.specimencare.com) and International Federation of Clinical Chemistry Working and Laboratory Medicine Group on Patient's Safety
  • Other articles by this author:
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/ Sol Green
  • 4BD Diagnostics – Preanalytical Systems, Franklin Lakes, NJ, USA and EPSC – European Preanalytical Scientific Committee (www.specimencare.com)
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/ Steve Kitchen
  • 5Sheffield Haemophilia and Thrombosis Centre, Royal Hallamshire Hospital, Sheffield, UK and EPSC – European Preanalytical Scientific Committee (www.specimencare.com)
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/ Vladimir Palicka
  • 6Institute of Clinical Biochemistry and Diagnostics, Faculty Hospital, Hradec Kralove, Czech Republic and EPSC – European Preanalytical Scientific Committee (www.specimencare.com)
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/ Anne J. Vassault
  • 7Laboratoire de Biochimie B Hôpital Necker Enfants Malades, APHP, Paris, France and EPSC – European Preanalytical Scientific Committee (www.specimencare.com)
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/ Mario Plebani
  • 8Department of Laboratory Medicine, University of Padova, Padova, Italy and International Federation of Clinical Chemistry Working and Laboratory Medicine Group on Patient's Safety
  • Other articles by this author:
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Abstract

Prevention of medical errors is a major goal of healthcare, though healthcare workers themselves have not yet fully accepted or implemented reliable models of system error, and neither has the public. While there is widespread perception that most medical errors arise from an inappropriate or delayed clinical management, the issue of laboratory errors is receiving a great deal of attention due to their impact on the quality and efficiency of laboratory performances and patient safety. Haemolytic specimens are a frequent occurrence in clinical laboratories, and prevalence can be as high as 3.3% of all of the routine samples, accounting for up to 40%–70% of all unsuitable specimens identified, nearly five times higher than other causes, such as insufficient, incorrect and clotted samples. This article focuses on this challenging issue, providing an overview on prevalence and leading causes of in vivo and in vitro haemolysis, and tentative guidelines on identification and management of haemolytic samples in clinical laboratories. This strategy includes continuous education of healthcare personnel, systematic detection/quantification of haemolysis in any sample, immediate clinicians warning on the probability of in vivo haemolysis, registration of non-conformity, completing of tests unaffected by haemolysis and request of a second specimen for those potentially affected.

Clin Chem Lab Med 2008;46:764–72.

Keywords: haemolysis (hemolysis); laboratory testing; preanalytical variability; unsuitable specimens

About the article

Corresponding author: Prof. Giuseppe Lippi, MD, Sezione di Chimica e Microscopia Clinica, Dipartimento di Scienze Morfologico-Biomediche, Università degli Studi di Verona, Ospedale Policlinico G.B. Rossi, Piazzale Scuro, 10, 37134, Verona, Italy Phone: +39-045-8124308, Fax: +39-045-8201889, ,


Received: 2007-12-18

Accepted: 2008-02-22

Published in Print: 2008-06-01


Citation Information: Clinical Chemistry and Laboratory Medicine, ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: https://doi.org/10.1515/CCLM.2008.170.

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©2008 by Walter de Gruyter Berlin New York. Copyright Clearance Center

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