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检验医学中的可追溯性:它是什么以及为何对患者至关重要?

Traceability in Laboratory Medicine: What is it and Why is it Important for Patients?

作者信息

Beastall Graham H

机构信息

University of Glasgow, Mayfield, Birdston, Glasgow, United Kingdom.

The Joint Committee for Traceability in Laboratory Medicine (JCTLM).

出版信息

EJIFCC. 2018 Dec 5;29(4):242-247. eCollection 2018 Dec.

PMID:30574032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6295586/
Abstract

The between method variability of patient results is a source of uncertainty that can have adverse consequences for patient safety and clinical outcomes. Globalisation requires that laboratory medicine results should be transferable between methods. Traceability in laboratory medicine aims to reduce between method variability so that results are independent of time or location. Application of the metrological traceability chain facilitates a universal approach based around the preparation, adoption and use of higher order international commutable reference materials and reference measurement procedures, supported by expert reference laboratories. Global collaboration is required, involving several different stakeholder groups ranging from international experts to laboratory medicine specialists in routine clinical laboratories.

摘要

患者检测结果的方法间变异性是不确定性的一个来源,可能对患者安全和临床结果产生不良影响。全球化要求检验医学结果应在不同方法之间具有可转移性。检验医学中的可追溯性旨在减少方法间变异性,以使结果不受时间或地点的影响。计量溯源链的应用促进了一种通用方法,该方法围绕高阶国际可互换参考物质和参考测量程序的制备、采用和使用,并得到专家参考实验室的支持。这需要全球合作,涉及从国际专家到常规临床实验室的检验医学专家等几个不同的利益相关者群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/6295586/06ddc352066d/ejifcc-29-242-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/6295586/f3b2bcf0c015/ejifcc-29-242-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/6295586/06ddc352066d/ejifcc-29-242-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/6295586/f3b2bcf0c015/ejifcc-29-242-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/6295586/06ddc352066d/ejifcc-29-242-g002.jpg

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本文引用的文献

1
The Enduring Importance and Challenge of Commutability.互换性的持久重要性与挑战。
Clin Chem. 2018 Mar;64(3):421-423. doi: 10.1373/clinchem.2017.284216. Epub 2018 Jan 19.
2
Traceability in laboratory medicine: a global driver for accurate results for patient care.检验医学中的可追溯性:为患者护理提供准确结果的全球驱动力。
Clin Chem Lab Med. 2017 Jul 26;55(8):1100-1108. doi: 10.1515/cclm-2017-0060.
3
The International Consortium for Harmonization of Clinical Laboratory Results (ICHCLR) - A Pathway for Harmonization.国际临床检验结果协调联盟(ICHCLR)——协调之路
EJIFCC. 2016 Feb 9;27(1):30-6. eCollection 2016 Feb.
4
Harmonization in laboratory medicine: the complete picture.医学检验中的标准化:全貌。
Clin Chem Lab Med. 2013 Apr;51(4):741-51. doi: 10.1515/cclm-2013-0075.
5
Adding value to laboratory medicine: a professional responsibility.为实验室医学增值:专业责任。
Clin Chem Lab Med. 2013 Jan;51(1):221-7. doi: 10.1515/cclm-2012-0630.
6
Metrological traceability in clinical biochemistry.临床生物化学中的计量溯源性。
Ann Clin Biochem. 2011 Sep;48(Pt 5):393-409. doi: 10.1258/acb.2011.011079. Epub 2011 Jul 27.