Nybo Mads, Cadamuro Janne, Cornes Michael P, Gómez Rioja Rubén, Grankvist Kjell
Department of Clinical Biochemistry and Pharmacology, Odense University Hospital, Sdr. Boulevard 29, Odense 5000, Denmark.
Department of Laboratory Medicine, Paracelsus Medical University, Salzburg, Austria.
Diagnosis (Berl). 2019 Mar 26;6(1):39-43. doi: 10.1515/dx-2018-0051.
Transportation of blood samples is a major part of the preanalytical pathway and can be crucial in delaying laboratory results to the clinicians. A variety of aspects however makes sample transportation a complex, challenging and often overlooked task that needs thorough planning and dedicated resources. The purpose of this review is to outline the options available for this task and to emphasize the preanalytical aspects that need consideration in this process, e.g. performance specifications for sample transportation as stated in ISO standards 15189 and 20658, quality control of automated transportation systems, monitoring of sample integrity parameters and temperature surveillance in general and for external samplers in particular. All these are tasks that the laboratory must assure on a daily basis in terms of continuous quality control, and simultaneously the laboratory must remain alert to alterations in clinical demands (sample frequency, turn-around-times) and new regulations within this area (e.g. the recent General Data Protection Regulation from the EU).
血样运输是分析前流程的重要组成部分,对向临床医生延迟提供检验结果可能至关重要。然而,诸多因素使得样本运输成为一项复杂、具有挑战性且常被忽视的任务,需要进行全面规划并投入专门资源。本综述的目的是概述完成这项任务的可用选项,并强调在此过程中需要考虑的分析前因素,例如ISO标准15189和20658中规定的样本运输性能规范、自动化运输系统的质量控制、样本完整性参数监测以及一般的温度监测,特别是针对外部采样器的温度监测。所有这些都是实验室必须在日常持续质量控制方面确保完成的任务,同时实验室必须时刻留意临床需求的变化(样本频率、周转时间)以及该领域的新法规(例如欧盟最近的《通用数据保护条例》)。