Working Group for Laboratory Hematology of the Croatian Society of Medical Biochemistry and Laboratory Medicine, Zagreb, Croatia.
Department of Medical Laboratory Diagnostics, University Hospital Sveti Duh, Zagreb, Croatia.
Clin Chem Lab Med. 2021 Dec 1;60(2):271-282. doi: 10.1515/cclm-2021-1027. Print 2022 Jan 27.
In 2019 The Croatian Working Group for Laboratory Hematology, on behalf of the Croatian Society of Medical Biochemistry and Laboratory Medicine, wanted to explore the background in field of laboratory hematology routine practice among Croatian laboratories in order to develop future strategies for producing national recommendations, if needed.
During April and May 2019, a comprehensive survey covering all main parts of the total testing process within the field of laboratory hematology among Croatian medical laboratories was conducted. The survey comprised 49 inquiries. Data was collected using Survey Monkey (Palo Alto, CA, USA). All collected data was anonymized.
The response rate was 72%. There is still a substantial number of laboratories that have only three-part differential hematology analyzers (9%). Furthermore, a very high number of laboratories did not perform analyzer verification prior to implementation into routine work (31%). Out of those who have verified their analyzers, a diversity of guidelines and recommendations were used. Nearly 10% of the laboratories do not have a defined policy regarding specimen rejection. The majority of the participants perform internal quality control daily (83%), however, only 51% of respondents evaluate the agreement between different hematology analyzers on daily basis. Although more than 90% of Croatian laboratories have a defined policy regarding specimen rejection, only 61% of respondents continuously monitor quality indicators in routine practice.
The survey revealed substantial differences in all aspects of laboratory hematology practices among Croatian medical laboratories, indicating the need for universal recommendations at the national level.
2019 年，克罗地亚血液学检验工作组代表克罗地亚医学生物化学和实验室医学学会，旨在探索克罗地亚实验室在血液学常规检验领域的背景情况，以便在必要时制定国家建议的未来战略。
2019 年 4 月至 5 月，对克罗地亚医学实验室血液学领域的整个检测过程的所有主要部分进行了全面调查。该调查包括 49 个问题。数据使用 Survey Monkey（美国加利福尼亚州帕洛阿尔托）收集。所有收集的数据均匿名处理。
应答率为 72%。仍有相当数量的实验室仅使用三分群血液学分析仪（9%）。此外，大量实验室在将分析仪投入常规工作之前并未进行验证（31%）。在那些已经验证其分析仪的实验室中，使用了各种指南和建议。近 10%的实验室没有关于标本拒收的明确政策。大多数参与者每天进行内部质量控制（83%），但只有 51%的受访者每天评估不同血液学分析仪之间的一致性。尽管超过 90%的克罗地亚实验室有关于标本拒收的明确政策，但只有 61%的受访者在常规实践中持续监测质量指标。
该调查显示，克罗地亚医学实验室在血液学检验实践的各个方面都存在显著差异，表明需要在国家层面制定通用建议。
