School of Medical Sciences, Faculty of Medicine and Health University of Sydney, Westmead Hospital, Westmead, NSW, Australia.
School of Dentistry and Medical Sciences, Faculty of Science and Health, Charles Sturt University, Wagga, Wagga, NSW, Australia.
Methods Mol Biol. 2023;2663:787-811. doi: 10.1007/978-1-0716-3175-1_53.
There are typically three phases identified as contributing to the total testing process. The preanalytical phase starts with the clinician and the patient, when laboratory testing is being considered. This phase also includes decisions about which tests to order (or not), patient identification, blood collection, blood transport, sample processing, and storage to name a few. There are many potential failures that may occur in this preanalytical phase, and these are the topic of another chapter in this book. The second phase, the analytical phase, represents the performance of the test, which is essentially covered in various protocols in this book and the previous edition. The third is the post-analytical phase, which is what occurs after sample testing, and is the topic of the current chapter. Post-analytical issues are generally related to reporting and interpretation of test results. This chapter provides a brief description of these events, as well as guidance for preventing or minimizing post-analytical issues. In particular, there are several strategies for improved post-analytical reporting of hemostasis assays, with this providing the final opportunity to prevent serious clinical errors in patient diagnosis or management.
通常有三个阶段被认为对总测试过程有贡献。分析前阶段始于临床医生和患者，此时正在考虑实验室测试。这个阶段还包括关于要订购哪些测试（或不订购哪些测试）、患者识别、血液采集、血液运输、样本处理和储存等决策。在这个分析前阶段可能会发生许多潜在的故障，这是本书另一章的主题。第二阶段，分析阶段，代表测试的执行，这在本书和上一版的各种方案中都有涵盖。第三阶段是分析后阶段，这是当前章节的主题。分析后问题通常与测试结果的报告和解释有关。本章简要描述了这些事件，并为预防或最小化分析后问题提供了指导。特别是，有几种策略可以改进止血测定的分析后报告，这为防止患者诊断或管理中的严重临床错误提供了最后的机会。
