Caballero Garralda Andrea, Reixach Immaculada Comas, García Miralles Carlos, Gómez Rioja Rubén, Llopis Díaz María Antonia, Martínez Espartosa Débora, Nicolás de Blas Reyes, Panadès Turró Mariona, Puigví Fernández Laura, Rodelgo Jiménez Laura, Sufrate-Vergara Berta, Ventura Orriols Emma
Extraanalytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML), Department of Clinical Biochemistry, Vall d'Hebron Hospital, Barcelona, Spain.
Extraanalytical Quality Commission of the Spanish Society of Laboratory Medicine (SEQCML), Department of Clinical Biochemistry, Parc Tauli Hospital Universitari, Sabadell, Spain.
Adv Lab Med. 2025 Apr 21;6(2):199-205. doi: 10.1515/almed-2025-0067. eCollection 2025 Jun.
Quality indicators (QIs) are a valuable tool for monitoring and improving extra-analytical phase performance in the clinical laboratory (CL). For that reason, the Spanish Society of Laboratory Medicine (SEQC) launched its Pre-analytical Phase EQA Program in 2001.
In 2023, a survey was conducted to assess the level of participation in the EQA Program, identify its potential improvements, and enhance the understanding of the collection and estimation processes of the extra-analytical QI.
In total, 51 % of respondents (124 responses in total) were enrolled in the program. The primary reason for participating was the need of monitoring of the extra-analytical phases (38 %). In contrast, the main reason for not taking part in the EQA Program was the difficulty in collecting data (32 %). As to potential points for improvement, 56 % considered that QI should be analyzed disaggregated by type of extraction (ambulatory vs. urgent). As many as 86 % of respondents would be interested in participating in a post-analytical phase EQA Program. Most of the suggestions about indicators to be included were related to events regarding temperature and transport times from peripheral extraction sites.
Although interest in QIs for pre- and post-analytical phases is growing, the percentage of laboratories that collect data regularly is still limited. The findings of this survey have led the future directions for the EQA Pre-analytical Program, updating and adapting it to the current needs of CLs.
质量指标（QIs）是监测和改善临床实验室（CL）分析前阶段性能的宝贵工具。因此，西班牙检验医学学会（SEQC）于2001年启动了其分析前阶段的室间质量评价计划。
2023年进行了一项调查，以评估室间质量评价计划的参与程度，确定其潜在改进之处，并增进对分析前质量指标收集和评估过程的理解。
共有51%的受访者（共124份回复）参与了该计划。参与的主要原因是需要监测分析前阶段（38%）。相比之下，不参加室间质量评价计划的主要原因是数据收集困难（32%）。至于潜在的改进点，56%的人认为质量指标应按采血类型（门诊与急诊）进行分类分析。多达86%的受访者有兴趣参与分析后阶段的室间质量评价计划。关于应纳入的指标的大多数建议都与温度以及从外周采血点的运输时间相关事件有关。
尽管对分析前和分析后阶段质量指标的兴趣在增加，但定期收集数据的实验室百分比仍然有限。本次调查结果为室间质量评价分析前计划指明了未来方向，使其更新并适应临床实验室的当前需求。
