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The harmonization issue in laboratory medicine: the commitment of CCLM
Martina Zaninotto1, Maria Stella Graziani2, Mario Plebani1
1QI.LAB.MED, University of Padova, Padova, Italy.
Clinical Chemistry and Laboratory Medicine
|November 16, 2022
Summary
Clinical laboratory results have improved, but comparability between labs remains a challenge. The journal Clinical Chemistry and Laboratory Medicine (CCLM) has published extensively on harmonization to improve accuracy and patient safety.
Area of Science:
- Clinical Chemistry
- Laboratory Medicine
- Medical Diagnostics
Background:
- Analytical quality of clinical laboratory results has improved significantly.
- Comparability of results across different laboratories and methods remains a critical issue.
- The journal Clinical Chemistry and Laboratory Medicine (CCLM) has actively addressed harmonization challenges.
Purpose of the Study:
- To review the impact of CCLM's publications on harmonization in laboratory medicine.
- To highlight the journal's role in improving awareness and providing tools for error monitoring.
- To underscore efforts in enhancing patient safety through standardized laboratory practices.
Main Methods:
- Analysis of publications in CCLM focusing on the Total Testing Process.
- Review of consensus statements, guidelines, and method descriptions.
- Evaluation of CCLM's contribution to harmonizing pre-analytical, analytical, and post-analytical phases.
Main Results:
- CCLM has published extensively on harmonization across all phases of the Total Testing Process.
- The journal has trained laboratory professionals in evaluating and monitoring pre-analytical, analytical, and post-analytical errors.
- Specific initiatives include guidelines on testing in emergencies, hemolysis detection, patient identification, and harmonized reporting.
Conclusions:
- CCLM's commitment to harmonization has raised awareness and provided practical tools for error reduction.
- The journal's efforts contribute to improving the reliability of laboratory results and enhancing patient safety.
- Continued focus on harmonization is essential for advancing clinical laboratory science and patient care.

