The role of European Federation of Clinical Chemistry and Laboratory Medicine Working Group for Preanalytical Phase in standardization and harmonization of the preanalytical phase in Europe
Open accessAbstract
Patient safety is a leading challenge in healthcare and from the laboratory perspective it is now well established that preanalytical errors are the major contributor to the overall rate of diagnostic and therapeutic errors. To address this, the European Federation of Clinical Chemistry and Laboratory Medicine Working Group for Preanalytical Phase (EFLM WG-PRE) was established to lead in standardization and harmonization of preanalytical policies and practices at a European level. One of the key activities of the WG-PRE is the organization of the biennial EFLM-BD conference on the preanalytical phase to provide a forum for National Societies (NS) to discuss their issues. Since 2012, a year after the first Preanalytical phase conference, there has been a rapid growth in the number of NS with a working group engaged in preanalytical phase activities and there are now at least 19 countries that have one. As a result of discussions with NS at the third conference held in March 2015 five key areas were identified as requiring harmonisation. These were test ordering, sample transport and storage, patient preparation, sampling procedures and management of unsuitable specimens. The article below summarises the work that has and will be done in these areas. The goal of this initiative is to ensure the EFLM WG-PRE produces work that meets the needs of the European laboratory medicine community. Progress made in the identified areas will be updated at the next preanalytical phase conference and show that we have produced guidance that has enhanced standardisation in the preanalytical phase and improved patient safety throughout Europe.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Bonini, P., Plebani, M., Ceriotti, F., & Rubboli, F. (2002) · Clinical Chemistry · doi:10.1093/clinchem/48.5.691 · Cited by 850 · see citing works
Errors in a Stat Laboratory: Types and Frequencies 10 Years Later
Carraro, P., & Plebani, M. (2007) · Clinical Chemistry · doi:10.1373/clinchem.2007.088344 · Cited by 670 · see citing works
Diagnostic Error in Medicine: Analysis of 583 Physician-Reported Errors
Schiff, G. D. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.333 · Cited by 638 · see citing works
Mistakes in a stat laboratory: types and frequency
Plebani, M., & Carraro, P. (1997) · Clinical Chemistry · doi:10.1093/clinchem/43.8.1348 · Cited by 573 · see citing works
The Landscape of Inappropriate Laboratory Testing: A 15-Year Meta-Analysis
Zhi, M., Ding, E. L., Theisen-Toupal, J., Whelan, J., & Arnaout, R. (2013) · PLoS ONE · doi:10.1371/journal.pone.0078962 · Cited by 535 · see citing works
Stability study of 81 analytes in human whole blood, in serum and in plasma.
Oddoze, C., Lombard, E., & Portugal, H. (2012) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2012.01.012 · Cited by 302 · see citing works
Quality indicators to detect pre-analytical errors in laboratory testing
Plebani, M., Sciacovelli, L., Aita, A., et al. (2013) · Clinica Chimica Acta · doi:10.1016/j.cca.2013.07.033 · Cited by 217 · see citing works
Medical errors: impact on clinical laboratories and other critical areas
Kalra, J. (2004) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2004.08.009 · Cited by 167 · see citing works
Harmonization of quality indicators in laboratory medicine. A preliminary consensus
Plebani, M., Astion, M. L., Barth, J. H., et al. (2014) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2014-0142 · Cited by 160 · see citing works
Standardization of collection requirements for fasting samples
Simundic, A. M., Cornes, M., Grankvist, K., Lippi, G., & Nybo, M. (2014) · Clinica Chimica Acta · doi:10.1016/j.cca.2013.11.008 · Cited by 156 · see citing works
Self-citationLippi, G., Banfi, G., Church, S., Cornes, M. P., Carli, G. D., Grankvist, K., Kristensen, G. B. B., Ibarz, M., Panteghini, M., Plebani, M., et al. (2014) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2014-1051 · Cited by 151 · see citing works
Self-citationPopulation-based study of repeat laboratory testing.
van Walraven, C., & Raymond, M. (2003) · Clinical Chemistry · doi:10.1373/clinchem.2003.021220 · Cited by 137 · see citing works
Tanner, M., Kent, N., Smith, B., Fletcher, S., & Lewer, M. (2008) · Annals of Clinical Biochemistry International Journal of Laboratory Medicine · doi:10.1258/acb.2007.007183 · Cited by 112 · see citing works
Šimundić, A.-M., Church, S., Cornes, M. P., Grankvist, K., Lippi, G., Nybo, M., Nikolac, N., van Dongen-Lases, E. C., Eker, P., Kovalevskaya, S., et al. (2014) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2014-1053 · Cited by 98 · see citing works
Self-citationKrleža, J. L., Dorotić, A., Grzunov, A., et al. (2015) · Biochemia Medica · doi:10.11613/bm.2015.034 · Cited by 95 · see citing works
Simundic, A.-M., Cornes, M., Grankvist, K., Lippi, G., Nybo, M., Kovalevskaya, S., Sprongl, L., Sumarac, Z., & Church, S. (2013) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2013-0283 · Cited by 84 · see citing works
Self-citationThe laboratory test utilization management toolbox
Baird, G. S. (2014) · Biochemia Medica · doi:10.11613/bm.2014.025 · Cited by 82 · see citing works
Spurious hyperkalaemia due to EDTA contamination: common and not always easy to identify
Cornes, M. P., Ford, C., & Gama, R. (2008) · Annals of Clinical Biochemistry: International Journal of Laboratory Medicine · doi:10.1258/acb.2008.007241 · Cited by 69 · see citing works
Self-citationPatient identification and tube labelling – a call for harmonisation
van Dongen-Lases, E. C., Cornes, M. P., Grankvist, K., Ibarz, M., Kristensen, G. B. B., Lippi, G., Nybo, M., Simundic, A.-M., & on behalf of the Working Group for Preanalytical Phase (WG-P (2016) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2015-1089 · Cited by 69 · see citing works
Self-citationPhysical activity - an important preanalytical variable
Sanchis‐Gomar, F., & Lippi, G. (2014) · Biochemia Medica · doi:10.11613/bm.2014.009 · Cited by 65 · see citing works
Self-citationStatland, B. E., & Winkel, P. (1977) · CRC Critical Reviews in Clinical Laboratory Sciences · doi:10.3109/10408367709151694 · Cited by 62 · see citing works
The importance of implementing safe sharps practices in the laboratory setting in Europe
De Carli, G., Abiteboul, D., & Puro, V. (2014) · Biochemia Medica · doi:10.11613/bm.2014.007 · Cited by 61 · see citing works
Low level of adherence to instructions for 24-hour urine collection among hospital outpatients
Miler, M., & Šimundić, A.-M. (2013) · Biochemia Medica · doi:10.11613/bm.2013.038 · Cited by 57 · see citing works
History of the preanalytical phase: a personal view
Guder, W. (2014) · Biochemia Medica · doi:10.11613/bm.2014.005 · Cited by 52 · see citing works
How to conduct External Quality Assessment Schemes for the pre-analytical phase?
Kristensen, G. B. B., Aakre, K. M., Kristoffersen, A. H., & Sandberg, S. (2014) · Biochemia Medica · doi:10.11613/bm.2014.013 · Cited by 51 · see citing works
Self-citationLippi, G., Brambilla, M., Bonelli, P., et al. (2015) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2015.06.006 · Cited by 49 · see citing works
Self-citationManaging demand for pathology tests: financial imperative or duty of care?
Fryer, A. A., & Hanna, F. (2009) · Annals of Clinical Biochemistry International Journal of Laboratory Medicine · doi:10.1258/acb.2009.009186 · Cited by 48 · see citing works
Are patients well informed about the fasting requirements for laboratory blood testing?
Kačkov, S., Šimundić, A.-M., & Gatti-Drnić, A. (2013) · Biochemia Medica · doi:10.11613/bm.2013.040 · Cited by 48 · see citing works
Overview on patient safety in healthcare and laboratory diagnostics
Lippi, G., Šimundić, A.-M., & Mattiuzzi, C. (2010) · Biochemia Medica · doi:10.11613/bm.2010.015 · Cited by 48 · see citing works
Self-citationInterference of medical contrast media on laboratory testing
Lippi, G., Daves, M., & Mattiuzzi, C. (2014) · Biochemia Medica · doi:10.11613/bm.2014.010 · Cited by 46 · see citing works
Self-citationAn integrated system for monitoring the quality of sample transportation
Zaninotto, M., Tasinato, A., Padoan, A., et al. (2012) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2012.02.013 · Cited by 42 · see citing works
Reflective testing: adding value to laboratory testing
de Venne, W. P. H. G. V., Aakre, K. M., Watine, J., et al. (2012) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2011-0611 · Cited by 41 · see citing works
Effect of order of draw of blood samples during phlebotomy on routine biochemistry results: Table 1
Sulaiman, R. A., Cornes, M. P., Whitehead, S. J., Othonos, N., Ford, C., & Gama, R. (2011) · Journal of Clinical Pathology · doi:10.1136/jclinpath-2011-200206 · Cited by 40 · see citing works
Self-citationDifferences in laboratory requesting patterns in emergency department in Spain
Salinas, M., López‐Garrigós, M., & Uris, J. (2013) · Annals of Clinical Biochemistry International Journal of Laboratory Medicine · doi:10.1177/0004563212474568 · Cited by 38 · see citing works
Sciacovelli, L., Sonntag, O., Padoan, A., et al. (2011) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm.2011.809 · Cited by 37 · see citing works
Effects of sample transportation on commonly requested laboratory tests
Zaninotto, M., Tasinato, A., Padoan, A., et al. (2012) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2012-0150 · Cited by 31 · see citing works
Fernandez, P., Llopis, M. A., Perich, C., Alsina, M. J., Álvarez, V., Biosca, C., Busquets, G., Doménech, M. V., Rioja, R. G., Llovet, I., et al. (2014) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2013-0935 · Cited by 29 · see citing works
Self-citationStability of chemical and immunochemical analytes in uncentrifuged plasma samples
Leino, A. E., & Koivula, M. K. (2009) · Annals of Clinical Biochemistry International Journal of Laboratory Medicine · doi:10.1258/acb.2008.008212 · Cited by 28 · see citing works
Long-term stability of laboratory tests and practical implications for quality management
Houcke, S. K. V., Stepman, H. C. M., Thienpont, L. M., et al. (2013) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2012-0820 · Cited by 28 · see citing works
Favaloro, E. J., Franchini, M., & Lippi, G. (2014) · Seminars in Thrombosis and Hemostasis · doi:10.1055/s-0034-1394108 · Cited by 25 · see citing works
Self-citationPotential over request in anemia laboratory tests in primary care in Spain
Salinas, M., López‐Garrigós, M., Flores, E., Uris, J., Leiva‐Salinas, C., & On behalf of the Pilot Group of the Appropriate Utilization of Laboratory Tests (REDCONLAB) working group (2014) · Hematology · doi:10.1179/1607845414y.0000000210 · Cited by 20 · see citing works
Education and communication is the key for the successful management of vitamin D test requesting
Salinas, M., López‐Garrigós, M., Flores, E., et al. (2015) · Biochemia Medica · doi:10.11613/bm.2015.024 · Cited by 16 · see citing works
Nikolac, N., Šimundić, A.-M., Kačkov, S., Serdar, T., Dorotić, A., Fumić, K., Gudasic-Vrdoljak, J., Klenkar, K., Sambunjak, J., & Vidranski, V. (2015) · Clinica Chimica Acta · doi:10.1016/j.cca.2015.08.001 · Cited by 13 · see citing works
Request of laboratory liver tests in primary care in Spain
Salinas, M., López‐Garrigós, M., Flores, E., et al. (2015) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0000000000000427 · Cited by 13 · see citing works
Dukić, L., & Šimundić, A.-M. (2014) · Biochemia Medica · doi:10.11613/bm.2014.031 · Cited by 12 · see citing works
Krleža, J. L. (2014) · Biochemia Medica · doi:10.11613/bm.2014.037 · Cited by 7 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [8]8. Simundic AM. Avoiding titanic errors. In: The pathologist. Knutsford, UK: Texere Publishing Ltd, 2015, pp.18-27.
Cited by
Sorted by citations
Joint EFLM-COLABIOCLI Recommendation for venous blood sampling
Simundic, A.-M., Bölenius, K., Cadamuro, J., Church, S., Cornes, M. P., van Dongen-Lases, E. C., Eker, P., Erdeljanovic, T., Grankvist, K., Guimaraes, J. T., et al. (2018) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2018-0602 · Cited by 240 · see citing works
Self-citation
- Authors
- Cornes, M. P., Church, S., van Dongen-Lases, E., Grankvist, K., Guimarães, J. T., Ibarz, M., Kovalevskaya, S., Kristensen, G. B., Lippi, G., Nybo, M., Sprongl, L., Sumarac, Z., Simundic, A.-M., & on behalf of the Working Group for Preanalytical Phase (WG-PRE) and European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)
- Affiliations
- New Cross Hospital (GB)
- BD Life Sciences – Preanalytical Systems, Oxford, UK
- Department of Clinical Chemistry, Academic Medical Center, Amsterdam, the Netherlands
- Umeå University (SE)
- Universidade do Porto (PT)
- Laboratori Clínic Hospital Arnau de Vilanova, Lleida, Spain
- First Pavlov State Medical University of St. Petersburg (RU)
- The Norwegian EQA Program (NKK), Bergen, Norway
- University of Verona (IT)
- Odense University Hospital (DK)
- Central Laboratory, Hospital Sumperk, Sumperk, Czech Republic
- Center for Medical Biochemistry, Clinical Center of Serbia, Belgrade, Serbia
- Department of Medical Laboratory Diagnostics, Clinical Hospital Sveti Duh, Zagreb, Croatia
- ORCID
- Venue
- Annals of Clinical Biochemistry: International Journal of Laboratory Medicine
- Publisher
- SAGE Publications
- Published
- 2016-07-20
- Volume
- 53
- Issue
- 5
- Pages
- 539-547
- ISSN
- 0004-5632 (ISSN-L)
- 1758-1001
- OpenAlex
- W2344061850
- Cited by
- 43
- References
- 46
- Citations by year
- 2026: 4 · 2024: 5 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 6 · 2018: 8 · 2017: 9 · 2016: 1
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Locations
- Annals of Clinical Biochemistry International Journal of Laboratory Medicine (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- INFM-OAR (INFN Catania) (submittedVersion, other-oa)
- Zenodo (CERN European Organization for Nuclear Research) (other-oa)
- Topics
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Bacterial Identification and Susceptibility Testing
- Keywords
- pre-analytical phase, pre-analytical errors, standardization, harmonization, patient safety, test ordering, sample storage and transport, patient preparation, sampling methods, national societies, diagnostic errors
- MeSH terms
- Blood Chemical Analysis, Chemistry, Clinical, Europe, Humans, Reference Standards, Societies, Medical, Practice Guidelines as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review