Interpretative comments - need for harmonization? Results of the Croatian survey by the Working Group for Post-analytics.

IF 3.8 3区 医学 Q1 MEDICAL LABORATORY TECHNOLOGY Biochemia Medica Pub Date : 2022-02-15 Epub Date: 2021-12-15 DOI:10.11613/BM.2022.010901
Vladimira Rimac, Sonja Podolar, Anja Jokic, Jelena Vlasic Tanaskovic, Lorena Honovic, Jasna Lenicek Krleza
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Abstract

Introduction: Interpretation of laboratory test results is a complex post-analytical activity that requires not only understanding of the clinical significance of laboratory results but also the analytical phase of laboratory work. The aims of this study were to determine: 1) the general opinion of Croatian medical biochemistry laboratories (MBLs) about the importance of interpretative comments on laboratory test reports, and 2) to find out whether harmonization of interpretative comments is needed.

Materials and methods: This retrospective study was designed as a survey by the Working Group for Post-analytics as part of national External Quality Assessment (EQA) program. All 195 MBLs participating in the national EQA scheme, were invited to participate in the survey. Results are reported as percentages of the total number of survey participants.

Results: Out of 195 MBLs, 162 participated in the survey (83%). Among them 59% MBLs implemented test result comments in routine according to national recommendations. The majority of laboratories (92%) state that interpretative comments added value to the laboratory reports, and a substantial part (72%) does not have feedback from physicians on their significance. Although physicians and patients ask for expert opinion, participants stated that the lack of interest of physicians (64%) as well as the inability to access patient's medical record (62%) affects the quality of expert opinion.

Conclusion: Although most participants state that they use interpretative comments and provide expert opinions regarding test results, results of the present study indicate that harmonization for interpretative comments is needed.

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解释性评论——需要统一吗?后分析工作小组克罗地亚调查的结果。
实验室检测结果的解释是一项复杂的分析后活动,不仅需要了解实验室结果的临床意义,还需要了解实验室工作的分析阶段。本研究的目的是确定:1)克罗地亚医学生物化学实验室(MBLs)对实验室检测报告解释性评论的重要性的一般意见,以及2)查明是否需要统一解释性评论。材料和方法:本回顾性研究是由后分析工作小组设计的一项调查,作为国家外部质量评估(EQA)计划的一部分。所有参加国家EQA计划的195个mbl都被邀请参加了调查。结果以调查参与者总数的百分比报告。结果:在195名MBLs中,162名(83%)参与了调查。其中59%的卫生院按照国家建议在日常工作中实施检测结果评议。大多数实验室(92%)表示解释性评论增加了实验室报告的价值,而且相当一部分(72%)没有医生对其重要性的反馈。虽然医生和病人都要求专家意见,但与会者表示,医生缺乏兴趣(64%)以及无法获得病人的医疗记录(62%)影响了专家意见的质量。结论:尽管大多数参与者表示他们使用解释性评论并就测试结果提供专家意见,但本研究的结果表明,解释性评论的协调是必要的。
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来源期刊
Biochemia Medica
Biochemia Medica 医学-医学实验技术
CiteScore
5.50
自引率
3.00%
发文量
70
审稿时长
>12 weeks
期刊介绍: Biochemia Medica is the official peer-reviewed journal of the Croatian Society of Medical Biochemistry and Laboratory Medicine. Journal provides a wide coverage of research in all aspects of clinical chemistry and laboratory medicine. Following categories fit into the scope of the Journal: general clinical chemistry, haematology and haemostasis, molecular diagnostics and endocrinology. Development, validation and verification of analytical techniques and methods applicable to clinical chemistry and laboratory medicine are welcome as well as studies dealing with laboratory organization, automation and quality control. Journal publishes on a regular basis educative preanalytical case reports (Preanalytical mysteries), articles dealing with applied biostatistics (Lessons in biostatistics) and research integrity (Research integrity corner).
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