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- W11858032 abstract "Ongoing review of RIs by the QAGs in a climate of everchanging assay performance has highlighted not only the importance of being vigilant with analytical performance but also that the correct reporting of results is often beyond the control of laboratory scientists and pathologists. A common problem is the difficulty of implementing change once it has been agreed, which emphasises the importance of vigilance in auditing the reporting of results. It is increasingly apparent that there is a requirement for Laboratory IT expertise either within QA groups or easily available to them. It seems that while harmonisation is a noble principle, in practice it is difficult to achieve and the realisation of ‘National’ or ‘Australasian’ Harmonisation may still be some way off. It is widely recognised that some analytes, notably immunoassay results from different platforms, cannot be readily harmonised and, in the interim, should be differentiated in any central result repository. However it is often difficult to ensure that this happens. While harmonisation is the goal, ways of managing less amenable analytes must also be considered carefully.The cessation of dual reporting of HbA1c in New Zealand highlighted the differences in reporting formats from different laboratories for a supposedly harmonised analyte with ‘agreed upon cutpoints’. This exercise has served to broaden the focus of laboratories from results and RIs to how the results appear for our end users, as well as the context in which they appear. It has also demonstrated the importance of communication between laboratory staff, IT staff and GP PMS vendors, as well as regulatory bodies that access data from GP PMS databases for statistical purposes. The care and attention paid to pre-analytical and analytical issues can easily be unwittingly undone by careless or uninformed IT, and patient safety could be compromised by misinterpretation of cumulative results." @default.
- W11858032 created "2016-06-24" @default.
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- W11858032 date "2012-08-01" @default.
- W11858032 modified "2023-09-23" @default.
- W11858032 title "The new zealand approach to harmonised reference intervals." @default.
- W11858032 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3428254" @default.
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