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La Rivista Italiana della Medicina di Laboratorio 2019 Settembre;15(3):178-84

DOI: 10.23736/S1825-859X.19.00020-3

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: Italian

Laboratory middleware in urinary diagnostics

Rudi RAVASIO , Francesca NEMBRINI, Maria G. ALESSIO, Giulia PREVITALI, Giovanni GUERRA

Laboratorio Analisi Chimico Cliniche, Azienda Socio Sanitaria Territoriale (ASST) Papa Giovanni XXIII, Bergamo, Italia



In recent decades, all branches of the clinical pathology laboratory have been involved in technological evolution; the latter has experienced a real revolution due to the introduction of the fully automated urine particle analysis, which has allowed to obtain precise and accurate results with a precision and accuracy unimaginable until a few years ago. The need to select, integrate and process lots of data released by different instruments, to define alarm thresholds and validation grids to concentrate resources and skills on cases requiring further investigation, has found solution in computer technology with the introduction of management software also called middleware. In our Laboratory, the implementation and continuous development of a middleware by applying rules based on the expertise and experience of the Clinical Pathologist has allowed to improve the workflow while optimizing the decision-making process.


KEY WORDS: Expert systems; Medical Laboratory Science; Urinalysis

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