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La Rivista Italiana della Medicina di Laboratorio 2020 Settembre;16(3):135-40

DOI: 10.23736/S1825-859X.20.00048-1

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: Italian

The post-analytical phase and the patient-laboratory interface

Piero CAPPELLETTI

SIPMeL, Castelfranco Veneto, Treviso, Italia



The post-analytical phase is the final phase of Total Testing Process in which laboratory results are evaluated until they are released to the users, i.e. physicians and patients. In our vision, the intra-laboratory post-analytical phase includes verification of analytical results and interpretative commenting, “added on” tests, clinical suggestions; results reporting and communication is the outgoing exchange at the clinic-laboratory interface; the extra-laboratory post-analytical phase includes, on one hand, results notification and its check and, on other hand, consultation. The post-post-analytical phase is the evaluation of the efficacy and effectiveness of the Total Testing Process in the multidisciplinary and multi-professional groups by feedbacks and audits. Some recent works on the “adding value” to the laboratory report and on “recommendations for post-analytical phase” need critical considerations on the understatement of clinical validation process, the uncertain definition of adding value activities (for example of interpretative commenting), the lack of new tools and modes of communications of results, the weakness of some quality indicators especially for extra-laboratory post-analytical and post-post-analytical phases, and the absence of citizen/patient as ending point of the Laboratory activity. The post-analytical phase, by personalized information and communication, and the post-post-analytical phase, by involving patients and their stakeholders in the audit groups, should be explicitly addressed to the patient, building a new frontier: the patient-laboratory interface.


KEY WORDS: Laboratory Medicine; Total testing process; Post-analytical phase; Clinic-laboratory interface

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