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Recommendation for standardization of haematology reporting units used in the extended blood count

journal contribution
posted on 2023-05-19, 09:06 authored by Brereton, M, McCafferty, R, Marsden, K, Kawai, Y, Etzell, J, Ermens, A, Jou, JM, Han, JY, Peng, MT, Hyde, K, Nebe, T, Lesesve, JF, Bourner, G, Khodaiji, S, Simonsson, P, Nordin, G

Introduction: It is desirable in the interest of patient safety that the reporting of laboratory results should be standardized where no valid reason for diversity exists. This study considers the reporting units used for the extended blood cell count and makes a new ICSH recommendation to encourage standardization worldwide.

Methods: This work is based on a literature review that included the original ICSH recommendations and on data gathered from an international survey of current practice completed by 18 countries worldwide.

Results: The survey results show that significant diversity in the use of reporting units for the blood count exists worldwide. The use of either non-SI or other units not recommended by the ICSH in the early 1980s has persisted despite the guidance from that time.

Conclusion: The diversity in use of reporting units occurs in three areas: the persistence in use of non-SI units for RBC, WBC and platelet counts, the use of three different units for haemoglobin concentration and the manual reporting of WBC differential, reticulocytes and nucleated RBCs when the latter are available from automated analysis or can be expressed as absolute numbers by calculation. A new recommendation with a rationale for each parameter is made for standardization of the reporting units used for the extended blood count.

History

Publication title

International Journal of Laboratory Hematology

Volume

38

Issue

5

Pagination

472-482

ISSN

1751-5521

Department/School

Tasmanian School of Medicine

Publisher

Blackwell Scientific Publications

Place of publication

United Kingdom

Repository Status

  • Restricted

Socio-economic Objectives

Expanding knowledge in the health sciences

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