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Dear All
We are currently using haemolysis indices on Abbott Architect analysers in an attempt to apply some science to the previous rather subjective eyeballing technique.
On the basis of the 'level' of haemolysis, we obliterate and comment results for groups of tests identified as sensitive in the manufacturer's information. The process is carried out on the LIMS so raw results are still available on the analyser.
This has caused particular upset amongst the paediatricians who all but demand the right would like to see the result so that they can make their own decision regarding its relevance. I should add that if the result is contrary to the expected interference (eg low potassium, magnesium or phosphate in the light of haemolysis) the result is reported and extra attention is drawn to the result.
My view is that we should not report results which are known to have an error-factor, in the same way that results from a drip arm should all be ignored.
Any other views ?
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
020-8308-3084
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