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Queraltó J, Brady J, Carobene A, Homšak E, Wieringa G. The European Register of Specialists in Clinical Chemistry and Laboratory Medicine: code of conduct, version 3 - 2023. Clin Chem Lab Med 2023; 61:981-988. [PMID: 36724108 DOI: 10.1515/cclm-2023-0031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 01/13/2023] [Indexed: 02/02/2023]
Abstract
Whilst version 2 focussed on the professional conduct expected of a Specialist in Laboratory Medicine, version 3 builds on the responsibilities for ethical conduct from point of planning to point of care. Particular responsibilities that are outlined include: - The need for evidence when planning a new service, providing assurance that a new test does not do harm - Maintaining respect for patient confidentiality, their religious/ethnic beliefs, the need for informed consent to test, agreement on retrospective use of samples as part of governance envelopes in the pre-analytical phase - Ensuring respect for patient autonomy in the response to untoward results generated in the analytical phase - Supporting the safety of patients in the post-analytical phase through knowledge-based interpretation and presentation of results - The duty of candour to disclose and respond to error across the total testing process - Leading initiatives to harmonise and standardise pre-analytical, analytical and post-analytical phases to ensure more consistent clinical decision making with utilisation of demand management to ensure more equitable access to scarce resources - Working with emerging healthcare providers beyond the laboratory to ensure consistent application of high standards of clinical care In identifying opportunities for wider contributions to resolving ethical challenges across healthcare the need is also highlighted for more external quality assurance schemes and ethics-based quality indicators that span the total testing process.
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Affiliation(s)
- Josep Queraltó
- SEQCML - The Spanish Society of Laboratory Medicine SEQCML Barcelona, Spain
| | - Jennifer Brady
- Department of Paediatric Laboratory Medicine, UCD School of Medicine, Children's Health Ireland (CHI) Dublin, Ireland
| | - Anna Carobene
- Laboratory Medicine Department, IRCCS San Raffaele Hospital Milan, Italy
| | - Evgenija Homšak
- European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Milan, Italy
| | - Gijsbert Wieringa
- European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Milan, Italy
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Zaninotto M, Graziani MS, Plebani M. The harmonization issue in laboratory medicine: the commitment of CCLM. Clin Chem Lab Med 2022; 61:721-731. [PMID: 36383396 DOI: 10.1515/cclm-2022-1111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 11/03/2022] [Indexed: 11/18/2022]
Abstract
Abstract
The analytical quality of the clinical laboratory results has shown a significant improvement over the past decades, thanks to the joint efforts of different stakeholders, while the comparability among the results produced by different laboratories and methods still presents some critical issues. During these years, Clinical Chemistry and Laboratory Medicine (CCLM) published several papers on the harmonization issue over all steps in the Total Testing Process, training an important number of laboratory professionals in evaluating and monitoring all the criticisms inherent to the pre-analytical, as well as analytical and post analytical phases: from the consensus statement on the most informative testing in emergency setting, to the prevention and detection of hemolysis or to patients identification and tube labeling procedures, as far as to different approaches to harmonize hormones measurements or to describe new reference methods or to harmonize the laboratory report. During these years the commitment of the journal, devoted to the harmonization processes has allowed to improve the awareness on the topic and to provide specific instruments to monitor the rate of errors and to improve patients safety.
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Simundic AM. La EFLM Academy - ventajas y oportunidades. ADVANCES IN LABORATORY MEDICINE 2021; 2:141-148. [PMID: 37363325 PMCID: PMC10197303 DOI: 10.1515/almed-2021-0038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 04/22/2021] [Indexed: 06/28/2023]
Affiliation(s)
- Ana-Maria Simundic
- Departamento de Diagnóstico de Laboratorio Médico, Hospital Universitario “Sveti Duh”, Sveti Duh 64, 10 000Zagreb, Croacia
- Facultad de Farmacia y Bioquímica, Universidad de Zagreb, Zagreb, Croacia
- Presidenta de la EFLM, Milan, Italy
- Directora del Grupo de trabajo del Curso Syllabus sobre el Programa Formativo de la EFLM, Milan, Italy
- Miembro de la Junta Directiva de la IFCC (International Federation of Clinical Chemistry and Laboratory Medicine), Milan, Italy
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Simundic AM. The Academy of the European Federation of Clinical Chemistry and Laboratory Medicine - benefits and opportunities. ADVANCES IN LABORATORY MEDICINE 2021; 2:141-148. [PMID: 37363328 PMCID: PMC10197670 DOI: 10.1515/almed-2021-0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/28/2023]
Affiliation(s)
- Ana-Maria Simundic
- Department of Medical Laboratory Diagnostics, University Hospital “Sveti Duh”, Zagreb, Croatia
- Faculty of Pharmacy and Biochemistry, University of Zagreb, Zagreb, Croatia
- European Federation of Clinical Chemistry and Laboratory Medicine (EFLM), Milan, Italy
- Task group EFLM Syllabus Course (TG-ESC), Milan, Italy
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Wieringa G, Queraltó J, Homšak E, Jassam N, Cavalier E, Svinarov D, Krleža JL, Christou S, Pikner R, Larsen TR, Tomberg K, Linko-Parvinen A, Sapin V, Baum H, Kroupis C, Bagoly Z, Costelloe S, Sciacovelli L, Stasulans J, Vitkus D, Meunier D, Solnica B, Reguengo H, Mambet C, Kovac G, Krhin B, Ohlson M, Buhagiar G, Simundic AM. A proposed Common Training Framework for Specialists in Laboratory Medicine under EU Directive 2013/55/EC (The Recognition of Professional Qualifications). Clin Chem Lab Med 2020; 59:505-512. [PMID: 33554548 DOI: 10.1515/cclm-2020-1504] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 10/15/2020] [Indexed: 11/15/2022]
Abstract
European Union (EU) Directive 2013/55/EC (The Recognition of Professional Qualifications) allows Member States to decide on a common set of minimum knowledge, skills and competences that are needed to pursue a given profession through a Common Training Framework. To be adopted the framework must combine the knowledge, skills and competences of at least one third of the Member States. Professionals who have gained their qualifications under a Common Training Framework will be able to have these recognised automatically within the Union. The backbone of the European Federation of Clinical Chemistry and Laboratory Medicine's (EFLM) proposed Common Training Framework for non-medical Specialists in Laboratory Medicine is outlined here. It is based on an Equivalence of Standards in education, training, qualifications, knowledge, skills, competences and the professional conduct associated with specialist practice. In proposing the recognition of specialist practice EFLM has identified 15 EU Member States able to meet Equivalence and in whom the profession and/or its training is regulated (an additional EU Commission requirement). The framework supports and contributes to the Directive's enabling goals for increasing professional mobility, safeguarding consumers and ensuring a more equitable distribution of skills and expertise across the Member States. It represents EFLM's position statement and provides a template for professional societies and/or competent authorities to engage with the EU Commission.
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Affiliation(s)
- Gijsbert Wieringa
- European Federation of Clinical Chemistry and Laboratory Medicine, Brussels/Milan, Belgium/Italy
| | - Josep Queraltó
- Spanish Society for Clinical Biochemistry and Molecular Pathology, Madrid, Spain
| | - Evgenija Homšak
- European Federation of Clinical Chemistry and Laboratory Medicine, Brussels/Milan, Belgium/Italy
| | - Nuthar Jassam
- European Federation of Clinical Chemistry and Laboratory Medicine, Brussels/Milan, Belgium/Italy
| | | | | | - Jasna L Krleža
- Croatian Society of Medical Biochemistry and Laboratory Medicine, Zagreb, Croatia
| | - Spyroula Christou
- Greek Society of Clinical Chemistry and Clinical Biochemistry, Athens, Greece
| | - Richard Pikner
- Czech Society of Clinical Biochemistry, Prague, Czech Republic
| | | | - Karel Tomberg
- Estonian Society of Laboratory Medicine, Tartu, Estonia
| | | | | | - Hannsjorg Baum
- German Society of Clinical Chemistry and Laboratory Medicine, Bonn/Berlin, Germany
| | - Christos Kroupis
- Greek Society of Clinical Chemistry and Clinical Biochemistry, Athens, Greece
| | - Zsuzsa Bagoly
- Hungarian Society of Laboratory Medicine, Debrecen, Hungary
| | - Sean Costelloe
- Association of Clinical Biochemists in Ireland, Dublin, Ireland
| | - Laura Sciacovelli
- The Italian Society of Clinical Biochemistry and Clinical Molecular Biology, Milan, Italy
| | | | - Dalius Vitkus
- Lithuanian Society of Laboratory Medicine, Vilnius, Lithuania
| | | | - Bogdan Solnica
- Polish Society for Laboratory Diagnostics, Warsaw, Poland
| | - Henrique Reguengo
- Portuguese Society of Clinical Chemistry, Genetics and Laboratory Medicine, Porto, Portugal
| | - Cristina Mambet
- Romanian Association of Laboratory Medicine, Bucharest, Romania
| | - Gustav Kovac
- Slovak Society of Clinical Biochemistry, Bratislava, Slovakia
| | - Blaž Krhin
- Slovenian Association for Clinical Chemistry and Laboratory Medicine, Ljublijana, Slovenia
| | - Mats Ohlson
- Swedish Society for Clinical Chemistry, Stockholm, Sweden
| | | | - Ana-Maria Simundic
- European Federation of Clinical Chemistry and Laboratory Medicine, Brussels/Milan, Belgium/Italy
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