Accurate Results in the Clinical Laboratory: A Guide to Error Detection and Correction, Second Edition, provides a comprehensive review of the factors leading to errors in all areas of clinical laboratory testing. This trusted guide addresses interference issues in all laboratory tests, including patient epigenetics, processes of specimen collection, enzymes and biomarkers. Clinicians and laboratory scientists will both benefit from this reference that applies discussions to both accurate specimen analysis and optimal patient care. Hence, this is the perfect reference for clinical laboratorians, from trainees, to experienced pathologists and directors.
- Provides comprehensive coverage across endocrine, oncology, hematology, immunohistochemistry, immunology, serology, microbiology, and molecular testing
- Includes new case studies that highlight clinical relevance and errors to avoid
- Highlights the best titles published within a variety of medical specialties
- Reviewed by medical librarians and content specialists, with key selections compiled in their annual list
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Section I: Sources of errors in clinical laboratories: An overview 1. Variation, errors, and quality in the clinical laboratory 2. Errors in patient preparation, specimen collection, anticoagulant and preservative use: how to avoid such pre-analytical errors 3. Sample processing and specimen misidentification issues: major sources of pre-analytical errors 4. Effect of patient-related factors on clinical laboratory test results 5. Interferences of hemolysis, lipemia and high bilirubin on laboratory tests 6. Immunoassay design 7. Overview of other sources of interferences in immunoassays: prozone effect and interferences from heterophilic antibodies and autoantibodies 8. Biotin interference in clinical laboratory tests: sporadic problem or a serious clinical issue?
Section II: Sources of errors in clinical chemistry laboratory 9. Challenges in routine clinical chemistry testing analysis of small molecules 10. Challenges in routine clinical chemistry analysis: proteins and enzymes 11. Challenges in endocrinology testing 12. Pitfalls in testing for common tumor markers
Section III: Sources of errors in therapeutic drug monitoring and toxicology 13. Issues of interferences in therapeutic drug monitoring 14. Limitations of immunoassays for screening of drugs of abuse in urine: issues of false positive and false negative results 15. Challenges in confirmation testing for drugs of abuse 16. Issues of false negative results in toxicology: difficult in detecting certain drugs and issues with detection of synthetic cathinone (bath salts), synthetic cannabinoids (spice), and other new psychoactive substances 17. Ethanol determination using automated analyzers: limitations and pitfalls
Section IV: Herbal medicines and laboratory testings 18. Effects of herbal supplements on clinical laboratory test results
Section V: Sources of errors in immunology laboratory 19. Critical issues in hemoglobinopathy detection and serology testing for HIV and hepatitis infections 20. Sources of errors in immunology and serology testing
Section VI: Sources of errors in molecular, genetic and related testings 21. Sources of error in molecular diagnostic analyses 22. Molecular testing for targeted therapies and pharmacogenomics 23. Challenges and sources of inaccuracy in biochemical genetics testing
Section VII: Sources of errors in microbiology testings 24. Sources of pre-analytical, analytical and post-analytical errors in the microbiology laboratory
Section VIII: Sources of errors in hematology and coagulation testings 25. Sources of errors in hematology testing 26. Sources of errors in coagulation testing 27. Sources of errors in flow cytometry
Section IX: Sources of errors in transfusion medicine 28. Interferences in blood bank testing 29. Errors and adverse effects of blood transfusion 30. Methodological issues in point of care testing devices 31. Special concern: sources of inaccuracy in breath alcohol analysis
Amitava Dasgupta received his PhD degree in Chemistry from Stanford University and his fellowship training in Clinical Chemistry from the Laboratory Medicine Department of the University of Washington School of Medicine at Seattle. He is a tenured Full Professor of Pathology and Laboratory Medicine at the University of Texas Health Sciences Center located at the Texas Medical Center at Houston. Dr. Dasgupta has published 210 scientific papers, written many invited review articles, and has edited, co-edited or written 15 books. He is on the Editorial Board of five major medical journals including American Journal of Clinical Pathology, Archives of Pathology and Laboratory Medicine, Therapeutic Drug Monitoring, Clinica Chimica Acta and Journal of Clinical Laboratory Analysis.
Sepulveda, Jorge L.
Jorge Sepulveda received his M.D. from the University of Lisbon, Portugal, and his residency training in Laboratory Medicine and Ph.D. degree in Cell and Molecular Biology from Baylor College of Medicine, Houston, Texas. He is board certified by the American Board of Pathology in Clinical Pathology and Transfusion Medicine. He has published over 35 research articles, review papers and book chapters, and serves as Associate Editor for the Archives of Pathology and Laboratory Medicine. Dr. Sepulveda has broad experience in laboratory medicine as medical director of various clinical laboratories, including at the Houston and Philadelphia Veterans Affairs Medical Centers and at the University of Pittsburgh Presbyterian and Shadyside Hospitals, and currently serves as Associate Medical Director of the Clinical Laboratories at the Columbia University Medical Center Campus of New York-Presbyterian Hospital.