{"id":201624,"date":"2025-10-28T13:51:15","date_gmt":"2025-10-28T16:51:15","guid":{"rendered":"https:\/\/controllab.com\/?post_type=resumos&#038;p=201624"},"modified":"2025-10-28T13:54:43","modified_gmt":"2025-10-28T16:54:43","slug":"avaliando-a-qualidade-pre-analitica-do-laboratorio-clinico-evolucao-das-metricas-sigma-em-sete-indicadores-harmonizados-pela-ifcc-em-um-programa-internacional-de-benchmarking-de-laboratorio","status":"publish","type":"resumos","link":"https:\/\/controllab.com\/es\/educacion\/resumenes-cientificos\/avaliando-a-qualidade-pre-analitica-do-laboratorio-clinico-evolucao-das-metricas-sigma-em-sete-indicadores-harmonizados-pela-ifcc-em-um-programa-internacional-de-benchmarking-de-laboratorio\/","title":{"rendered":"Avaliando a Qualidade Pr\u00e9-Anal\u00edtica do Laborat\u00f3rio Cl\u00ednico: Evolu\u00e7\u00e3o das M\u00e9tricas Sigma em Sete Indicadores Harmonizados pela IFCC em um Programa Internacional de Benchmarking de Laborat\u00f3rio"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"201624\" class=\"elementor elementor-201624\" data-elementor-post-type=\"resumos\">\n\t\t\t\t<div class=\"has_ae_slider elementor-element elementor-element-1a93d8b e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"1a93d8b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a04d69d elementor-widget elementor-widget-heading\" data-id=\"a04d69d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Introdu\u00e7\u00e3o - Objetivo<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-c4c2158 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"c4c2158\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c436fcb elementor-widget elementor-widget-text-editor\" data-id=\"c436fcb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\">Os laborat\u00f3rios utilizam sistemas de monitoramento de desempenho, com indicadores de qualidade (IQ) desempenhando um papel fundamental. Erros pr\u00e9-anal\u00edticos, respons\u00e1veis \u200b\u200bpor at\u00e9 70% dos erros laboratoriais, exigem monitoramento cont\u00ednuo por meio de IQs. O Programa de Benchmarking de Indicadores Laboratoriais do Brasil, lan\u00e7ado em 2006, inclui 400 laborat\u00f3rios de 17 pa\u00edses e 180 indicadores, 42 dos quais focados em IQs pr\u00e9-anal\u00edticos. Este estudo tem como objetivo avaliar o desempenho dos laborat\u00f3rios neste programa, com foco em sete IQs pr\u00e9-anal\u00edticos harmonizados pelo Grupo de Trabalho sobre Erros Laboratoriais e Seguran\u00e7a do Paciente (WG-LEPS) da IFCC.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-e16b2c6 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"e16b2c6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0bfb989 elementor-widget elementor-widget-heading\" data-id=\"0bfb989\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">M\u00e9todos<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-b6f2392 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"b6f2392\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a41e233 elementor-widget elementor-widget-text-editor\" data-id=\"a41e233\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\">O estudo avaliou sete indicadores pr\u00e9-anal\u00edticos: Coleta de Amostra, Amostra N\u00e3o Recebida por Erro de Transporte, Erro de Coleta (Amostra e Recipiente Incorretos), Amostras Coaguladas, Amostras Hemolizadas e Erro de Identifica\u00e7\u00e3o do Paciente (solicita\u00e7\u00f5es identificadas incorretamente). Os valores medianos dos dados globais de 2018 e 2023 foram acessados, e o desempenho foi comparado usando m\u00e9tricas sigma (\u03c3) para o 50\u00ba percentil para detectar diferen\u00e7as.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-52be1bb e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"52be1bb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77c5a82 elementor-widget elementor-widget-heading\" data-id=\"77c5a82\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Resultados<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-c8b45ec e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"c8b45ec\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3d7d3ae elementor-widget elementor-widget-text-editor\" data-id=\"3d7d3ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\">A an\u00e1lise n\u00e3o mostrou diferen\u00e7as significativas entre 2018 e 2023 para quatro dos sete indicadores pr\u00e9-anal\u00edticos (Amostra N\u00e3o Recebida devido a Erro de Transporte \u03c3 &gt;7,0 a &gt;7,0, Recipiente Incorreto \u03c3 5,34 a 5,35, Amostras Coaguladas \u03c3 4,85 a 4,84, Amostras Hemolizadas \u03c3 4,88 a 4,90; valores de p 1,00, 0,541, 0,774, 0,286, respectivamente). No entanto, diferen\u00e7as estatisticamente significativas (todos os valores de p &lt; 0,05) foram observadas para tr\u00eas indicadores: Coleta de Amostras (\u03c3 3,99 a 3,92), Solicita\u00e7\u00f5es Identificadas Erroneamente (\u03c3 5,31 a 4,95), ambos com desempenho reduzido, e Amostras Incorretas (\u03c3 5,07 a 5,37), que apresentaram melhora (Tabela 1).<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-3dc2f2d e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"3dc2f2d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-82f0b03 elementor-widget elementor-widget-image\" data-id=\"82f0b03\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"499\" height=\"231\" src=\"https:\/\/controllab.com\/wp-content\/uploads\/Artigo-6-Tabela-1.png\" class=\"attachment-large size-large wp-image-201632\" alt=\"M\u00e9tricas Sigma para os indicadores de qualidade - Tabela 1\" srcset=\"https:\/\/controllab.com\/wp-content\/uploads\/Artigo-6-Tabela-1.png 499w, https:\/\/controllab.com\/wp-content\/uploads\/Artigo-6-Tabela-1-150x69.png 150w, https:\/\/controllab.com\/wp-content\/uploads\/Artigo-6-Tabela-1-480x222.png 480w\" sizes=\"(max-width:767px) 480px, 499px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Tabela 1: M\u00e9tricas Sigma para os indicadores de qualidade<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-4a895d4 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"4a895d4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4a7935c elementor-widget elementor-widget-heading\" data-id=\"4a7935c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Conclus\u00f5es<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-0b35cfd e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"0b35cfd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e52b2a4 elementor-widget elementor-widget-text-editor\" data-id=\"e52b2a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\">Embora algumas varia\u00e7\u00f5es estat\u00edsticas tenham sido observadas, as m\u00e9tricas de desempenho sigma para a maioria dos indicadores permaneceram consistentes entre 2018 e 2023, destacando a estabilidade dos dados do programa de benchmarking. Os resultados sugerem que os laborat\u00f3rios participantes podem n\u00e3o estar implementando ativamente ou podem n\u00e3o estar observando melhorias significativas nos processos pr\u00e9-anal\u00edticos. Este estudo enfatiza a import\u00e2ncia de esfor\u00e7os sustentados de melhoria, particularmente na coleta de amostras, para aprimorar o desempenho do laborat\u00f3rio.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-6f75f29 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"6f75f29\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3cc275f elementor-widget elementor-widget-heading\" data-id=\"3cc275f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Refer\u00eancias<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-10330b4 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"10330b4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c296d75 elementor-widget elementor-widget-text-editor\" data-id=\"c296d75\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\"><span lang=\"en-US\">Plebani M, Sciacovelli L, Aita A, Pelloso M, Chiozza ML. Performance criteria and quality indicators for the pre-analytical phase. Clin Chem Lab Med. 2015 May; 53(6): 943-8. doi:10.1515\/cclm-2014-1124. Erratumin: Clin Chem Lab Med.2015Sep1;53(10): 1653. doi:10.1515\/cclm-2015-7000. PMID: 25719322.<\/span><\/span><\/p><p align=\"justify\"><span style=\"font-family: Arial, serif;\"><span lang=\"en-US\">Sciacovelli L, Lippi G, Sumarac Z, Del Pino Castro IG, Ivanov A, De Guire V, Coskun C, Aita A, Padoan A, Plebani M; Working Group \u201cLaboratory Errors and Patient Safety\u201d of International Federation of Clinical Chemistry and Laboratory Medicine (IFCC). Pre-analytical quality indicators in laboratory medicine: Performance of laboratories participating in the IFCC working group \u00abLaboratory Errors and Patient Safety\u00bb project. Clin Chim Acta. 2019Oct; 497:35-40. doi: 10.1016\/j.cca.2019.07.007. Epub2019 Jul 8. PMID: 31295446.<\/span><\/span><\/p><p align=\"justify\"><span style=\"font-family: Arial, serif;\"><span lang=\"en-US\">Plebani M, Sciacovelli L, Aita A, Padoan A, Chiozza ML. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Chim Acta. 2014May15;432: 44-8. doi: 10.1016\/j.cca.2013.07.033. Epub 2013 Sep 5. PMID: 24012653.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>F. Berlitz2*, A. Gomes1, A. Regufe1, J. Poloni1, C. Galoro3, W. Shcolnik4, V. Biasoli1<\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false},"tags":[713,2656,2749,2750],"class_list":["post-201624","resumos","type-resumos","status-publish","hentry","tag-benchmarking-de-indicadores","tag-benchmarking-laboratorial","tag-metricas-sigma","tag-qualidade-pre-analitica"],"acf":[],"_links":{"self":[{"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/resumos\/201624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/resumos"}],"about":[{"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/types\/resumos"}],"wp:attachment":[{"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/media?parent=201624"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/tags?post=201624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}