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Pharmacy-based laboratory services: past or future and risk or opportunity?

  • Giuseppe Lippi , Gérard Siest and Mario Plebani
Published/Copyright: April 1, 2008
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Clinical Chemistry and Laboratory Medicine
From the journal Clinical Chemistry and Laboratory Medicine Volume 46 Issue 4

Abstract

Laboratory diagnostics has undergone relevant changes in organization and complexity, providing new opportunities and risks. Many laboratory tests are now available on compact, easy to operate and reliable instruments, making it possible for facilities other than the traditional clinical laboratories (e.g., pharmacies) to conduct on-site or mobile testing. Ideally, although there is nothing wrong with a rational decentralization, on-site laboratory testing must still be considered a knowledge service, and a core set of competency-quality-consultancy prerequisites should be fulfilled to ensure that results of tests performed outside the clinical laboratories can reach the highest degree of efficiency and clinical efficacy. Pharmacies were historically involved in clinical chemistry. At the European level, the existing pharmacy syllabus gives to students and postgraduates the physiopathological knowledge a good basis for such an evolution.

Clin Chem Lab Med 2008;46:435–6.

Keywords: laboratory diagnostics; pharmacy; point-of-care testing; risk; safety
Corresponding author: Prof. Giuseppe Lippi, MD, Istituto di Chimica e Microscopia Clinica, Dipartimento di Scienze Morfologico-Biomediche, Università degli Studi di Verona, Ospedale Policlinico G.B. Rossi, Piazzale Scuro, 10, 37134, Verona, Italy Phone: +39-045-8124308, Fax: +39-045-8201889,
Received: 2007-11-28
Accepted: 2008-1-25
Published Online: 2008-04-01
Published in Print: 2008-04-01

©2008 by Walter de Gruyter Berlin New York

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https://doi.org/10.1515/CCLM.2008.116
Keywords for this article
laboratory diagnostics; pharmacy; point-of-care testing; risk; safety

Articles in the same Issue

  1. Editorial
  2. Improving clinicians understanding of lipoprotein sub-fractions through new technology
  3. Review
  4. Free fatty acids as a cardiovascular risk factor
  5. Opinion Papers
  6. Pharmacy-based laboratory services: past or future and risk or opportunity?
  7. Standards of practice and uniformity in references style
  8. Genetics and Molecular Diagnostics
  9. Glutathione S-transferase variants increase susceptibility for late-onset Alzheimer's disease: association study and relationship with apolipoprotein E ɛ4 allele
  10. The D allele of angiotensin I-converting enzyme gene insertion/deletion polymorphism is associated with the severity of atherosclerosis
  11. The apolipoprotein A5 gene –1131T→C polymorphism affects vitamin E plasma concentrations in type 2 diabetic patients
  12. Cell lines that express membrane-associated DNA for anti-DNA antibody detection
  13. Certification of reference materials for detection of the human prothrombin gene G20210A sequence variant
  14. Caspase-3 gene transfected with LIGHT gene: can it be used for therapy of human hepatocellular carcinoma?
  15. Performance characteristics of a real-time RT-PCR assay for quantification of hepatitis C virus RNA in patients with genotype 1 and 2 infections
  16. Apolipoprotein E polymorphisms in Mexican patients with coronary artery disease
  17. A new single nucleotide polymorphism genotyping method based on gap ligase chain reaction and a microsphere detection assay
  18. General Clinical Chemistry and Laboratory Medicine
  19. PROCAM Study: risk prediction for myocardial infarction using microfluidic high-density lipoprotein (HDL) subfractionation is independent of HDL cholesterol
  20. Evaluation of oxidative stress and inflammation in obese adults with metabolic syndrome
  21. Sex differences in adenosine deaminase activity of stroke patients
  22. Serum levels of the osteoprotegerin, receptor activator of nuclear factor κ-B ligand, metalloproteinase-1 (MMP-1) and tissue inhibitors of MMP-1 levels are increased in men 6 months after acute myocardial infarction
  23. Gelatinase matrix metalloproteinase (MMP)-2 and MMP-9 of the umbilical cord blood in preeclampsia
  24. Association between plasma alkaline phosphatase and C-reactive protein in Hong Kong Chinese
  25. Carbonylation of platelet proteins occurs as consequence of oxidative stress and thrombin activation, and is stimulated by ageing and type 2 diabetes
  26. An automated assay of urinary alanine aminopeptidase activity
  27. Non-high-density lipoprotein cholesterol levels and recent involuntary weight gain among asymptomatic female subjects
  28. Reference Values
  29. Reference intervals for circulating angiogenic cytokines
  30. Hematological parameters in preterm infants from birth to 16 weeks of age with reference to iron balance
  31. Influence of hydroxyethyl starch (6% HES 130/0.4) administration on hematology and clinical chemistry parameters
  32. Letters to the Editor
  33. Eosinophilic cationic protein in bronchoalveolar lavage fluid of lung transplant patients
  34. Simple human error in data reading and expression in clinical chemistry
  35. Reply to Dr. Park's letter
  36. IFCC Guidelines and Recommendations
  37. Enzymatic assays for creatinine: time for action
  38. Implementation of standardization of HbA1c measurement Summary of the meeting with manufacturers held in Milan, Italy, December 12, 2007
  39. Abstracts
  40. 3rd International Conference on Dipeptidyl Peptidase and Related Proteins Antwerp, Belgium, April 23–25, 2008
  41. Seventh International Symposium on Molecular Diagnostics Graz, Austria, May 22–24, 2008
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