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OA Maced J Med Sci. 2014 Jun 15; 2(2):219-223. 219
Open Access Macedonian Journal of Medical Sciences. 2014 Jun 15; 2(2):219-223.
http://dx.doi.org/10.3889/oamjms.2014.034
Basic Science
Quality of Control of Clinical-Biochemical Laboratories – Serbian
Case
Vinko Peric
1
, Dusan Jaric
1
, Sonja Ketin
2*
, Admira Konicanin
3
, Rade Biocanin
3
1
International University of Brcko, District Brcko, Bosnia and Herzegovina;
2
University of Novi Sad, Novi Sad, Serbia;
3
University of Novi Pazar, Novi Pazar, Serbia
Citation: Peric V, Jaric D, Ketin S, Konicanin A,
Biocanin R. Quality of Control of Clinical-
Biochemical Laboratories – Serbian Case. OA
Maced J Med Sci. 2014 Jun 15; 2(2):219-223.
http://dx.doi.org/10.3889/oamjms.2014.034
Key words: medical laboratory; quality control;
good laboratory practice; certification;
accreditation.
*
Correspondence: Sonja Ketin, PhD. Chemical
Engineering, Technology at University of
Belgrade, Environmental Engineering, Technical
Science at University of Novi Sad, Novi Sad,
Serbia. E-Mail: stefanov.sonja@gmail.com
Received: 07-Mar-2014; Revised: 24-Mar-
2014; Accepted: 09-May-2014; Online first:
06-Jun-2014
Copyright: © 2014 Peric et al. This is an open
access article distributed under the terms of
the Creative Commons Attribution License,
which permits unrestricted use, distribution,
and reproduction in any medium, provided the
original author and source are credited.
Competing Interests: The authors have
declared that no competing interests exist.
Abstract
In the last 20 years in medical laboratories, numerous activities regarding quality and accreditation
system were taken. Approach to this problem in European countries is different, so the task of the
Accreditation Work Group of the Confederation of European societies for clinical chemistry (EC 4)
to help the efforts to harmonize this issue. External quality control in clinical-chemical laboratories
imposed the need for the implementation of quality management system. »Good laboratory
practice« and its principles were adopted by nominated bodies, both international and national. In
the beginning, the standard ISO 9001 was applied for certification and for accreditation EN 45001
and ISO Guide 25, which are prepared for testing and calibration laboratories. Standard ISO 17025
is the successor of the previous documents and for now it is a reference for mentioned laboratories.
Accreditation Work Group of the Confederation of European societies for clinical chemistry (EC 4)
made an amendment of the requirements for medical laboratories, which this standard describes.
Standard draft ISO 15189 was adopted on February 2003 as a final version with requirements for
medical laboratories.
Introduction
Clinical chemistry, by the application of
chemical, molecular and cellular knowledge and
techniques provides understanding and evaluation of
health and illness of people. Measurement results
enable discovery of the cause of illness and
maintenance of health through specific and general
information on relation laboratory-clinic. This discipline
depends on good knowledge of fundamental and
applied knowledge [1].
Laboratory must have its well-controlled
technological and organizational principle both within
laboratory, as well as towards health institution, i.e.
patient and doctor who treats him. For that reason,
technological and organizational principles of
laboratory work must provide undisturbed and efficient
flow of human biological material and information.
In the last 20 years in medical laboratories,
numerous activities regarding quality and
accreditation system were taken. Approach to this
problem in European countries is different, so the task
of the Accreditation Work Group of the Confederation
of European societies for clinical chemistry (EC 4) to
help the efforts to harmonize this issue. From the very
beginning, European Diagnostic Manufacturers
Associations, (EDMA) was invited to take a part in this
process, having in mind that harmonization and
accreditation of quality system are of common
interest. Revolution in quality is reached in medical
laboratories and it has a broader meaning even that
quality management system itself, it is enabled by
establishing the cooperation between manufacturers,
laboratories, doctors and patients. Actually, quality of