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About Index ISO 15189 Quality assurance in a clinical laboratory – how to achieve ISO 15189 accreditation/ certification Incidental findings 24 Wednesday Jan 2018 Posted by medlabwisdom in Uncategorized ≈ Leave a comment What to do with a sample if further tests, unasked, are needed? A few years ago, a patient’s sample sent to my laboratory was flagged by the automated CBC counter as possibly having blast cells. Now the clinician had only asked for a CBC, not for CBC with microscopy, even though laboratory’s form offered both options. What should the lab do in such a case? Should it provide the CBC values, as requested? Or should it also mention the flagged finding of possible blasts (with appropriate interpretation)? In another example too, the clinician had requested a CBC. The CBC analyzer also generates a graph that provides the red cell distribution. In this case, the graph showed two peaks, indicating the presence of very small cells as well as very large cells: a picture

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