PMID- 33891005 OWN - NLM STAT- MEDLINE DCOM- 20211018 LR - 20211018 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 156 IP - 4 DP - 2021 Sep 8 TI - Verification of the ACL Top 50 Family (350, 550, and 750) for Harmonization of Routine Coagulation Assays in a Large Network of 60 Laboratories. PG - 661-678 LID - 10.1093/ajcp/aqab004 [doi] AB - OBJECTIVES: To verify a single platform of hemostasis instrumentation, the ACL TOP 50 Family, comprising 350, 550, and 750 instruments, across a large network of 60 laboratories. METHODS: Comparative evaluations of instrument classes (350 vs 550 and 750) were performed using a large battery of test samples for routine coagulation tests, comprising prothrombin time/international normalized ratio, activated partial thromboplastin time (APTT), thrombin time, fibrinogen and D-dimer, and using HemosIL reagents. Comparisons were also made against existing equipment (Diagnostica Stago Satellite, Compact, and STA-R Evolution) and existing reagents to satisfy national accreditation standards. Verification of manufacturer normal reference ranges (NRRs) and generation of an APTT heparin therapeutic range were undertaken. RESULTS: The three instrument types were verified as a single instrument class, which will permit standardization of methods and NRRs across all instruments (n = 75) to be deployed in 60 laboratories. In particular, ACL TOP 350 test result data were similar to ACL TOP 550 and 750 and showed no to limited bias. All manufacturer NRRs were verified with occasional minor variance. CONCLUSIONS: This ACL TOP 50 Family (350, 550, and 750) verification will enable harmonization of routine coagulation across all laboratories in the largest public pathology network in Australia. CI - (c) American Society for Clinical Pathology, 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Favaloro, Emmanuel J AU - Favaloro EJ AUID- ORCID: 0000-0002-2103-1661 AD - Haematology, Institute of Clinical Pathology and Medical Research (ICPMR), NSW Health Pathology, Westmead Hospital, Westmead, Australia. AD - Sydney Centres for Thrombosis and Haemostasis, Westmead, Australia. AD - School of Biomedical Sciences, Charles Sturt University, Wagga Wagga, Australia. FAU - Mohammed, Soma AU - Mohammed S AD - Haematology, Institute of Clinical Pathology and Medical Research (ICPMR), NSW Health Pathology, Westmead Hospital, Westmead, Australia. FAU - Vong, Ronny AU - Vong R AD - Haematology, Institute of Clinical Pathology and Medical Research (ICPMR), NSW Health Pathology, Westmead Hospital, Westmead, Australia. FAU - McVicker, Wendy AU - McVicker W AD - Haematology, Institute of Clinical Pathology and Medical Research (ICPMR), NSW Health Pathology, Westmead Hospital, Westmead, Australia. FAU - Chapman, Kent AU - Chapman K AD - Haematology, NSW Health Pathology, John Hunter Hospital, Newcastle, Australia. FAU - Swanepoel, Priscilla AU - Swanepoel P AD - Haematology, NSW Health Pathology, John Hunter Hospital, Newcastle, Australia. FAU - Kershaw, Geoff AU - Kershaw G AD - Haematology, NSW Health Pathology, Prince Alfred Hospital, Camperdown, Australia. FAU - Cai, Nancy AU - Cai N AD - Haematology, NSW Health Pathology, Prince Alfred Hospital, Camperdown, Australia. FAU - Just, Sarah AU - Just S AD - Haematology, NSW Health Pathology, Royal North Shore Hospital, St Leonards, Australia. FAU - Connelly, Lynne AU - Connelly L AD - Haematology, NSW Health Pathology, Royal North Shore Hospital, St Leonards, Australia. FAU - Prasad, Ritam AU - Prasad R AD - Haematology, NSW Health Pathology, John Hunter Hospital, Newcastle, Australia. FAU - Brighton, Timothy AU - Brighton T AD - Haematology, NSW Health Pathology, Royal North Shore Hospital, St Leonards, Australia. FAU - Pasalic, Leonardo AU - Pasalic L AD - Haematology, Institute of Clinical Pathology and Medical Research (ICPMR), NSW Health Pathology, Westmead Hospital, Westmead, Australia. AD - Sydney Centres for Thrombosis and Haemostasis, Westmead, Australia. LA - eng PT - Comparative Study PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 SB - IM MH - Blood Coagulation Tests/*instrumentation MH - Humans MH - International Normalized Ratio MH - Laboratories/*standards MH - Partial Thromboplastin Time MH - Pathology/*instrumentation MH - Prothrombin Time OTO - NOTNLM OT - APTT OT - Laboratory testing OT - PT OT - Routine coagulation tests OT - Verification EDAT- 2021/04/24 06:00 MHDA- 2021/10/21 06:00 CRDT- 2021/04/23 12:27 PHST- 2021/04/24 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2021/04/23 12:27 [entrez] AID - 6247941 [pii] AID - 10.1093/ajcp/aqab004 [doi] PST - ppublish SO - Am J Clin Pathol. 2021 Sep 8;156(4):661-678. doi: 10.1093/ajcp/aqab004.