Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»270610.69541/NRIPH.2025.01.013Научная статьяOn the issue of the relevance of increasing the efficiency of laboratory diagnostics and improving
approaches to organizing medical care for the population in the field of «urology» in overcoming
infertilityValvachevArtur A.uro-eko@yandex.ruhttps://orcid.org/0009-0009-6674-0902PranovichAlexandr A.alex.pr76@mail.ruhttps://orcid.org/0000-0002-6034-9269LuzanovOleg A.quicksilvernov789@gmail.comhttps://orcid.org/0000-0002-3446-5274A-MED Clinic, MoscowA. V. Vishnevsky National Medical Research Center of Surgery020420251848824042025Copyright © 2025,2025<p>The article discusses the most common errors at different stages of laboratory diagnostics of male fertility, and also provides<br />examples where special attention of urologists-andrologists to the existing problem is required. By paying due attention to this problem<br />at all diagnostic stages and taking into account all additional factors that contribute to the occurrence of errors, it is possible to avoid or<br />significantly reduce negative consequences for patients, thereby improving the quality and safety of medical activities, in particular urological care for men at risk of infertility.<br /><br /></p>laboratory errorsmale infertilitynational projectsdemographyquality and safety of medical activitiesлабораторные ошибкимужское бесплодиенациональные проектыдемографиякачество и безопасность медицинской деятельности[Bonini P., Plebani M., Ceriotti F., Rubboli F. Errors in laboratory][medicine. Clin Chem. 2002;(48):691—8.][Hammerling J. A., A Review of Medical Errors in Laboratory Diagnostics and Where We Are Today. Laboratory Medicine. 2012;43(2):41—44.][Kuznetsova M. A., Kuznetsova K. Y., Aslanova M. M. Modern automated microscopy systems in the laboratory diagnosis of parasitic diseases. Cooperation of science and production: models, systems, technologies: a collection of articles based on the results of the International Scientific and Practical Conference. Kaluga; 2020 (in Russian).][Lippi G., Dimundic A. M., Mattiuzzi C. Overview on patient safety][in healthcare and laboratory diagnostics. Biochemia Medica. 2010;(20):131—143.][Menshikov V. V. Clinical patient safety and reliability of laboratory information (lecture). Clinical laboratory diagnostics. [Klinicheskaya laboratornaya diagnostika]. 2013;(6):29—36 (in Russian).][Jordan B., Mitchell C., Anderson A., Farkas N., Batrla R. The Clinical][and Health Economic Value of Clinical Laboratory Diagnostics. EJIFCC. 2015;26(1):47—62.][Wians F. H. Clinical Laboratory Tests: Which, Why, and What Do The Results Mean? Laboratory Medicine. 2009;40(2):105—113.][Brazhnikova O. V., Gavelya N. V., Maykova I. D. Typical errors in the preanalytical phase of laboratory. Pediatrics (Suppl. Consilium Medicum). [Pediatriya. Prilozhenie k zhurnalu Consilium Medicum].][2017;(4):84—90 (in Russian).][Moshkin A., Dolgov V. Quality assurance in clinical laboratory diagnostics. Moscow: 2004 (in Russian).][Plebani M. Laboratory errors: How to improve pre- and post-analytical phases? Biochem Med. 2007;(17):5—9.][Levitas E., Lunenfeld E., Weiss N., et al. Relationship between the duration of sexual abstinence and semen quality: analysis of 9,489 semen samples. Fertil Steril. 2005;83(6):1680—6.][Elzanaty S., Malm J., Giwercman A. Duration of sexual abstinence:][epididymal and accessory sex gland secretions and their relationship to sperm motility. Hum Reprod. 2005;20(1):221—5.][Lippi G., Plebani M., Šimundić A. M. Quality in laboratory diagnostics: From theory to practice. Biochem Med. 2010;(20):126—130.][Laposata M., Dighe A. ‘Pre-pre' and ‘post-post' analytic error: high incidence patient safety hazards involving the clinical laboratory. Clin Chem Lab Med. 2007;(45):712—9.][Gamidov S. I., Iremashvili V. V., Tkhagapsoeva P. A. Therapy of fertility disorders in men: promising results of European studies. Effective pharmacotherapy in urology. [Effektivnaya farmakoterapiya][v urologii]. 2009;(2):26—30 (in Russian).][Fraczek M., Kurpisz M. Mechanisms of the harmful effects of bacterial semen infection on ejaculated human spermatozoa: potential inflammatory markers in semen. Folia Histochem Cytobiol.][2015;53(3):201—17. DOI: 10.5603/fhc.a2015.0019][A. A. Novik, T. I. Ionova. A guide to the study of quality of life in medicine. Moscow; 2007 (in Russian).][Luchkevich V. S. Fundamentals of Social medicine and health management. St. Petersburg; 2005 (in Russian).]