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Professional Technical In the Industry Vocabulary Test

second-tier testing

Additional laboratory analysis performed on the original blood spot to reduce false positive rates.

Full Definition

A screening strategy that involves performing additional, more specific tests on the same dried blood spot specimen when initial results are abnormal or borderline. Second-tier testing helps differentiate true positives from false positives without requiring a new specimen from the infant. This approach improves the positive predictive value of screening programs while maintaining sensitivity for disease detection.

Usage

Usage note: Always hyphenate when used as an adjective.

In Context

  • "Second-tier testing for succinylacetone reduced false positive rates significantly." — Program evaluation
  • "The laboratory implemented second-tier testing algorithms for several conditions." — Method implementation report

Also known as

reflex testing tiered testing

Contrasted with

first-tier testing

Don't confuse with

repeat testing confirmatory testing

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