External proficiency testing exercises on human leukocyte antigen typing in Italy between 1998 and 2002

External proficiency testing exercises are essential tools for measuring the quality of different kinds of performances related to health care and to ensure that they are uniform throughout a region. For many years, the Italian National Transplant Centre and the Italian National Institute of Health have been organizing external proficiency testing exercises for serological and genomic human leukocyte antigen (HLA) typing, following the rules of the European Federation of Immunogenetics. This society provides accreditation for immunogenetical tests to those European countries which want to collaborate on programmes on solid organ and bone marrow transplantation. The results of the Italian external proficiency testing exercises are very satisfactory because of the progressive improvement of the quality of HLA typing seen in Italian laboratories between 1998 and 2002. The attained outcome will certainly guarantee a more reliable service in clinical practice, and will contribute to the process of approaching the highest quality in health care.