Analysis of laboratory critical values at a referral Spanish tertiary university hospital

Arbiol‐Roca, Ariadna; Corral-Comesaña, Sofía; Cano-Corres, Ruth; Castro-Castro, María José; Dastis-Arias, Macarena; Dot-Bach, Dolors

doi:10.11613/bm.2019.010704

Cited by 12 publications

(23 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Evaluation of the communication system for critical risk result notification in our laboratory shows that the total number of notifications meet the international recommendations, although lower than the 0.4% obtained in the study performed by Arbiol and colleagues ( 12 , 19 ). This could be due to the fact that blood gas point-of-care testing analysers are distributed throughout our hospital (ER, intensive care unit, obstetrics unit, etc.…”

Section: Discussioncontrasting

confidence: 64%

Assessment of a laboratory critical risk result notification protocol in a tertiary care hospital and their use in clinical decision making

Rodríguez

García

Cobo

et al. 2019

Biochem. med. (Online)

View full text Add to dashboard Cite

Introduction: Communication of laboratory critical risk results is essential for patient safety, as it allows early decision making. Our aims were: 1) to retrospectively evaluate the current protocol for telephone notification of critical risk results in terms of rates, efficiency and recipient satisfaction, 2) to assess their use in clinical decision making and 3) to suggest alternative tools for a better assessment of notification protocols. Materials and methods: The biochemical critical risk result notifications reported during 12 months by routine and STAT laboratories in a tertiary care hospital were reviewed. Total number of reports, time for the notification and main magnitudes with critical risk results were calculated. The use of notifications in clinical decision making was assessed by reviewing medical records. Satisfaction with the notification protocol was assessed through an online questionnaire to requesting physicians and nurses. Results: Critical result was yielded by 0.1% of total laboratory tests. Median time for notification was 3.2 min (STAT) and 16.9 min (routine). The magnitudes with a greater number of critical results were glucose and potassium for routine analyses, and troponin, sodium for STAT. Most notifications were not reflected in the medical records. Overall mean satisfaction with the protocol was 4.2/5. Conclusion: The results obtained indicate that the current protocol is appropriate. Nevertheless, there are some limitations that hamper the evaluation of the impact on clinical decision making. Alternatives were proposed for a proper and precise evaluation.

show abstract

Section: Discussioncontrasting

confidence: 64%

Assessment of a laboratory critical risk result notification protocol in a tertiary care hospital and their use in clinical decision making

Rodríguez

García

Cobo

et al. 2019

Biochem. med. (Online)

View full text Add to dashboard Cite

show abstract

“…[1][2][3] Critical values are very life-threatening high or low measurements in laboratory tests and should be reported promptly to the health care providers in order to develop better diagnostic and prognostic approaches and results by helping the personnel adopt better courses of action in patient treatment. [4][5][6][7][8] Labs should inform patients and physicians of critical values so as to facilitate decision making as emphasized by the Joint Commission 5 and College of American Pathologists. 9,10 The methods used for determination of critical values are not the same across the countries and ethnic groups; these measurements should be determined separately in various regions, 5,11 and periodical updates should be developed to improve the quality of the results.…”

Section: Introductionmentioning

confidence: 99%

Critical Values in Laboratory Tests of Iranian Patients Referring to Laboratories: A Cross-sectional Study in Kerman

et al. 2021

View full text Add to dashboard Cite

Background: Laboratory services play an important role in optimizing patient care today, and the importance of clinical laboratories is now widely accepted in medical practice. A critical value, originally described by Lundberg more than 30 years ago, refers to an abnormal test result that can lead to a serious life threat if not reported in a timely manner. In this study, we tried to determine the importance of critical values that can lead to a serious life threat with regard to their prevalence and frequency in laboratory tests of Iranian patients. Methods: In this cross-sectional study, the frequency of critical values in laboratory tests were determined and compared according to the type of laboratory parameter, age, sex, the inpatient/outpatient status, the related clinical ward, recurrence of critical values in the patient's test results, and the sampling working shift in Shahid Bahonar hospital in Kerman, Iran, in 2017 and 2018. Results: Among the tests, 0.2% had critical results. There was a significant relationship between the frequency of critical results with the patients' age (P = 0.002) and sex (P = 0.001) as well as with sampling working shift (P = 0.030) and admission ward (P = 0.001). Among the tests with critical values, the urea test was the most common with 32.2% critical value incidence. Conclusion:To maintain patient safety, proper recording of the results in laboratory tests and prompt reporting of critical values to the health care staff before repeating the test should be emphasized.

show abstract

“…Even the lower and upper limits for glucose in newborns and children are different, and so are the glucose limits in adults. However, in studies by Sarita et al, Dighe et al, And Abriol-Roca et al, they did not differentiate the limits [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, in pediatric patients, the frequency varied from 4.55% for PT, INR, and albumin to 31.82% for total bilirubin. Overall without any classifications, creatinine, urea, and glucose are the three parameters that have the highest frequency [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…This result was almost the same as the result reported by Dighe et al The cause of the partial pressure of oxygen had a high proportion because the highest percentage of critical values was found for inpatients in the ICU, including blood gas analysis. Whereas at the Sragen Regional Hospital, blood gas analysis was not part of the parameters analyzed in the study [10].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Performance of Laboratory Critical Value on Clinical Laboratory Services in Supporting Patient Safety

Rosita¹,

Edy.²

2021

Advances in Health Sciences Research

View full text Add to dashboard Cite

Background. Patient safety is a cornerstone of healthcare quality, including clinical laboratory services. Management of patients related to the patient safety includes all aspect of services, which covers the process of diagnosing, giving therapy, and predicting the prognosis. An important form of clinical laboratory service concerned about patient safety is a result of critical values. The aim of this study is to analyze the critical values of the patients which are expected to influence the patient safety. Materials and Methods. This study is an observational study with cross-sectional design. The research method used in this study is an analytic observation by pulling data from the laboratory information system and then processed using univariate anivariate analysis. Results. This research acquired 1000 critical value data, and 768 of them that fulfilled the requirements are analyzed. The percentage of critical value reported is 100%. The categories of examination results consist of hematology, clinical chemistry, blood gas analysis, and electrolytes. The highest frequencies of critical values parameters are platelet count, sodium level, pH of blood and total bilirubin level. Turn-around times of 4 categories consecutively are blood gas analysis (1 minute 21 seconds), clinical chemistry (1 minute 23 seconds), electrolytes (1 minute 12 seconds), and hematology (1 minute 20 seconds). After that, this study performed ANOVA test resulted in p> 0.05 which means that the four categories are not significantly different. Conclusions. Critical value reporting has been done well, but has not shown a difference between pediatric and adult patients. This result supports the patient safety program. It needs regular monitoring and evaluation (monev) on the management of laboratory critical values to impove patient safety.

show abstract

Analysis of laboratory critical values at a referral Spanish tertiary university hospital

Cited by 12 publications

References 22 publications

Assessment of a laboratory critical risk result notification protocol in a tertiary care hospital and their use in clinical decision making

Assessment of a laboratory critical risk result notification protocol in a tertiary care hospital and their use in clinical decision making

Critical Values in Laboratory Tests of Iranian Patients Referring to Laboratories: A Cross-sectional Study in Kerman

Performance of Laboratory Critical Value on Clinical Laboratory Services in Supporting Patient Safety

Contact Info

Product

Resources

About