Implantación y evaluación de un procedimiento de comunicación de valores críticos

Enhancing clinical laboratory reporting: The impact of implementing a critical laboratory value protocol

“…According to what has been published, the proportion of critical values detected in relation to the total number of examinations performed varies from 0.05 to 1% (Genzen and Tormey, 2011). Other researchers such as López Pelayo et al (2011), in their study, assumed this value at 0.6% and even up to 2%, as indicated by López- Pelayo et al (2012), in their analysis of the recommendations of the Andalusian Society of Clinical Analysis.…”

“…In their study, López Pelayo et al (2011) conducted a comprehensive analysis at a Spanish hospital regarding the implementation and evaluation of a procedure for the communication of critical values. The process commenced with a consensual determination of critical values in collaboration with the hospital's physicians.…”

“…The process begins with the recognition that a result and the processed sample must be in satisfactory condition and does not present possible analytical interference for that laboratory analysis (e.g., obvious jaundice, turbidity, or hemolysis) or other sources of error (López Pelayo et al, 2011;Lynn and Olson, 2020).…”

“…Only after confirming the correct request, the value is considered to have been communicated. In all cases of oral communication, it is necessary to confirm the correct reception of the information, through what is called in the literature the read-back, that is, to ask the person who receives the call to write down the dictated value and to repeat it to the person who informs him, in order to avoid adverse effects capable of causing harm to patients Llopis Díaz et al, 2010;Kost and Hale, 2011;López Pelayo et al, 2011;Piva et al, 2014;Schifman et al, 2016). Table 1 shows the list of critical values that are taken into account in the clinical laboratory.…”

“…It is crucial to acknowledge that the realization of all objectives associated with instituting a critical values reporting protocol necessitates ongoing enhancements. These continual improvements are expected to yield positive results in the medium to long term, ensuring their sustainability and enduring impact on healthcare practices (Valenstein et al, 2008;López Pelayo et al, 2011;Schifman et al, 2016).…”