Reaching consensus on communication of critical laboratory results using a collective intelligence method

Abstract

The real-time Delphi has allowed obtaining consensual standards for communication of critical results among the laboratories participating in the study, which can serve as a basis for other organizations.

Evaluation of clarity of presentation and applicability of monitoring instructions for patients using lithium in clinical practice guidelines for treatment of bipolar disorder

“…Furthermore, including information on critical values and how to respond to deviating values may further improve applicability for clinical practice . The CPG of the APA included a preface stating that the guideline was “not intended to be construed or to serve as a standard of medical care”, but should be considered as a guideline only .…”

“…The overview in Tables 2 and 3 Furthermore, including information on critical values and how to respond to deviating values may further improve applicability for clinical practice. 35 The CPG of the APA included a preface stating that the guideline was "not intended to be construed or to serve as a standard of medical care", but should be considered as a guideline only. 17 Guidelines should indeed be used to "guide" health care professionals, and it should always be assessed whether the monitoring instructions are applicable to a specific patient.…”

Gestión del proceso posanalítico en los laboratorios clínicos según los requisitos de la norma ISO 15189:2012. Consideraciones sobre la revisión, notificación y comunicación de los resultados

“…El Colegio Americano de Patólogos (CAP) realizó el estudio "Q-Probes study 2002" [18], en el que no consiguió establecer por consenso una lista nacional estándar de resultados críticos, pero propuso una lista genérica que sirviera de punto de partida para que cada laboratorio desarrollase la suya. El responsable del laboratorio debe ser el encargado de elaborar y aprobar un listado de resultados críticos, consensuado con los responsables clínicos y teniendo en cuenta la población a la que atiende, la prevalencia de las enfermedades atendidas, las especialidades o los programas especiales existentes y estableciendo el procedimiento de comunicación según las características particulares de su centro [19]. También deben registrarse los resultados críticos comunicados y los datos relacionados con la comunicación (quién, a quién, cuándo y cómo registrarlo).…”

Post-analytical laboratory work: national recommendations from the Working Group for Post-analytics on behalf of the Croatian Society of Medical Biochemistry and Laboratory Medicine

“…Each laboratory should compile a list of laboratory tests for which critical limits should be defined, and these limits should be established in consultation with the physicians who use the laboratory’s services and following the CCMB recommendations on “Critical Laboratory Findings and Critical Result Reporting” (Appendix 5) ( 61 ). Laboratories are encouraged to verify the critical limits and procedure for reporting critical results in order to reach consensus on effective and appropriate communication of critical results within the clinical community they serve ( 64 ). The laboratory can choose to define critical limits separately for in- and outpatients, depending on physicians’ needs, specificities of the patient population, extent of laboratory services and type of health care provided at the medical institution.…”