Delays in reporting critical values from clinical laboratories to responsible healthcare staff
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Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
Walter De Gruyter Gmbh
Access Rights
info:eu-repo/semantics/openAccess
Abstract
Objective: We aimed to investigate the frequency of delayed notifications and probable causes of delays for critical value notification in clinical laboratory of university hospital. Materials and methods: All data was obtained from critical value reporting forms and laboratory information system. The frequency and location of critical and delayed results, latencies throughout a working day and the professional status who received the critical callbacks were shown as percentages. Results: A total of 2018 (1.02%) critical values were reported and 13.1% of them were delayed notifications. Most of them were observed in laboratory tests ordered from patients of service and polyclinics compared to ICU and emergency department (26.7%, 26%, 6.2% and 4.9%, respectively, p < 0.01). Delayed notifications were significantly higher for biochemical parameters (19.7%, p < 0.001) and observed particularly in morning hours (06: 00 a. m.-10: 00 a. m.), lunch break time (12: 00-14: 00) and end of the working day (16: 00-18: 00). Latencies of mild-delayed reporting were 18.5 +/- 4.4 min for 62.8% and advanced-delayed reporting were 47.1 +/- 11.3 min for 37.2% of total delayed notifications. Most of the critical results were reported to the health care staff other than physician (55.6%). Conclusion: Laboratory professionals should work in collaboration with responsible clinician and healthcare staff in critical value reporting process.
Description
Keywords
Critical value, Patient safety, Laboratory management, Panic value, Life-threatening
Journal or Series
Turkish Journal of Biochemistry-Turk Biyokimya Dergisi
WoS Q Value
Q4
Scopus Q Value
Q3
Volume
42
Issue
1
