Delays in reporting critical values from clinical laboratories to responsible healthcare staff

作者：Ozcan Oguzhan^*; Cakirca Gokhan; Motor Sedat; Yonden Zafer

来源：Turkish Journal of Biochemistry, 2017, 42(1): 45-50.

DOI：10.1515/tjb-2016-0249

• Critical value
• Patient safety
• Laboratory management
• Panic value
• Life-threatening

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.

• 出版日期2017-2