Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/14587
Assessment of a laboratory critical risk result notification protocol in a tertiary care hospital and their use in clinical decision making
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CitationDelgado Rodriguez JA, Pastor Garcia MI, Gomez Cobo C, Pons Mas AR, Llompart Alabern I, Bauça JM. Assessment of a laboratory critical risk result notification protocol in a tertiary care hospital and their use in clinical decision making. Biochem Medica. 2019 Oct;29(3):30703. Epub 2019 Aug 5.
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.
Tertiary Care Centers
Blood Chemical Analysis
Centros de Atención Terciaria
Análisis Químico de la Sangre
Laboratorios de Hospital
Factores de Tiempo
Toma de Decisiones Clínicas
This item appears in following Docusalut collectionsHospital Universitario Son Espases - HUSE > Comunicación científica
Instituto de Investigación Sanitaria Islas Baleares - IDISBA > Comunicación científica