Izvorni znanstveni članak

https://doi.org/10.11613/BM.2017.030707

National survey on current situation of critical value reporting in 973 laboratories in China

Yang Fei ; National Center for Clinical Laboratories/Beijing Engineering Research Medicine, Beijing Hospital, National Center of Gerontology, Beijing, P.R. China
Haijian Zhao ; National Center for Clinical Laboratories/Beijing Engineering Research Medicine, Beijing Hospital, National Center of Gerontology, Beijing, P.R. China
Wei Wang ; National Center for Clinical Laboratories/Beijing Engineering Research Medicine, Beijing Hospital, National Center of Gerontology, Beijing, P.R. China
Falin He ; National Center for Clinical Laboratories/Beijing Engineering Research Medicine, Beijing Hospital, National Center of Gerontology, Beijing, P.R. China
Kun Zhong ; National Center for Clinical Laboratories/Beijing Engineering Research Medicine, Beijing Hospital, National Center of Gerontology, Beijing, P.R. China
Shuai Yuan ; National Center for Clinical Laboratories/Beijing Engineering Research Medicine, Beijing Hospital, National Center of Gerontology, Beijing, P.R. China
Zhiguo Wang ; National Center for Clinical Laboratories/Beijing Engineering Research Medicine, Beijing Hospital, National Center of Gerontology, Beijing, P.R. China

Sažetak

Introduction: The aim of the study was to investigate the state-of-the-art of the performance of critical value reporting and provide recommendations
for laboratories setting critical value reporting time frames.
Materials and methods: The National Centre for Clinical Laboratories in China initiated a critical value reporting investigation in 2015. A questionnaire
related to critical value reporting policy was sent to 1589 clinical laboratories in China online. The questionnaire consisted of a set of questions
related to critical value reporting policy and a set of questions related to timeliness of critical value reporting. The survey data were collected
between March and April 2015.
Results: A total survey response rate was 61.2%. The critical value unreported rate, unreported timely rate, and clinical unacknowledged rate of
more than half of participants were all 0.0%. More than 75.0% of participants could report half of critical values to clinicians within 20 minutes
and could report 90.0% of critical values to clinicians within 25 minutes (from result validation to result communication to the clinician). The median
of target critical value reporting time was 15 minutes. “Reporting omission caused by laboratory staff”, “communications equipment failure to
connect”, and “uncompleted application form without contact information of clinician” were the three major reasons for unreported critical value.
Conclusions: The majority of laboratories can report critical values to responsible clinical staff within 25 minutes. Thus, this value could be recommended
as suitable critical value reporting time frame for biochemistry laboratories in China. However, careful monitoring of the complete
reporting process and improvement of information systems should ensure further improvement of critical value reporting timeliness.

Ključne riječi

critical value; quality indicators; extra-analytical phase

Hrčak ID:

187590

URI

https://hrcak.srce.hr/187590

Datum izdavanja:

15.10.2017.

Posjeta: 1.426 *