Original scientific paper

https://doi.org/10.11613/BM.2019.030711

Clinician’s opinion about critical risk results proposed by the Croatian Chamber of Medical Biochemists: a survey in one Croatian tertiary hospital

Pavica Šonjić orcid.org/0000-0001-6151-5372 ; Department of medical biochemistry in oncology, University Hospital for Tumors, “Sestre milosrdnice” University Hospital Center, Zagreb, Croatia
Ana Nikler ; Department of Medical Laboratory Diagnostics, University Hospital “Sveti Duh”, Zagreb, Croatia
Dora Vuljanić ; Department of Medical Laboratory Diagnostics, University Hospital “Sveti Duh”, Zagreb, Croatia
Lora Dukić ; Department of Medical Laboratory Diagnostics, University Hospital “Sveti Duh”, Zagreb, Croatia
Ana-Maria Šimundić ; Department of Medical Laboratory Diagnostics, University Hospital “Sveti Duh”, Zagreb, Croatia

Abstract

Introduction: It has been recommended that each laboratory modify their critical result reporting practices to reflect the clinical needs of their
patient populations. The aim of this survey was to assess how well critical laboratory values defined by the Croatian Chamber of Medical Biochemists
(CCMB) correspond to the needs of the physicians at University hospital “Sveti Duh” (Zagreb, Croatia).
Materials and methods: We conducted a survey among physicians from five departments in our hospital. Physicians were asked general questions
about critical risk results (if and how they want to be informed). A list of critical risk results defined by the CCMB was offered and physicians were
asked to revise the existing critical risk results and suggest adding new parameters. Obtained data were presented as numbers. Where the number
of observations was low, ratios were used.
Results: Survey response rate was 43% (52/121). Majority (48/52) wants to be informed of critical risk results, either personally (31/48) or through
a colleague (32/48). They prefer to be informed about critical risk results of prothrombin time, platelet count, haemoglobin, glucose, creatinine, sodium
and potassium. Revisions in the CCMB critical risk result list are proposed by 13 out of 48 physicians. Neonatologists approved the CCMB’s list.
Conclusions: Although most critical risk results defined by the CCMB correspond well to the needs of the physicians in our hospital, some revisions
are necessary to meet the particular needs of individual departments. Communication of critical risk results to those who have requested laboratory
testing is highly appreciated practice.

Keywords

critical results; survey; post-analytical phase; laboratory management

Hrčak ID:

226458

URI

https://hrcak.srce.hr/226458

Publication date:

15.10.2019.

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