Izvorni znanstveni članak

https://doi.org/10.11613/BM.2019.030703

Assessment of a laboratory critical risk result notification protocol in a tertiary care hospital and their use in clinical decision making

Jose A. Delgado Rodríguez ; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Spain
Maria I. Pastor García ; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Spain
Cristina Gómez Cobo ; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Spain
Antonia R. Pons Más ; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Spain
Isabel Llompart Alabern ; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Spain
Josep Miquel Bauça ; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Spain; Instituto de Investigación Sanitaria de las Islas Baleares, Spain

Sažetak

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.

Ključne riječi

phone notification; turnaround time; clinical decision making; critical risk result

Hrčak ID:

226446

URI

https://hrcak.srce.hr/226446

Datum izdavanja:

15.10.2019.

Posjeta: 884 *