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

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...

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Autores principales: Fei, Yang, Zhao, Haijian, Wang, Wei, He, Falin, Zhong, Kun, Yuan, Shuai, Wang, Zhiguo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Croatian Society of Medical Biochemistry and Laboratory Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696756/
https://www.ncbi.nlm.nih.gov/pubmed/29180915
http://dx.doi.org/10.11613/BM.2017.030707
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author Fei, Yang
Zhao, Haijian
Wang, Wei
He, Falin
Zhong, Kun
Yuan, Shuai
Wang, Zhiguo
author_facet Fei, Yang
Zhao, Haijian
Wang, Wei
He, Falin
Zhong, Kun
Yuan, Shuai
Wang, Zhiguo
author_sort Fei, Yang
collection PubMed
description 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.
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spelling pubmed-56967562017-11-27 National survey on current situation of critical value reporting in 973 laboratories in China Fei, Yang Zhao, Haijian Wang, Wei He, Falin Zhong, Kun Yuan, Shuai Wang, Zhiguo Biochem Med (Zagreb) Original Papers 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. Croatian Society of Medical Biochemistry and Laboratory Medicine 2017-10-15 2017-10-15 /pmc/articles/PMC5696756/ /pubmed/29180915 http://dx.doi.org/10.11613/BM.2017.030707 Text en ©Croatian Society of Medical Biochemistry and Laboratory Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Fei, Yang
Zhao, Haijian
Wang, Wei
He, Falin
Zhong, Kun
Yuan, Shuai
Wang, Zhiguo
National survey on current situation of critical value reporting in 973 laboratories in China
title National survey on current situation of critical value reporting in 973 laboratories in China
title_full National survey on current situation of critical value reporting in 973 laboratories in China
title_fullStr National survey on current situation of critical value reporting in 973 laboratories in China
title_full_unstemmed National survey on current situation of critical value reporting in 973 laboratories in China
title_short National survey on current situation of critical value reporting in 973 laboratories in China
title_sort national survey on current situation of critical value reporting in 973 laboratories in china
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696756/
https://www.ncbi.nlm.nih.gov/pubmed/29180915
http://dx.doi.org/10.11613/BM.2017.030707
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