Critical Results in Laboratory Medicine.

IF 7.1 2区 医学 Q1 MEDICAL LABORATORY TECHNOLOGY Clinical chemistry Pub Date : 2024-10-03 DOI:10.1093/clinchem/hvae120
Kobe Truijens, Glynis Frans, Pieter Vermeersch
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引用次数: 0

Abstract

Background: Timely and accurate notification of critical results is crucial in laboratory medicine and mandated by accreditation standards like ISO15189. Alert lists do, however, vary widely and clinical laboratories typically rely on a combination of in-house agreed and/or literature-based critical values. Communication by phone is still the preferred method of notification, but digital communication could help improve communication of critical results.

Content: We review the available evidence concerning critical result thresholds and critical result notification practices. The evidence is ranked using an adaptation of the Stockholm Hierarchy. In addition, we propose an evidence-based list of critical result thresholds for hospitalized patients that laboratories can use as a starter list and further customize based on the clinical needs of their patient population.

Summary: A clear distinction between critical results and significantly abnormal results is essential for effective and timely healthcare interventions. Implementation of a policy using differentiated thresholds taking into account individual patient characteristics and how fast medical attention is needed, and the use alternative communication methods could enhance communication efficiency and reduce notification fatigue.

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实验室医学的关键成果
背景:及时、准确地通报关键结果对实验室医学至关重要,也是 ISO15189 等认可标准所要求的。然而,警报列表的差异很大,临床实验室通常依赖于内部商定和/或基于文献的临界值的组合。电话沟通仍是首选的通知方式,但数字通信有助于改善关键结果的沟通:内容:我们回顾了有关临界结果阈值和临界结果通知方法的现有证据。内容:我们回顾了有关临界结果阈值和临界结果通知做法的现有证据,并采用斯德哥尔摩层次理论对证据进行了排序。此外,我们还提出了一份以证据为基础的住院患者危急结果阈值清单,实验室可将其作为入门清单,并根据患者群体的临床需求进行进一步定制。摘要:明确区分危急结果和严重异常结果对于有效、及时的医疗干预至关重要。考虑到患者的个体特征和需要尽快就医的程度,实施一项使用差异化阈值的政策,并使用其他沟通方法,可以提高沟通效率并减少通知疲劳。
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来源期刊
Clinical chemistry
Clinical chemistry 医学-医学实验技术
CiteScore
11.30
自引率
4.30%
发文量
212
审稿时长
1.7 months
期刊介绍: Clinical Chemistry is a peer-reviewed scientific journal that is the premier publication for the science and practice of clinical laboratory medicine. It was established in 1955 and is associated with the Association for Diagnostics & Laboratory Medicine (ADLM). The journal focuses on laboratory diagnosis and management of patients, and has expanded to include other clinical laboratory disciplines such as genomics, hematology, microbiology, and toxicology. It also publishes articles relevant to clinical specialties including cardiology, endocrinology, gastroenterology, genetics, immunology, infectious diseases, maternal-fetal medicine, neurology, nutrition, oncology, and pediatrics. In addition to original research, editorials, and reviews, Clinical Chemistry features recurring sections such as clinical case studies, perspectives, podcasts, and Q&A articles. It has the highest impact factor among journals of clinical chemistry, laboratory medicine, pathology, analytical chemistry, transfusion medicine, and clinical microbiology. The journal is indexed in databases such as MEDLINE and Web of Science.
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