Enhance the effectiveness of clinical laboratory critical values initiative notification by implementing a closed‐loop system: A five‐year retrospective observational study

Autor: Runqing Li, Xiaohuan Yang, Lijun Gong, Nan Xiao, Zhipeng Zhao, Dong Zhu, Tengjiao Wang, Jingxiao Dong
Rok vydání: 2019
Předmět:
Quality Control
0301 basic medicine
Microbiology (medical)
Hospital information system
China
Time Factors
hospital information system
Clinical Biochemistry
Notification system
System a
03 medical and health sciences
Patient safety
0302 clinical medicine
patient safety
Ambulatory Care
Electronic Health Records
Humans
Immunology and Allergy
Medicine
Research Articles
Retrospective Studies
Receipt
Clinical Laboratory Techniques
business.industry
Biochemistry (medical)
Public Health
Environmental and Occupational Health
laboratory critical values
Retrospective cohort study
quality indicators
Hematology
medicine.disease
Laboratory Critical Value
Medical Laboratory Technology
030104 developmental biology
030220 oncology & carcinogenesis
Medical emergency
Emergency Service
Hospital
Laboratories
business
Closed loop
Research Article
Zdroj: Journal of Clinical Laboratory Analysis
ISSN: 1098-2825
0887-8013
DOI: 10.1002/jcla.23038
Popis: Background Accurate and timely clinical laboratory critical values notification are crucial steps in supporting effective clinical decision making, thereby improving patient safety. Methods A closed‐loop laboratory critical value notification system was developed by a multidisciplinary team of clinicians, laboratorians, administrators, and information technology experts. All the laboratory critical values that occurred at Beijing Tsinghua Changgung Hospital (BTCH, Beijing, China) from 2015 to 2019 were analyzed and studied retrospectively. Results The total number (ratio) of institutional laboratory critical values to all reported items at BTCH from 2015 to 2019 was 38 020/7 706 962 (0.49%). Percentage distribution points of critical value boundaries based on patients’ test reports are 0.007% ~ 6.04% for low boundaries and 71.70% ~ 99.99% for high boundaries. After the intervention, the timely notification ratio, notification receipt ratio, and timely notification receipt ratio of critical values of ED, IPD, and total patients had increased, with a significant difference (P
Databáze: OpenAIRE
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