Analysis of laboratory critical values at a referral Spanish tertiary university hospital
| Autor: | María José Castro-Castro, Dolors Dot-Bach, Ruth Cano-Corres, Sofía Corral-Comesaña, Macarena Dastis-Arias, Ariadna Arbiol-Roca |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Blood Platelets
030213 general clinical medicine medicine.medical_specialty Erythrocytes Referral Potassium Clinical Biochemistry chemistry.chemical_element 030204 cardiovascular system & hematology Phosphates Hospitals University Tertiary Care Centers 03 medical and health sciences Hemoglobins 0302 clinical medicine critical values limits Internal medicine medicine patient safety Humans business.industry critical values notification Critical values notification Biochemistry (medical) Sodium Original Articles University hospital Laboratories Hospital Critical values limits Laboratory Critical Value Patient safety Glucose chemistry Spain Calcium business Laboratory Critical Values |
| Zdroj: | Biochemia Medica Volume 29 Issue 1 Recercat: Dipósit de la Recerca de Catalunya Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Recercat. Dipósit de la Recerca de Catalunya instname |
| ISSN: | 1330-0962 1846-7482 |
| Popis: | Introduction: The aim of this study was to analyse critical value data from our laboratory and compare our critical value reporting policy with others in the literature. Materials and methods: Analysis of critical values was performed on data obtained over a 6-month period in a tertiary university hospital. Results: We identified 5723 critical values, of which approximately 80% came from STAT testing (4577), 15% from routine inpatients testing (884) and 5% from routine outpatients testing (262). The highest proportion of critical values corresponded to oxygen partial pressure (17.7%), followed by potassium ion (17.6%) concentrations. The parameters associated with the highest critical value notification percentage in emergency patients were pH, haematocrit, glucose, potassium ion and haemoglobin concentrations. In inpatients, these parameters were glucose, phosphate, haemoglobin, sodium ion and potassium ion concentrations. In outpatients, they were calcium and potassium concentrations. Conclusions: The analysis of critical values in our hospital is in accordance with that reported in the literature. Our findings demonstrate the importance of incorporating improvement actions not only in critical value notification, but especially in the registration of this activity. |
| Databáze: | OpenAIRE |
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