Journal
AMERICAN JOURNAL OF CLINICAL PATHOLOGY
Volume 125, Issue 5, Pages 758-764Publisher
AMER SOC CLINICAL PATHOLOGY
DOI: 10.1309/R53XVC2U5CH6TNG8
Keywords
informatics; clinical pathology; clinical chemistry; management; administration; hematology; patient safety; critical value reporting
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Reporting of laboratory critical values has become an issue of national attention as illustrated by recent guidelines described in the National Patient Safety Goals of the Joint Commission on Accreditation of Healthcare Organizations. Herein, we report the results of an analysis of 37,503 consecutive laboratory critical values at our institution, a large urban academic medical center. We evaluated critical value reporting by test, laboratory specialty, patient type, clinical care area, time of day, and critical value limits. Factors leading to delays in critical value reporting are identified, and we describe approaches to improving this important operational and patient safety issue.
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