Gestión del reporte de valores críticos en pacientes ambulatorios de un laboratorio clínico

Catalina Madrid Osorio; Johana Hernández Vargas; Melisa Villa; Mary Alejandra Restrepo Lozada

doi:10.17533/udea.hm.v10n1a02

Authors

Catalina Madrid Osorio Echavarría Medical Laboratory
Johana Hernández Vargas Echavarría Medical Laboratory
Melisa Villa Echavarría Medical Laboratory
Mary Alejandra Restrepo Lozada Echavarría Medical Laboratory

DOI:

https://doi.org/10.17533/udea.hm.v10n1a02

Keywords:

ambulatory patient, adverse event, incident, notification, patient safety, critical values

Abstract

Introduction: The clinical laboratory has gone from playing a passive role, focused on the analyti-cal quality of its results, to an active and leading role, based on clinical decisions and patient safety. In this study, we measured the reporting times of critical re-sults in outpatients in order to determine the adheren-ce to protocol by the staff of the Laboratorio Medico Echavarria.

Methods: A retrospective analysis of the critical re-sults released by the Laboratorio Médico Echavarría was conducted between July 2017 and June 2018. In total, a sample of 269 critical results for private outpa-tients was taken into account for the analysis.

Results: It was identified that 29 (10.7%) belonged to the coagulation section, 174 (64.6%) to the hema-tology section, 65 (24.1%) to the chemistry and hor-mones section and 1 (0.3%) to the basic immunology section. An average report time of 33.4 minutes was found in all sections.

Conclusions: Each laboratory must establish, con-trol and document the delay in communicating the critical results, based on its list of critical values and the population served; its reduction must be part of the continuous improvement in the quality manage-ment system that is followed.

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Author Biographies

Johana Hernández Vargas, Echavarría Medical Laboratory

Clinical Diagnostic Analyst in the Analytical Phase, Hematology Area, Echavarría Medical Laboratory.

Mary Alejandra Restrepo Lozada, Echavarría Medical Laboratory

Scientific Directorate, Echavarría Medical Laboratory.

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