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Title: Critical risk results - an update on international initiatives
Austin Authors: Lam, Que;Ajzner, E;Campbell, CA;Young, A
Affiliation: Austin Pathology, Heidelberg, Victoria, Australia
Central Laboratory, Jósa Teaching Hospital of University of Debrecen Medical and Health Science Center, Nyíregyháza, Hungary
Department of Clinical Chemistry and Endocrinology, South Eastern Area Laboratory Services, NSW Health Pathology, NSW, Australia
Australian Institute of Health Innovation, Macquarie University, NSW, Australia
Quest Diagnostics, PA, USA
Issue Date: Feb-2016 2016-02-09
Publication information: EJIFCC 2016; online first: 9 February
Abstract: Direct communication of significant (often life-threatening) results is a universally acknowledged role of the pathology laboratory, and an important contributor to patient safety. Amongst the findings of a recent survey of 871 laboratories from 30 countries by the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM), only 3 tests were noted to be common to 90% of alert lists, and only 48% of laboratories consulted clinicians in developing these alert lists despite ISO15189 recommendations to do so. These findings are similar to previous national surveys demonstrating significant variation worldwide in how critical risk results are managed and also in how these protocols are developed. In order to promote "best practice" and harmonization of critical risk results management, guidelines and recommendations have been published, most recently by Clinical and Laboratory Standards Institute (CLSI) and Australasian Association of Clinical Biochemists (AACB). These statements in particular have placed strong emphasis on patient risk and risk assessment in the management of critical risk results. This focus has resulted in recommendations to adopt new terminology, the consideration of risk assessment when compiling alert tables, consultative involvement of laboratory users in setting up protocols, and the need for outcome-based evidence to support our practices. With time it is expected that emerging evidence and technological improvements will facilitate the advancement of laboratories down this path to harmonization, best practice, and improve patient safety.
PubMed URL:
Type: Journal Article
Subjects: Alert table
Alert threshold
Critical laboratory notification
Critical laboratory results
Critical risk results
Appears in Collections:Journal articles

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