Investigation on critical value management in clinical laboratory / 国际检验医学杂志

ABSTRACT

Objective To investigate the present situation of critical value management in clinical laboratory,and propose im-provement measures.Methods Retrospectively analyze on the 506 cases of critical value reports in the hospital in September 2013, including the distribution of critical value items,the frequency critical value reports at different time in one day,the amount of criti-cal values reported in different department and so on.Results The most reported critical value item was platelet(PLT),which ac-counted for 16.80%,followed by WBC(13.24%)and serum creatinine(12.25%);Critical value reported mostly between 900 and 1100,which accounted for 34% of one days′s reports;The amount of the critical value reports on Tuesday and Thursday were more than that on Sunday;Critical values reported for the patients of Intensive Medical Center(ICU)accounted for the highest pro-portion(24.70%),followed by those of nephrology department(21.15%)and hematology department(19.57%).Conclusion Criti-cal value reporting system should be strictly executed in clinical laboratory;Critical values should be carefully registrated in clinical deparments;Annual inspection of critical value system is required.