Aviso de valores de alerta por parte del laboratorio clínico en una red de salud universitaria / Laboratory alert value reporting by the clinical laboratory at an academic medical network
Rev. méd. Chile
; 137(9): 1137-1144, sep. 2009. tab, ilus
Article
in Spanish
| LILACS
| ID: lil-534014
Responsible library:
BR1.1
ABSTRACT
Background:
An alert value is a result suggesting that the patient is at imminent danger unless appropriate remedial actions begin promptly. Report of alert values (AV) by the clinical laboratories has taken special relevance in recent years due to its contribution to patient's care.Aim:
To report results of AV informed during 2007 within the Health Network of the Pontificia Universidad Católica de Chile. Material andmethods:
Analysis of AV recorded in a centralized database of the laboratories of the health network, between January and December, 2007.Results:
Total number of AV was 5.366, which represented 0.3 percent of total examinations and corresponded mainly to the clinical chemistry area. Potassium levels generated the higher number of AV detected, followed by positive blood cultures. Eighty two percent of AV corresponded to hospitalized patients. The greater number of AV was reported to intermediate and intensive care services. Thirty two percent of AV was informed to the physician or professional in charge of the patient within 5 minutes of obtaining the results and 79 percent within 30 minutes.Conclusions:
To obtain a real impact on patient management, it is fundamental to shorten the ¡apse between the obtainment of tests results and the warning, supported on appropriate computerized systems, and to spread the procedure to all personnel involved in patient's care (RevMéd Chile 2009; 137 1137-44).
Full text:
Available
Collection:
International databases
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 6: Information systems for health
Database:
LILACS
Main subject:
Laboratories, Hospital
/
Clinical Laboratory Information Systems
/
Critical Care
Type of study:
Diagnostic study
/
Observational study
/
Screening study
Aspects:
Patient-preference
Limits:
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2009
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL