International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

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 Volume 10, Issue 10 (October 2023), Pages: 174-188

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 Original Research Paper

Enhancing clinical laboratory reporting: The impact of implementing a critical laboratory value protocol

 Author(s): 

 Vasthy Lozano-Fernández 1, 2, *

 Affiliation(s):

 1Servicio de Laboratorio Clínico, Hospital Regional de Lambayeque, Chiclayo, Peru
 2Inmunología, Hospital Regional de Lambayeque, Chiclayo, Peru

 Full text

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 * Corresponding Author. 

  Corresponding author's ORCID profile: https://orcid.org/0009-0006-3468-9995

 Digital Object Identifier (DOI)

 https://doi.org/10.21833/ijaas.2023.10.020

 Abstract

This study examines the influence of a newly implemented protocol for critical laboratory values on the quality and accuracy of laboratory reports in a clinical setting. The necessity of strict adherence to protocols in clinical laboratories is underscored by the potential for a deviation of up to 45% in results, leading to diagnostic errors. The research focused on emergency service critical values, adhering to a designated protocol list. Conducted in two phases, the study initially involved training sessions and a knowledge questionnaire regarding the protocol, followed by a repeated questionnaire and analysis of laboratory test reports. Among 181,507 emergency examinations, critical values constituted 2.75% (4,998 cases). While protocol knowledge did not show significant improvement, reporting accuracy for creatinine, glucose, sodium, leukocytes, platelets, and activated partial thromboplastin time (aPTT) markedly increased. Timely and effective notification rates improved significantly, as did staff reporting consistency across shifts. The study concludes that implementing a critical value protocol significantly enhances the quality of clinical laboratory reporting, although timely critical value quality remains below the requisite standard.

 © 2023 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords

 Clinical laboratory reporting, Critical value protocol, Diagnostic accuracy, Emergency service, Reporting quality

 Article history

 Received 14 April 2023, Received in revised form 22 September 2023, Accepted 6 October 2023

 Acknowledgment 

No Acknowledgment.

 Compliance with ethical standards

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

 Lozano-Fernández V (2023). Enhancing clinical laboratory reporting: The impact of implementing a critical laboratory value protocol. International Journal of Advanced and Applied Sciences, 10(10): 174-188

 Permanent Link to this page

 Figures

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 Tables

 Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 Table 7 Table 8 Table 9 Table 10 Table 11 Table 12 Table 13 Table 14 Table 15 Table 16 Table 17 Table 18 Table 19 Table 20 

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