Implementation, validation and review of a critical values list in a cardiac emergency room
Autor(a) principal: | |
---|---|
Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000500332 |
Resumo: | Introduction: Laboratory critical values (CV) can indicate threatening conditions that require rapid clinical intervention. The aim of this study was to implement, validate and review a critical values list (CVL) at Pronto-Socorro Cardiológico de Pernambuco - Universidade de Pernambuco (PROCAPE-UPE). Method: This study was conducted between 2011 and 2013. To formulate the CVL, laboratory tests performed at PROCAPE were analyzed and compared with those of the Journal of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) and the College of American Pathologists (CAP). A draft CVL was validated by physicians; staff training and the standard operating procedure were developed covering the entire clinical analysis laboratory, in order to formalize the procedure of critical result reporting. The CVL was updated every six months. Results: Changes were made in CV intervals for the measurement of total serum calcium, serum sodium, serum potassium, the international normalized ratio (INR) and total leukocyte count. Thyroid-stimulating hormone (TSH) was also included in the CVL. In the pediatric CVL, dosages of serum sodium and INR were included, and a change in the value of serum potassium was made. Thus, periodic reviews of CVL allowed greater adequacy to the needs of the study population and avoided overloading the notification process. Conclusion: Clinical laboratories must be responsible for the implementation, validation and review of their CVL to ensure patients’ health. |
id |
SBP-1_f62547da76d36f86c5cb8fb8c9d3a575 |
---|---|
oai_identifier_str |
oai:scielo:S1676-24442014000500332 |
network_acronym_str |
SBP-1 |
network_name_str |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
repository_id_str |
|
spelling |
Implementation, validation and review of a critical values list in a cardiac emergency roomimplementationcritical valueslaboratory testscardiology Introduction: Laboratory critical values (CV) can indicate threatening conditions that require rapid clinical intervention. The aim of this study was to implement, validate and review a critical values list (CVL) at Pronto-Socorro Cardiológico de Pernambuco - Universidade de Pernambuco (PROCAPE-UPE). Method: This study was conducted between 2011 and 2013. To formulate the CVL, laboratory tests performed at PROCAPE were analyzed and compared with those of the Journal of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) and the College of American Pathologists (CAP). A draft CVL was validated by physicians; staff training and the standard operating procedure were developed covering the entire clinical analysis laboratory, in order to formalize the procedure of critical result reporting. The CVL was updated every six months. Results: Changes were made in CV intervals for the measurement of total serum calcium, serum sodium, serum potassium, the international normalized ratio (INR) and total leukocyte count. Thyroid-stimulating hormone (TSH) was also included in the CVL. In the pediatric CVL, dosages of serum sodium and INR were included, and a change in the value of serum potassium was made. Thus, periodic reviews of CVL allowed greater adequacy to the needs of the study population and avoided overloading the notification process. Conclusion: Clinical laboratories must be responsible for the implementation, validation and review of their CVL to ensure patients’ health. Sociedade Brasileira de Patologia Clínica2014-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000500332Jornal Brasileiro de Patologia e Medicina Laboratorial v.50 n.5 2014reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)instname:Sociedade Brasileira de Patologia (SBP)instacron:SBP10.5935/1676-2444.20140036info:eu-repo/semantics/openAccessTorres,Dilênia de Oliveira CiprianoAllegro,LilianaSilva,Maria Cleide Freire Clementino daMonteiro Júnior,José Gildo MouraBarros,Maria das Neves Dantas da SilveiraVillachan,Lúcia Roberta RegoRamos,Thadzia Maria de Britoeng2014-12-09T00:00:00Zoai:scielo:S1676-24442014000500332Revistahttp://www.scielo.br/jbpmlhttps://old.scielo.br/oai/scielo-oai.php||jbpml@sbpc.org.br1678-47741676-2444opendoar:2014-12-09T00:00Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP)false |
dc.title.none.fl_str_mv |
Implementation, validation and review of a critical values list in a cardiac emergency room |
title |
Implementation, validation and review of a critical values list in a cardiac emergency room |
spellingShingle |
Implementation, validation and review of a critical values list in a cardiac emergency room Torres,Dilênia de Oliveira Cipriano implementation critical values laboratory tests cardiology |
title_short |
Implementation, validation and review of a critical values list in a cardiac emergency room |
title_full |
Implementation, validation and review of a critical values list in a cardiac emergency room |
title_fullStr |
Implementation, validation and review of a critical values list in a cardiac emergency room |
title_full_unstemmed |
Implementation, validation and review of a critical values list in a cardiac emergency room |
title_sort |
Implementation, validation and review of a critical values list in a cardiac emergency room |
author |
Torres,Dilênia de Oliveira Cipriano |
author_facet |
Torres,Dilênia de Oliveira Cipriano Allegro,Liliana Silva,Maria Cleide Freire Clementino da Monteiro Júnior,José Gildo Moura Barros,Maria das Neves Dantas da Silveira Villachan,Lúcia Roberta Rego Ramos,Thadzia Maria de Brito |
author_role |
author |
author2 |
Allegro,Liliana Silva,Maria Cleide Freire Clementino da Monteiro Júnior,José Gildo Moura Barros,Maria das Neves Dantas da Silveira Villachan,Lúcia Roberta Rego Ramos,Thadzia Maria de Brito |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Torres,Dilênia de Oliveira Cipriano Allegro,Liliana Silva,Maria Cleide Freire Clementino da Monteiro Júnior,José Gildo Moura Barros,Maria das Neves Dantas da Silveira Villachan,Lúcia Roberta Rego Ramos,Thadzia Maria de Brito |
dc.subject.por.fl_str_mv |
implementation critical values laboratory tests cardiology |
topic |
implementation critical values laboratory tests cardiology |
description |
Introduction: Laboratory critical values (CV) can indicate threatening conditions that require rapid clinical intervention. The aim of this study was to implement, validate and review a critical values list (CVL) at Pronto-Socorro Cardiológico de Pernambuco - Universidade de Pernambuco (PROCAPE-UPE). Method: This study was conducted between 2011 and 2013. To formulate the CVL, laboratory tests performed at PROCAPE were analyzed and compared with those of the Journal of the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) and the College of American Pathologists (CAP). A draft CVL was validated by physicians; staff training and the standard operating procedure were developed covering the entire clinical analysis laboratory, in order to formalize the procedure of critical result reporting. The CVL was updated every six months. Results: Changes were made in CV intervals for the measurement of total serum calcium, serum sodium, serum potassium, the international normalized ratio (INR) and total leukocyte count. Thyroid-stimulating hormone (TSH) was also included in the CVL. In the pediatric CVL, dosages of serum sodium and INR were included, and a change in the value of serum potassium was made. Thus, periodic reviews of CVL allowed greater adequacy to the needs of the study population and avoided overloading the notification process. Conclusion: Clinical laboratories must be responsible for the implementation, validation and review of their CVL to ensure patients’ health. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000500332 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000500332 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/1676-2444.20140036 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Patologia Clínica |
publisher.none.fl_str_mv |
Sociedade Brasileira de Patologia Clínica |
dc.source.none.fl_str_mv |
Jornal Brasileiro de Patologia e Medicina Laboratorial v.50 n.5 2014 reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) instname:Sociedade Brasileira de Patologia (SBP) instacron:SBP |
instname_str |
Sociedade Brasileira de Patologia (SBP) |
instacron_str |
SBP |
institution |
SBP |
reponame_str |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
collection |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) |
repository.name.fl_str_mv |
Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP) |
repository.mail.fl_str_mv |
||jbpml@sbpc.org.br |
_version_ |
1752122296219205632 |