Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/40323 |
Resumo: | INTRODUCTION: Autoverification is the release of laboratory test results from clinical instruments to hospital interface, or to patients’ records, with no human intervention. Verification rules are inserted in the middleware and/or in the laboratory information system (LIS), based on criteria established by the laboratory. As a result, it ensures that every result is consistently reviewed in the same way, improving the entire verification process and patient safety. OBJECTIVE: Describe the implementation of autoverification of clinical chemistry tests results at the core laboratory of Hospital das Clínicas da Universidade Federal de Minas Gerais (HC/UFMG), Brazil. MATERIAL AND METHODS: Twenty-six automated chemistry assays were chosen. They were fully automated including internal quality control, interfaced with LIS, available 24 hours a day, seven days a week. Rules were set up in the middleware and in the LIS. Instrument flags, evaluation of sample integrity, test linearity, delta check and critical values were used to construct the verification algorithms. RESULTS: An autoverification algorithm was constructed; delta check values were calculated and defined, as well as automatic verification ranges. The results retained for manual verification followed a flowchart prepared for this purpose. CONCLUSION: Autoverification implementation led to a more consistent reviewing process of test results, efficiency and improved patient safety. |
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2022-03-22T20:15:17Z2022-03-22T20:15:17Z201652314915610.5935/1676-2444.2016002616762444http://hdl.handle.net/1843/40323INTRODUCTION: Autoverification is the release of laboratory test results from clinical instruments to hospital interface, or to patients’ records, with no human intervention. Verification rules are inserted in the middleware and/or in the laboratory information system (LIS), based on criteria established by the laboratory. As a result, it ensures that every result is consistently reviewed in the same way, improving the entire verification process and patient safety. OBJECTIVE: Describe the implementation of autoverification of clinical chemistry tests results at the core laboratory of Hospital das Clínicas da Universidade Federal de Minas Gerais (HC/UFMG), Brazil. MATERIAL AND METHODS: Twenty-six automated chemistry assays were chosen. They were fully automated including internal quality control, interfaced with LIS, available 24 hours a day, seven days a week. Rules were set up in the middleware and in the LIS. Instrument flags, evaluation of sample integrity, test linearity, delta check and critical values were used to construct the verification algorithms. RESULTS: An autoverification algorithm was constructed; delta check values were calculated and defined, as well as automatic verification ranges. The results retained for manual verification followed a flowchart prepared for this purpose. CONCLUSION: Autoverification implementation led to a more consistent reviewing process of test results, efficiency and improved patient safety.INTRODUÇÃO: A verificação automática dos resultados consiste na liberação dos resultados dos exames diretamente do equipamento, sem intervenção humana. São inseridas regras para avaliar os resultados no middleware e/ou no sistema de informação laboratorial (SIL), com base em critérios estabelecidos pelo laboratório. A autoverificação uniformiza os critérios de liberação e melhora a eficiência no processo, garantindo a segurança do paciente. OBJETIVO: Descrever a implantação da autoverificação nos testes bioquímicos do menu de urgência no Serviço de Medicina Laboratorial (SML) do Hospital das Clínicas da Universidade Federal de Minas Gerais (HC/UFMG). MATERIAL E MÉTODOS: Foram configurados 26 testes bioquímicos disponíveis 24 horas por dia, plenamente interfaceados, inclusive o controle interno da qualidade. Definiram-se parâmetros e algoritmos usados para configuração do SIL e no middleware. No algoritmo elaborado para autoverificação, foram incluídos flags de equipamento, presença de interferentes na amostra, linearidade, delta check e valores críticos. RESULTADOS O algoritmo de liberação automática de resultados, os valores de delta check, os intervalos de liberação automática e o fluxograma para liberação manual dos resultados retidos foram definidos e implantados. CONCLUSÃO: A implantação da autoverificação nos testes bioquímicos do menu de urgência no serviço possibilitou padronização e segurança na liberação dos resultados.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE PROPEDÊUTICA COMPLEMENTARBrazilian Journal of Pathology and Laboratory MedicineSistemas de informação em laboratório clínicoProcessamento automatizado de dadosLaboratórios hospitalaresSegurança do pacienteImplementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospitalImplantação de critérios de liberação automática de resultados de bioquímica em um laboratório de hospital público universitárioinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.jbpml.org.br/article/3598/Myriam S. FeitosaDaniel Henrique BückerSilvana Maria E. SantosLeonardo de Souza Vasconcellosapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/40323/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINAL2016_Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital.pdf2016_Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital.pdfapplication/pdf524399https://repositorio.ufmg.br/bitstream/1843/40323/2/2016_Implementation%20of%20criteria%20for%20automatic%20release%20of%20clinical%20chemistry%20test%20results%20in%20a%20laboratory%20at%20an%20academic%20public%20hospital.pdf4ec9bb648260c8f7c3d404f5fe7f6a05MD521843/403232022-03-22 17:15:17.695oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-03-22T20:15:17Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital |
dc.title.alternative.pt_BR.fl_str_mv |
Implantação de critérios de liberação automática de resultados de bioquímica em um laboratório de hospital público universitário |
title |
Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital |
spellingShingle |
Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital Myriam S. Feitosa Sistemas de informação em laboratório clínico Processamento automatizado de dados Laboratórios hospitalares Segurança do paciente |
title_short |
Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital |
title_full |
Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital |
title_fullStr |
Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital |
title_full_unstemmed |
Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital |
title_sort |
Implementation of criteria for automatic release of clinical chemistry test results in a laboratory at an academic public hospital |
author |
Myriam S. Feitosa |
author_facet |
Myriam S. Feitosa Daniel Henrique Bücker Silvana Maria E. Santos Leonardo de Souza Vasconcellos |
author_role |
author |
author2 |
Daniel Henrique Bücker Silvana Maria E. Santos Leonardo de Souza Vasconcellos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Myriam S. Feitosa Daniel Henrique Bücker Silvana Maria E. Santos Leonardo de Souza Vasconcellos |
dc.subject.other.pt_BR.fl_str_mv |
Sistemas de informação em laboratório clínico Processamento automatizado de dados Laboratórios hospitalares Segurança do paciente |
topic |
Sistemas de informação em laboratório clínico Processamento automatizado de dados Laboratórios hospitalares Segurança do paciente |
description |
INTRODUCTION: Autoverification is the release of laboratory test results from clinical instruments to hospital interface, or to patients’ records, with no human intervention. Verification rules are inserted in the middleware and/or in the laboratory information system (LIS), based on criteria established by the laboratory. As a result, it ensures that every result is consistently reviewed in the same way, improving the entire verification process and patient safety. OBJECTIVE: Describe the implementation of autoverification of clinical chemistry tests results at the core laboratory of Hospital das Clínicas da Universidade Federal de Minas Gerais (HC/UFMG), Brazil. MATERIAL AND METHODS: Twenty-six automated chemistry assays were chosen. They were fully automated including internal quality control, interfaced with LIS, available 24 hours a day, seven days a week. Rules were set up in the middleware and in the LIS. Instrument flags, evaluation of sample integrity, test linearity, delta check and critical values were used to construct the verification algorithms. RESULTS: An autoverification algorithm was constructed; delta check values were calculated and defined, as well as automatic verification ranges. The results retained for manual verification followed a flowchart prepared for this purpose. CONCLUSION: Autoverification implementation led to a more consistent reviewing process of test results, efficiency and improved patient safety. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016 |
dc.date.accessioned.fl_str_mv |
2022-03-22T20:15:17Z |
dc.date.available.fl_str_mv |
2022-03-22T20:15:17Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/40323 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.5935/1676-2444.20160026 |
dc.identifier.issn.pt_BR.fl_str_mv |
16762444 |
identifier_str_mv |
10.5935/1676-2444.20160026 16762444 |
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http://hdl.handle.net/1843/40323 |
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eng |
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eng |
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Brazilian Journal of Pathology and Laboratory Medicine |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
dc.publisher.department.fl_str_mv |
MED - DEPARTAMENTO DE PROPEDÊUTICA COMPLEMENTAR |
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Universidade Federal de Minas Gerais |
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UFMG |
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