Evaluation of effectiveness of a computerized notification system for reporting critical values

American Journal of Clinical Pathology

Volumn 131, Issue 3, 2009, Pages 432-441

  Piva, Elisa ^a   Sciacovelli, Laura ^a   Zaninotto, Martina ^a   Laposata, Michael ^b   Plebani, Mario ^c  

^a UNIVERSITY OF PADUA MEDICAL SCHOOL   (Italy)

^b VANDERBILT UNIVERSITY HOSPITAL   (United States)

^c UNIVERSITY OF PADOVA   (Italy)

Author keywords

Alerting system; Clinical pathology; Communication; Critical value reporting; Errors; Information technology; Patient safety; Short message service

Indexed keywords

ACCREDITATION; ARTICLE; COMPUTER SYSTEM; DECISION SUPPORT SYSTEM; HEALTH CARE QUALITY; HUMAN; INTERPERSONAL COMMUNICATION; ITALY; LABORATORY AUTOMATION; LABORATORY TEST; PATIENT SAFETY; PRIORITY JOURNAL; TURNAROUND TIME; UNIVERSITY HOSPITAL; BLOOD EXAMINATION; HOSPITAL MANAGEMENT; INSTRUMENTATION; LABORATORY; METHODOLOGY; PATHOLOGY; STANDARD;

COMPUTER SYSTEMS; HEMATOLOGIC TESTS; HOSPITAL COMMUNICATION SYSTEMS; HUMANS; LABORATORIES; PATHOLOGY, CLINICAL; QUALITY ASSURANCE, HEALTH CARE;

EID: 62449329438     PISSN: 00029173     EISSN: None     Source Type: Journal    
DOI: 10.1309/AJCPYS80BUCBXTUH     Document Type: Article

References (27)

1. Lundberg GD. When to panic over abnormal values. MLO Med LabObs. 1972;4:47-54.
2. College of American Pathologists. Laboratory Accreditation checklist, http://www.cap.org/apps/cap.portal. Accessed January 18, 2009.
3. Joint Commission on Accreditation of Healthcare Organizations. 2007 International Patient Safety Goals. http://www.jointcommission.org/ PatientSafety/NationalPatientSafetyGoals. Accessed January 8, 2009.
4. International Organization for Standardization. ISO 15189:2007: Medical laboratories: particular requirements for quality and competence. Geneva, Switzerland: International Organization for Standardization; 2007.
5. World Health Organization. 2008 field review of patient safety solutions, http://www.who.int/patientsafety/solutions/patientsafety/2008-field-review/en/. Accessed January 18, 2009.
6. Haverstick DM. Critical value called, read-back obtained [editorial]. Am J Clin Pathol. 2004;121:790-791.
7. Valenstein P. A proposed national dataset of 8 key quality indicators. In: Program and abstracts of the CLMA/ASCP ThinkLab '05 Conference & Exhibition; March 5-8, 2005; Chicago, IL. Session 627.
8. Hanna D, Griswold P, Leape LL, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qnal Patient Saf. 2005;31:68-80.
9. Coffin CM, Spilker K, Lowichik A, et al. Critical values in pediatric surgical pathology: definition, implementation, and reporting in a children's hospital. Am J Clin Pathol. 2007;128:1035-1040.
10. Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125:758-764.
11. Howanitz PJ, Steindel SJ, Heard NV. Laboratory critical values policies and procedures: a College of American Pathologists Q-Probes study in 623 institutions. Arch Pathol Lab Med. 2002;126:663-669.
12. Jenkins JJ, Mac Crawford J, Bissell MG. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Am J Clin Pathol. 2007;128:604-609.
13. Howanitz JH, Howanitz PJ. Evaluation of total serum calcium critical values. Arch Pathol Lab Med. 2006;130:828-830.
14. Levine MN, Hirsh J, Landefeld S, et al. Hemorrhagic complications of anticoagulant treatment. Chest. 1992;102(suppl 4):352-363.
15. Landefeld CS, Beyth RJ. Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention. Am J Med. 1993;95:315-328.
16. van der Meer FJ, Rosendaal FR, Vandenbroucke JP, et al. Bleeding complications in oral anticoagulant therapy: an analysis of risk factors. Arch Intern Med. 1993;153:1557-1562.
17. Fihn SD, McDonell M, Martin D, et al. Risk factors for complications of chronic anticoagulation: a multicenter study. Warfarin Optimized Outpatient Follow-up Study Group. Ann Intern Med. 1993;118:511-520.
18. Emancipator K. Critical values: ASCP practice parameter: American Society of Clinical Pathologists. Am J Clin Pathol. 1997;108:247-253.
19. Brenner RJ. To err is human, to correct divine: the emergence of technology-based communication systems. J Am Coll Radiol. 2006;3:340-345.
20. Dighe AS, Jones JB, Parham S, et al. Survey of critical value reporting and reduction of false-positive critical value results. Arch Pathol Lab Med. 2008;132:1666-1671.
21. Lippi G, Giavarina D, Montagnana M, et al. National survey on critical values reporting in a cohort of Italian laboratories. Clin Chem Lab Med. 2007;45:1411-1413.
22. Bates DW. Using information technology to reduce rates of medication errors in hospitals. BMJ. 2000;320:788-791.
23. Bates DW, Cohen M, Leape LL, et al. Reducing the frequency of errors in medicine using information technology. J Am Med Inform Assoc. 2001;8:299-308.
24. Kuperman G, Sittig DF, Shabot M, et al. Clinical decision support for hospital and critical care. J Healthc Inf Manage. 1999;13:81-96.
25. Kuperman GJ, Teich JM, Tanasijevic MJ, et al. Improving response to critical laboratory results with automation: results of a randomised controlled trial. J Am Med Inform Assoc. 1999;6:512-522.
26. Barenfanger J, Sautter RL, Lang DL, et al. Improving patient safety by repeating (read-back) telephone reports of critical information. Am J Clin Pathol. 2004;121:801-803.
27. Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348:2526-2534.