Implementation, validation and review of a critical values list in a cardiac emergency room
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)...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Patologia Clínica
2014-10-01
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| Series: | Jornal Brasileiro de Patologia e Medicina Laboratorial |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000500332&lng=en&tlng=en |
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| author | Dilênia de Oliveira Cipriano Torres Liliana Allegro Maria Cleide Freire Clementino da Silva José Gildo Moura Monteiro Júnior Maria das Neves Dantas da Silveira Barros Lúcia Roberta Rego Villachan Thadzia Maria de Brito Ramos |
| author_facet | Dilênia de Oliveira Cipriano Torres Liliana Allegro Maria Cleide Freire Clementino da Silva José Gildo Moura Monteiro Júnior Maria das Neves Dantas da Silveira Barros Lúcia Roberta Rego Villachan Thadzia Maria de Brito Ramos |
| author_sort | Dilênia de Oliveira Cipriano Torres |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-12T02:38:15Z |
| format | Article |
| id | doaj.art-12bc893e788f430ead04f8ae63ef91ca |
| institution | Directory Open Access Journal |
| issn | 1678-4774 |
| language | English |
| last_indexed | 2024-04-12T02:38:15Z |
| publishDate | 2014-10-01 |
| publisher | Sociedade Brasileira de Patologia Clínica |
| record_format | Article |
| series | Jornal Brasileiro de Patologia e Medicina Laboratorial |
| spelling | doaj.art-12bc893e788f430ead04f8ae63ef91ca2022-12-22T03:51:24ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1678-47742014-10-0150533233810.5935/1676-2444.20140036S1676-24442014000500332Implementation, validation and review of a critical values list in a cardiac emergency roomDilênia de Oliveira Cipriano TorresLiliana AllegroMaria Cleide Freire Clementino da SilvaJosé Gildo Moura Monteiro JúniorMaria das Neves Dantas da Silveira BarrosLúcia Roberta Rego VillachanThadzia Maria de Brito RamosIntroduction: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000500332&lng=en&tlng=enimplantaçãovalores críticostestes laboratoriaiscardiologia |
| spellingShingle | Dilênia de Oliveira Cipriano Torres Liliana Allegro Maria Cleide Freire Clementino da Silva José Gildo Moura Monteiro Júnior Maria das Neves Dantas da Silveira Barros Lúcia Roberta Rego Villachan Thadzia Maria de Brito Ramos Implementation, validation and review of a critical values list in a cardiac emergency room Jornal Brasileiro de Patologia e Medicina Laboratorial implantação valores críticos testes laboratoriais cardiologia |
| title | 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_short | 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 |
| topic | implantação valores críticos testes laboratoriais cardiologia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000500332&lng=en&tlng=en |
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