Global trends in critical values practices and their harmonization

Gerald J Kost, Kristin N. Hale

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: The objectives of this article were 1) to identify current trends in critical values practices in North America, Europe, and other regions; 2) to describe progress toward harmonization of critical limits; and 3) to synthesize strategies that will encourage global consensus. Critical limits are described in national surveys. Critical value practices are guided by federal statutes, The Joint Commission regulations, and accreditation requirements in the US; by provincial healthcare agencies in Canada; by thought leaders and ISO EN 15189:2007 in Europe; and in SE Asia, mostly by ad hoc policies lacking statutory grip. Methods: Review of databases, literature, websites, federal statutes, litigation, official policies, current affairs, and accreditation agency requirements. Results and conclusions: Practical strategies will accelerate harmonization of critical values practices, as follows: a) continue national and international survey comparisons; b) clarify age, ethnic, and subject dependencies; c) standardize qualitative and quantitative decision levels for urgent clinician notification; d) monitor compliance and timeliness for safety; and e) alert high frequencies of critical values related to adverse events. New expectations and communication technologies present opportunities for enhanced performance using wireless closed-loop reporting with recipient acknowledgment to reduce phone calls and improve efficiency. Hospitals worldwide can benefit from developing consensus for critical values practices.

Original languageEnglish (US)
Pages (from-to)167-176
Number of pages10
JournalClinical Chemistry and Laboratory Medicine
Volume49
Issue number2
DOIs
StatePublished - Feb 1 2011

Fingerprint

Accreditation
Jurisprudence
Hand Strength
North America
Compliance
Canada
Websites
Joints
Databases
Technology
Delivery of Health Care
Safety
Communication
Surveys and Questionnaires

Keywords

  • closed-loop electronic reporting and acknowledgment
  • critical limits
  • ISO
  • point-of-care
  • standard of care
  • visual logistics

ASJC Scopus subject areas

  • Clinical Biochemistry
  • Biochemistry, medical

Cite this

Global trends in critical values practices and their harmonization. / Kost, Gerald J; Hale, Kristin N.

In: Clinical Chemistry and Laboratory Medicine, Vol. 49, No. 2, 01.02.2011, p. 167-176.

Research output: Contribution to journalArticle

@article{d73f59cf5daa4c27b1686bb3b5c53dcd,
title = "Global trends in critical values practices and their harmonization",
abstract = "Background: The objectives of this article were 1) to identify current trends in critical values practices in North America, Europe, and other regions; 2) to describe progress toward harmonization of critical limits; and 3) to synthesize strategies that will encourage global consensus. Critical limits are described in national surveys. Critical value practices are guided by federal statutes, The Joint Commission regulations, and accreditation requirements in the US; by provincial healthcare agencies in Canada; by thought leaders and ISO EN 15189:2007 in Europe; and in SE Asia, mostly by ad hoc policies lacking statutory grip. Methods: Review of databases, literature, websites, federal statutes, litigation, official policies, current affairs, and accreditation agency requirements. Results and conclusions: Practical strategies will accelerate harmonization of critical values practices, as follows: a) continue national and international survey comparisons; b) clarify age, ethnic, and subject dependencies; c) standardize qualitative and quantitative decision levels for urgent clinician notification; d) monitor compliance and timeliness for safety; and e) alert high frequencies of critical values related to adverse events. New expectations and communication technologies present opportunities for enhanced performance using wireless closed-loop reporting with recipient acknowledgment to reduce phone calls and improve efficiency. Hospitals worldwide can benefit from developing consensus for critical values practices.",
keywords = "closed-loop electronic reporting and acknowledgment, critical limits, ISO, point-of-care, standard of care, visual logistics",
author = "Kost, {Gerald J} and Hale, {Kristin N.}",
year = "2011",
month = "2",
day = "1",
doi = "10.1515/CCLM.2011.033",
language = "English (US)",
volume = "49",
pages = "167--176",
journal = "Clinical Chemistry and Laboratory Medicine",
issn = "1434-6621",
publisher = "Walter de Gruyter GmbH & Co. KG",
number = "2",

}

TY - JOUR

T1 - Global trends in critical values practices and their harmonization

AU - Kost, Gerald J

AU - Hale, Kristin N.

PY - 2011/2/1

Y1 - 2011/2/1

N2 - Background: The objectives of this article were 1) to identify current trends in critical values practices in North America, Europe, and other regions; 2) to describe progress toward harmonization of critical limits; and 3) to synthesize strategies that will encourage global consensus. Critical limits are described in national surveys. Critical value practices are guided by federal statutes, The Joint Commission regulations, and accreditation requirements in the US; by provincial healthcare agencies in Canada; by thought leaders and ISO EN 15189:2007 in Europe; and in SE Asia, mostly by ad hoc policies lacking statutory grip. Methods: Review of databases, literature, websites, federal statutes, litigation, official policies, current affairs, and accreditation agency requirements. Results and conclusions: Practical strategies will accelerate harmonization of critical values practices, as follows: a) continue national and international survey comparisons; b) clarify age, ethnic, and subject dependencies; c) standardize qualitative and quantitative decision levels for urgent clinician notification; d) monitor compliance and timeliness for safety; and e) alert high frequencies of critical values related to adverse events. New expectations and communication technologies present opportunities for enhanced performance using wireless closed-loop reporting with recipient acknowledgment to reduce phone calls and improve efficiency. Hospitals worldwide can benefit from developing consensus for critical values practices.

AB - Background: The objectives of this article were 1) to identify current trends in critical values practices in North America, Europe, and other regions; 2) to describe progress toward harmonization of critical limits; and 3) to synthesize strategies that will encourage global consensus. Critical limits are described in national surveys. Critical value practices are guided by federal statutes, The Joint Commission regulations, and accreditation requirements in the US; by provincial healthcare agencies in Canada; by thought leaders and ISO EN 15189:2007 in Europe; and in SE Asia, mostly by ad hoc policies lacking statutory grip. Methods: Review of databases, literature, websites, federal statutes, litigation, official policies, current affairs, and accreditation agency requirements. Results and conclusions: Practical strategies will accelerate harmonization of critical values practices, as follows: a) continue national and international survey comparisons; b) clarify age, ethnic, and subject dependencies; c) standardize qualitative and quantitative decision levels for urgent clinician notification; d) monitor compliance and timeliness for safety; and e) alert high frequencies of critical values related to adverse events. New expectations and communication technologies present opportunities for enhanced performance using wireless closed-loop reporting with recipient acknowledgment to reduce phone calls and improve efficiency. Hospitals worldwide can benefit from developing consensus for critical values practices.

KW - closed-loop electronic reporting and acknowledgment

KW - critical limits

KW - ISO

KW - point-of-care

KW - standard of care

KW - visual logistics

UR - http://www.scopus.com/inward/record.url?scp=79952079012&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952079012&partnerID=8YFLogxK

U2 - 10.1515/CCLM.2011.033

DO - 10.1515/CCLM.2011.033

M3 - Article

VL - 49

SP - 167

EP - 176

JO - Clinical Chemistry and Laboratory Medicine

JF - Clinical Chemistry and Laboratory Medicine

SN - 1434-6621

IS - 2

ER -