Application of a Rules-based Natural Language Parser to Critical Value Reporting in Anatomic Pathology

2012 ◽  
Vol 36 (3) ◽  
pp. 376-380 ◽  
Author(s):  
Scott R. Owens ◽  
Ulysses G.J. Balis ◽  
David R. Lucas ◽  
Jeffrey L. Myers
Keyword(s):  
Natural Language ◽  
Critical Value ◽  
Anatomic Pathology ◽  
Value Reporting

Application of PDCA-Cycle on the Management of Critical Values Reporting

2013 ◽  
Vol 712-715 ◽  
pp. 3203-3206
Author(s):  
Hong Wang ◽  
Ying Chang ◽  
Wen Sheng Che
Keyword(s):  
Statistical Analysis ◽  
Quality Management ◽  
Critical Value ◽  
Reporting Rate ◽  
Critical Values ◽  
Medical Field ◽  
Field Methods ◽  
Pdca Cycle ◽  
Value Reporting ◽  
Staff Number

Objective: Through the PDCA (Plan-Do-Check-Act, also called quality loop) cycle in the management of Critical Value Reporting, and then the discussion on the values of their application in the medical field. Methods: Data were divided into two groups (January to March in 2012 as before the implementation of PDCA-cycle and August to October as after the implementation of PDCA-cycle). Statistical analysis was applied for these two groups. Results: After the application of PDCA-cycle, the executing rate of critical values reporting increased from 38.2% to 96.4 % (P=0.000). The percentage of reporting time, repeat critical values reporting, reporters name and staff number, receivers name and staff number rised from 96.4%, 83.6%, 83.6%, 69.1% to 100.0%, 98.8%, 98.8%, 99.8%, respectively (P=0.000). Meanwhile, critical values reporting rate of Laboratory and Radiology also increased from 47.9%, 30.6% to 96.5%, 96.3% (P=0.000). Conclusion: This study suggested that the PDCA-cycle is an important tool for quality management, and it can effectively improve the executions of critical values reporting.

Critical Value Reporting at Egyptian Laboratories

2019 ◽  
Vol 15 (3) ◽  
pp. 205-211 ◽  
Author(s):  
Rasha Mosallam ◽  
Samaa Zenhom Ibrahim
Keyword(s):  
Critical Value ◽  
Value Reporting

scholarly journals National survey on current situation of critical value reporting in 973 laboratories in China

2017 ◽  
Vol 27 (3) ◽  
Author(s):  
Yang Fei ◽  
Haijian Zhao ◽  
Wei Wang ◽  
Falin He ◽  
Kun Zhong ◽  
...  
Keyword(s):  
National Survey ◽  
Critical Value ◽  
Current Situation ◽  
Value Reporting

Assessment Monitoring of Laboratory Critical Values: A College of American Pathologists Q-Tracks Study of 180 Institutions

2007 ◽  
Vol 131 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Elizabeth A. Wagar ◽  
Ana K. Stankovic ◽  
David S. Wilkinson ◽  
Molly Walsh ◽  
Rhona J. Souers
Keyword(s):  
Health Care Providers ◽  
Monitoring Program ◽  
Mixed Linear Model ◽  
Critical Value ◽  
Critical Values ◽  
Care Providers ◽  
Critical Range ◽  
Clinical Laboratories ◽  
Definition Of ◽  
Value Reporting

Abstract Context.—Critical laboratory value reporting is a highly visible and essential key activity for clinical laboratories. Objective.—To measure critical laboratory value reporting in multiple institutions over time and to examine the practice patterns and demographic factors associated with sustained improvement in critical value reporting. Design.—A longitudinal cohort study of 180 clinical laboratories that provided quarterly critical values reporting data for 2 to 16 quarters was conducted using a uniform definition of successful caregiver notification. Mixed linear model analysis of the 2001 through 2004 dataset was performed. Results.—A decrease in total and inpatient rates of undocumented critical values per 1000 results was associated with (1) the American Association of Blood Banks inspection within the past 2 years (P = .01, for both total and inpatient rates); (2) unit secretary/clerical staff not authorized to accept inpatient critical value notification (P = .004 [total] and .001 [inpatient]); and (3) the mandatory practice of requiring notification of health care providers when handling inpatients known to have results repeatedly in the critical range (P = .01, for both total and inpatient rates). Continued participation in the Q-Tracks monitoring program was associated with significant and progressive improvement in total, inpatient, and outpatient critical value reporting (P = .02, .01, and .003, respectively). Conclusions.—Critical value reporting improved as the duration of participation in the Q-Tracks monitoring program increased. Improved total and inpatient critical value reporting was associated with factors that may be markers for institutions with priorities of quality management and enhanced communication with responsible caregivers.

Survey of Critical Value Reporting and Reduction of False-Positive Critical Value Results

2008 ◽  
Vol 132 (10) ◽  
pp. 1666-1671
Author(s):  
Anand S. Dighe ◽  
Jay B. Jones ◽  
Sue Parham ◽  
Kent B. Lewandrowski
Keyword(s):  
False Positive ◽  
Critical Value ◽  
Critical Values ◽  
Broad Distribution ◽  
Written Responses ◽  
Standard Of Practice ◽  
Survey Results ◽  
Value Reporting ◽  
Insight Into

Abstract Context.—Reporting of laboratory critical values has become an issue of national attention because of important regulatory, medicolegal, and clinical concerns. Objective.—To survey aspects of the laboratory critical-value reporting process at a broad range of institutions. Design.—A survey was developed regarding the operational and information-technology aspects of critical value reporting. Results.—More than 730 responses were obtained from a broad distribution of hospitals. In addition, we analyzed more than 700 written responses from survey participants. Conclusions.—The survey results provide insight into the standard of practice and level of compliance with current Joint Commission and College of American Pathologists requirements for critical values, demonstrate considerable heterogeneity, and suggest areas for improvement. A common issue raised during the survey and follow-up teleconference was the incidence of outpatient false-positive critical values. In this report, we also demonstrate that attention to preanalytic transport and processing issues can assist in minimizing this issue.

Unexpected Expectations in Critical Values in Anatomic Pathology: Improving Agreement Between Pathologists and Nonpathologists With the Treatable Immediately, Life-Threatening Terminology

2011 ◽  
Vol 135 (11) ◽  
pp. 1391-1393 ◽  
Author(s):  
Scott A. Renshaw ◽  
Edwin W. Gould ◽  
Andrew A. Renshaw
Keyword(s):  
Critical Value ◽  
Critical Values ◽  
Anatomic Pathology ◽  
Significant Difference ◽  
Life Threatening

Context.—The degree to which critical values in anatomic pathology are understood in the nonpathology community is not know. Objective.—To measure the degree of agreement between pathologists and nonpathologists regarding critical values in anatomic pathology. Design.—A survey containing 15 anatomic pathologic diagnoses was given to a group of pathologists and nonpathologists who were then asked to state whether they should be regarded as critical values. Results.—Nonpathologists thought that a significantly greater percentage of diagnoses were critical than did pathologists, (49% versus 12%, P < .001). If the term critical value was changed to treatable immediately, life threatening, there was no significant difference between the responses of nonpathologists and pathologists (20% versus 12%, P  =  .06). Conclusions.—There is considerable disagreement between pathologists and nonpathologists concerning which diagnoses are critical values in anatomic pathology. Use of the term treatable immediately, life threatening significantly improves agreement.

scholarly journals Analysis of Laboratory Critical Value Reporting at a Large Academic Medical Center

2006 ◽  
Vol 125 (5) ◽  
pp. 758-764 ◽  
Author(s):  
Anand S. Dighe ◽  
Arjun Rao ◽  
Amanda B. Coakley ◽  
Kent B. Lewandrowski
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Critical Value ◽  
Academic Medical ◽  
Value Reporting
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