Assessment of critical values policies in Italian institutions: comparison with the US situation

Clinical Chemistry and Laboratory Medicine : CCLM
Elisa PivaMario Plebani

Abstract

Critical value reporting is considered an essential tool to ensure the quality of medical laboratory services. Important issues include defining cut-off values, assessing responsibility for communication and adopting information technology solutions to improve notification. Here, we report the state of critical value reporting in a large cohort of Italian laboratories and comparison with Q-Probes surveys from the College of American Pathologists as representatives of the US situation. To compare critical value policies and procedures, formulation of critical values list with critical values limits and monitoring tools, a web-based questionnaire was formulated for 389 institutions participating in the External Quality Assessment Schemes of Veneto Region, in Italy. A total of 90 clinical laboratories submitted data. Accredited laboratories represented 82.2% of participants, but written procedures for reporting were indicated by 70.5% of participants. Relevant differences between US and Italian policies have been observed, particularly regarding who provides the notification and on the formulation of the cut-off threshold for critical values. Accreditation according to international standards can decrease differences regarding the...Continue Reading

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Citations

Feb 25, 2010·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani, Giuseppe Lippi
Nov 26, 2010·Clinical Chemistry and Laboratory Medicine : CCLM·Gerald J Kost, Kristin N Hale
Nov 26, 2010·Clinical Chemistry and Laboratory Medicine : CCLM·Maria SalinasJoaquin Uris
Jan 26, 2012·Journal of Pathology Informatics·Colt M McClainJoshua A Bornhorst
Nov 20, 2013·Clinica Chimica Acta; International Journal of Clinical Chemistry·C A Campbell, A R Horvath
Sep 5, 2013·Clinica Chimica Acta; International Journal of Clinical Chemistry·Jillian R TateMauro Panteghini
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Dec 1, 2012·Clinical Biochemistry·Maria SalinasCarlos Leiva-Salinas
Dec 30, 2015·American Journal of Clinical Pathology·Elisa PivaFrederick Plapp
Dec 15, 2015·Clinical Chemistry and Laboratory Medicine : CCLM·Laura SciacovelliMario Plebani
Oct 24, 2012·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani
Apr 22, 2015·Clinical Chemistry and Laboratory Medicine : CCLM·Kenneth Sikaris
Jul 19, 2016·International Journal of Laboratory Hematology·T B KengUNKNOWN International Council for Standardization in Haematology (ICSH)
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May 9, 2019·American Journal of Clinical Pathology·Eng Hooi TanTze Ping Loh
Apr 4, 2017·American Journal of Clinical Pathology·Erika M ReeseGarrett S Booth
Oct 31, 2018·Clinical Chemistry and Laboratory Medicine : CCLM·Syed Ghulam Sarwar ShahRichard Fitton
Feb 15, 2021·The Journal of Applied Laboratory Medicine·Amir KarinDavor Brinc
Jul 17, 2021·Clinical Chemistry and Laboratory Medicine : CCLM·Javier LagunaNaira Rico

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