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Critical laboratory values in hemostasis: toward consensus.

Giuseppe Lippi1, Dorothy Adcock2, Ana-Maria Simundic3

  • 1a Section of Clinical Biochemistry, University of Verona , Verona , Italy.

Annals of Medicine
|January 3, 2017
PubMed
Summary

Critical values in laboratory testing are results outside the normal range that require immediate attention. This paper addresses the variability in critical values for hemostasis, offering expert recommendations.

Keywords:
Laboratoryalert valuescritical valueshemostasispatient safety

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Area of Science:

  • Clinical Laboratory Science
  • Hematology
  • Medical Diagnostics

Background:

  • Critical values in laboratory testing are defined as results significantly outside the normal range, requiring immediate reporting to ensure patient safety.
  • The identification and communication of critical values are crucial for good laboratory practice, particularly in hemostasis.
  • Timely communication of critical values in hemostasis directly impacts patient management.

Purpose of the Study:

  • To analyze the current state of critical values in hemostasis.
  • To provide an expert opinion on parameters, measurement units, and alert limits for critical values in hemostasis.
  • To create a foundational document for laboratory professionals and clinicians regarding hemostasis critical values.

Main Methods:

  • Review of existing literature and data on critical values in hemostasis.
  • Expert consensus and opinion formulation.
  • Analysis of parameters, measurement units, and alert limits.

Main Results:

  • Significant heterogeneity exists globally regarding critical values in hemostasis.
  • The paper outlines expert recommendations for parameters, measurement units, and alert limits.
  • A standardized approach to critical values in hemostasis is proposed.

Conclusions:

  • Establishing clear guidelines for critical values in hemostasis is essential for patient care.
  • The provided expert opinion aims to reduce heterogeneity and improve consistency in reporting critical values.
  • This document serves as a reference for laboratory professionals and clinicians to enhance patient safety in hemostasis management.