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Critical values in hematology of 862 institutions in China
1National Center for Clinical Laboratories/Beijing Engineering Research Center of Laboratory Medicine, National Center of Gerontology, Beijing Hospital, Beijing, China.
Introduction:
A national survey on critical values in hematology of China laboratories was conducted to determine the current practice and assess the quality indicators so as to obtain a quality improvement.
Methods:
Laboratories participating were asked to submit the general information, the practice of critical value reporting, and the status of timeliness of critical value reporting.
Results:
A total of 862 laboratories submitted the results. The majority of participants have included white blood cell count, blood platelet count, hemoglobin, prothrombin time, and activated partial thromboplastin time in their critical value lists. Many sources are used for establishing a critical value policy, and some of the laboratories consult with clinicians. The unreported critical value rate, late critical value reporting rate, and clinically unacknowledged rate in China are relatively low, and the median of critical value reporting time is 8-9 minutes.
Conclusion:
There exists a wide variety for critical value reporting in hematology in China. Laboratories should establish a policy of critical value reporting suited for their own situations and consult with clinicians to set critical value lists. Critical values are generally reported in a timely manner in China, but some measures should be taken to further improve the timeliness of critical value reporting.
