Reaching consensus on communication of critical laboratory results using a collective intelligence method

There is no consensus in the literature about what analytes or values should be informed as critical results and how they should be communicated. The main aim of this project is to establish consensual standards of critical results for the laboratories participating in the study. Among the project&#...

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Published in:Clinical chemistry and laboratory medicine Vol. 56; no. 3; p. 403
Main Authors: Llovet, Maria Isabel, Biosca, Carmen, Martínez-Iribarren, Alicia, Blanco, Aurora, Busquets, Glòria, Castro, María José, Llopis, Maria Antonia, Montesinos, Mercè, Minchinela, Joana, Perich, Carme, Prieto, Judith, Ruiz, Rosa, Serrat, Núria, Simón, Margarita, Trejo, Alex, Monguet, Josep Maria, López-Pablo, Carlos, Ibarz, Mercè
Format: Journal Article
Language:English
Published: Germany 01.03.2018
Subjects:
Clinical Laboratory Techniques
Consensus
Delphi Technique
Humans
Intelligence
International Normalized Ratio
clinical laboratory
consensus on critical values
critical results
health consensus
benchmarking
Delphi
ISSN:1437-4331, 1437-4331
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Abstract There is no consensus in the literature about what analytes or values should be informed as critical results and how they should be communicated. The main aim of this project is to establish consensual standards of critical results for the laboratories participating in the study. Among the project's secondary objectives, establishing consensual procedures for communication can be highlighted. Consensus was reached among all participating laboratories establishing the basis for the construction of the initial model put forward for consensus in conjunction with the clinicians. A real-time Delphi, methodology "health consensus" (HC), with motivating and participative questions was applied. The physician was expected to choose a numeric value within a scale designed for each analyte. The medians of critical results obtained represent the consensus on critical results for outpatient and inpatient care. Both in primary care and in hospital care a high degree of consensus was observed for critical values proposed in the analysis of creatinine, digoxin, phosphorus, glucose, international normalized ratio (INR), leukocytes, magnesium, neutrophils, chloride, sodium, calcium and lithium. For the rest of critical results the degree of consensus obtained was "medium high". The results obtained showed that in 72% of cases the consensual critical value coincided with the medians initially proposed by the laboratories. The real-time Delphi has allowed obtaining consensual standards for communication of critical results among the laboratories participating in the study, which can serve as a basis for other organizations.
AbstractList There is no consensus in the literature about what analytes or values should be informed as critical results and how they should be communicated. The main aim of this project is to establish consensual standards of critical results for the laboratories participating in the study. Among the project's secondary objectives, establishing consensual procedures for communication can be highlighted.BACKGROUNDThere is no consensus in the literature about what analytes or values should be informed as critical results and how they should be communicated. The main aim of this project is to establish consensual standards of critical results for the laboratories participating in the study. Among the project's secondary objectives, establishing consensual procedures for communication can be highlighted.Consensus was reached among all participating laboratories establishing the basis for the construction of the initial model put forward for consensus in conjunction with the clinicians. A real-time Delphi, methodology "health consensus" (HC), with motivating and participative questions was applied. The physician was expected to choose a numeric value within a scale designed for each analyte.METHODSConsensus was reached among all participating laboratories establishing the basis for the construction of the initial model put forward for consensus in conjunction with the clinicians. A real-time Delphi, methodology "health consensus" (HC), with motivating and participative questions was applied. The physician was expected to choose a numeric value within a scale designed for each analyte.The medians of critical results obtained represent the consensus on critical results for outpatient and inpatient care. Both in primary care and in hospital care a high degree of consensus was observed for critical values proposed in the analysis of creatinine, digoxin, phosphorus, glucose, international normalized ratio (INR), leukocytes, magnesium, neutrophils, chloride, sodium, calcium and lithium. For the rest of critical results the degree of consensus obtained was "medium high". The results obtained showed that in 72% of cases the consensual critical value coincided with the medians initially proposed by the laboratories.RESULTSThe medians of critical results obtained represent the consensus on critical results for outpatient and inpatient care. Both in primary care and in hospital care a high degree of consensus was observed for critical values proposed in the analysis of creatinine, digoxin, phosphorus, glucose, international normalized ratio (INR), leukocytes, magnesium, neutrophils, chloride, sodium, calcium and lithium. For the rest of critical results the degree of consensus obtained was "medium high". The results obtained showed that in 72% of cases the consensual critical value coincided with the medians initially proposed by the laboratories.The real-time Delphi has allowed obtaining consensual standards for communication of critical results among the laboratories participating in the study, which can serve as a basis for other organizations.CONCLUSIONSThe real-time Delphi has allowed obtaining consensual standards for communication of critical results among the laboratories participating in the study, which can serve as a basis for other organizations.
There is no consensus in the literature about what analytes or values should be informed as critical results and how they should be communicated. The main aim of this project is to establish consensual standards of critical results for the laboratories participating in the study. Among the project's secondary objectives, establishing consensual procedures for communication can be highlighted. Consensus was reached among all participating laboratories establishing the basis for the construction of the initial model put forward for consensus in conjunction with the clinicians. A real-time Delphi, methodology "health consensus" (HC), with motivating and participative questions was applied. The physician was expected to choose a numeric value within a scale designed for each analyte. The medians of critical results obtained represent the consensus on critical results for outpatient and inpatient care. Both in primary care and in hospital care a high degree of consensus was observed for critical values proposed in the analysis of creatinine, digoxin, phosphorus, glucose, international normalized ratio (INR), leukocytes, magnesium, neutrophils, chloride, sodium, calcium and lithium. For the rest of critical results the degree of consensus obtained was "medium high". The results obtained showed that in 72% of cases the consensual critical value coincided with the medians initially proposed by the laboratories. The real-time Delphi has allowed obtaining consensual standards for communication of critical results among the laboratories participating in the study, which can serve as a basis for other organizations.
Author Biosca, Carmen
Monguet, Josep Maria
Martínez-Iribarren, Alicia
Prieto, Judith
Montesinos, Mercè
Ruiz, Rosa
Minchinela, Joana
Simón, Margarita
Ibarz, Mercè
Castro, María José
Trejo, Alex
Llovet, Maria Isabel
Serrat, Núria
Llopis, Maria Antonia
Perich, Carme
Busquets, Glòria
López-Pablo, Carlos
Blanco, Aurora
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  givenname: Maria Isabel
  surname: Llovet
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  organization: Medical Laboratory ICS Terres de l'Ebre, Hospital Verge de la Cinta, C/Esplanetes, 14, 43500 Tortosa, Spain
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  givenname: Carmen
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  givenname: Alex
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  organization: Onsanity Solutions S.L., Barcelona, Spain
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  givenname: Josep Maria
  surname: Monguet
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  organization: UPC Barcelona Tech., Barcelona, Catalunya, Spain
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  givenname: Carlos
  surname: López-Pablo
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  organization: Molecular Biology and Research Section Hospital Verge de la Cinta, Tortosa, Catalunya, Spain
– sequence: 18
  givenname: Mercè
  surname: Ibarz
  fullname: Ibarz, Mercè
  organization: Medical Laboratory ICS Lleida, Lleida, Catalunya, Spain
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consensus on critical values
critical results
health consensus
benchmarking
Delphi
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SubjectTerms Clinical Laboratory Techniques
Consensus
Delphi Technique
Humans
Intelligence
International Normalized Ratio
Title Reaching consensus on communication of critical laboratory results using a collective intelligence method
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