Communication of Critical Laboratory Values: Optimization of the Process through Secure Messaging

Alex Clavijo, David Fallaw, Philip Coule, Gurmukh Singh

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Timely communication of critical laboratory results is important yet cumbersome. OBJECTIVE: To assess the impact of a new technology on the process of reporting critical laboratory results at our 480-bed, adult/children, tertiary-care, medical school-affiliated health center in the southeastern region of the United States. METHODS: We changed the process of reporting critical values by telephone only to reporting via telephone and a secure messaging app. Physician order entry, an online on-call roster for availability, and support from the C-suite (executive branch of the organization) were instrumental in implementation. RESULTS: Consistently, before our process changes, more than 95% of the critical laboratory results were reported in less than 30 minutes. Use of the app reduced the time taken for reporting results. The need to involve pathology residents and attending physicians in reporting has been eliminated by this process. DISCUSSION: Secure messaging has facilitated the reporting of critical laboratory values, making it more efficient and providing a reliable record of the process. This process meets or exceeds the standards of the accrediting agencies. The method is suitable for activating rapid-response teams in case of hypercritical values.

Original languageEnglish (US)
Pages (from-to)e6-e11
JournalLaboratory medicine
Volume51
Issue number1
DOIs
StatePublished - Jan 2 2020

Fingerprint

Communication
Telephone
Application programs
Southeastern United States
Physicians
School Health Services
Tertiary Healthcare
Hospital beds
Child Care
Medical Schools
Pathology
Health care
Organizations
Technology
Health
Availability
Laboratory Critical Values

Keywords

  • critical laboratory results
  • accrediting agency standards
  • employee satisfaction
  • hypercritical values
  • performance improvement
  • secure messaging app

ASJC Scopus subject areas

  • Clinical Biochemistry
  • Biochemistry, medical

Cite this

Communication of Critical Laboratory Values : Optimization of the Process through Secure Messaging. / Clavijo, Alex; Fallaw, David; Coule, Philip; Singh, Gurmukh.

In: Laboratory medicine, Vol. 51, No. 1, 02.01.2020, p. e6-e11.

Research output: Contribution to journalArticle

Clavijo, Alex ; Fallaw, David ; Coule, Philip ; Singh, Gurmukh. / Communication of Critical Laboratory Values : Optimization of the Process through Secure Messaging. In: Laboratory medicine. 2020 ; Vol. 51, No. 1. pp. e6-e11.
@article{8d15128bf162427795b16b621e3aaf55,
title = "Communication of Critical Laboratory Values: Optimization of the Process through Secure Messaging",
abstract = "BACKGROUND: Timely communication of critical laboratory results is important yet cumbersome. OBJECTIVE: To assess the impact of a new technology on the process of reporting critical laboratory results at our 480-bed, adult/children, tertiary-care, medical school-affiliated health center in the southeastern region of the United States. METHODS: We changed the process of reporting critical values by telephone only to reporting via telephone and a secure messaging app. Physician order entry, an online on-call roster for availability, and support from the C-suite (executive branch of the organization) were instrumental in implementation. RESULTS: Consistently, before our process changes, more than 95{\%} of the critical laboratory results were reported in less than 30 minutes. Use of the app reduced the time taken for reporting results. The need to involve pathology residents and attending physicians in reporting has been eliminated by this process. DISCUSSION: Secure messaging has facilitated the reporting of critical laboratory values, making it more efficient and providing a reliable record of the process. This process meets or exceeds the standards of the accrediting agencies. The method is suitable for activating rapid-response teams in case of hypercritical values.",
keywords = "critical laboratory results, accrediting agency standards, employee satisfaction, hypercritical values, performance improvement, secure messaging app",
author = "Alex Clavijo and David Fallaw and Philip Coule and Gurmukh Singh",
year = "2020",
month = "1",
day = "2",
doi = "10.1093/labmed/lmz047",
language = "English (US)",
volume = "51",
pages = "e6--e11",
journal = "Laboratory Medicine",
issn = "0007-5027",
publisher = "American Society of Clinical Pathologists",
number = "1",

}

TY - JOUR

T1 - Communication of Critical Laboratory Values

T2 - Optimization of the Process through Secure Messaging

AU - Clavijo, Alex

AU - Fallaw, David

AU - Coule, Philip

AU - Singh, Gurmukh

PY - 2020/1/2

Y1 - 2020/1/2

N2 - BACKGROUND: Timely communication of critical laboratory results is important yet cumbersome. OBJECTIVE: To assess the impact of a new technology on the process of reporting critical laboratory results at our 480-bed, adult/children, tertiary-care, medical school-affiliated health center in the southeastern region of the United States. METHODS: We changed the process of reporting critical values by telephone only to reporting via telephone and a secure messaging app. Physician order entry, an online on-call roster for availability, and support from the C-suite (executive branch of the organization) were instrumental in implementation. RESULTS: Consistently, before our process changes, more than 95% of the critical laboratory results were reported in less than 30 minutes. Use of the app reduced the time taken for reporting results. The need to involve pathology residents and attending physicians in reporting has been eliminated by this process. DISCUSSION: Secure messaging has facilitated the reporting of critical laboratory values, making it more efficient and providing a reliable record of the process. This process meets or exceeds the standards of the accrediting agencies. The method is suitable for activating rapid-response teams in case of hypercritical values.

AB - BACKGROUND: Timely communication of critical laboratory results is important yet cumbersome. OBJECTIVE: To assess the impact of a new technology on the process of reporting critical laboratory results at our 480-bed, adult/children, tertiary-care, medical school-affiliated health center in the southeastern region of the United States. METHODS: We changed the process of reporting critical values by telephone only to reporting via telephone and a secure messaging app. Physician order entry, an online on-call roster for availability, and support from the C-suite (executive branch of the organization) were instrumental in implementation. RESULTS: Consistently, before our process changes, more than 95% of the critical laboratory results were reported in less than 30 minutes. Use of the app reduced the time taken for reporting results. The need to involve pathology residents and attending physicians in reporting has been eliminated by this process. DISCUSSION: Secure messaging has facilitated the reporting of critical laboratory values, making it more efficient and providing a reliable record of the process. This process meets or exceeds the standards of the accrediting agencies. The method is suitable for activating rapid-response teams in case of hypercritical values.

KW - critical laboratory results

KW - accrediting agency standards

KW - employee satisfaction

KW - hypercritical values

KW - performance improvement

KW - secure messaging app

UR - http://www.scopus.com/inward/record.url?scp=85077401561&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85077401561&partnerID=8YFLogxK

U2 - 10.1093/labmed/lmz047

DO - 10.1093/labmed/lmz047

M3 - Article

C2 - 31414127

AN - SCOPUS:85077401561

VL - 51

SP - e6-e11

JO - Laboratory Medicine

JF - Laboratory Medicine

SN - 0007-5027

IS - 1

ER -