The timely monitoring and reporting of laboratory tests and results, especially if the results contain a critical value, is crucial to the safe and effective provision of home infusion therapy. Monitoring and reporting laboratory tests/results to the prescriber has always been part of the BHI&RS practice, although specific standards for the timeliness of such activities were not well defined.
Baystate Home Infusion & Respiratory Services
A baseline assessment was completed of the services and the associated laboratory tests/results that are needed to support those services. Based on the assessment results, BHI&RS identified which laboratory tests/results posed the greatest risks to patients, confirming that they should be reported as critical results.
- Critical results are predefined values/interpretations that may indicate a possible life-threatening situation, significant morbidity, or serious adverse consequences for the patient that necessitates immediate clinical attention or treatment.
- BHI&RS adopted time targets:
- Results are communicated within 24 hours of the results being available.
- If the result is critical, it is reported to the prescriber/designee within one hour.
- Pharmacists keep a log of response times based on the time targets.
- BHI&RS receives a report of critical tests/results from Baystate Reference Laboratories (BRL) to double-check to ensure all data are being captured.
- Reporting compliance is monitored and reviewed on an ongoing basis to ensure adherence and to continue to refine our reporting process as necessary.
- This ongoing feedback has resulted in improvement of compliance with important patient safety standards.
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