Roche Infinity Middleware Patient Results Review Process and serum indices, delta, critical values
Initial Review of Patient Results
- Cross-check patient name with ID number.
- Ensure date of birth matches records.
- Look for discrepancies in patient information.
- Document any inconsistencies for follow-up.
- Verify the collection date against the results.
- Ensure the time of collection is recorded.
- Assess if the timing aligns with test requirements.
- Flag any irregularities for further investigation.
- Review test requisition form for accuracy.
- Match test orders with the specimen type.
- Identify any mismatched or incorrect orders.
- Record any inappropriate test orders for correction.
- Check that all ordered tests were completed.
- Ensure tests align with the specimen type.
- Note any missing tests for further action.
- Validate results against expected parameters.
Serum Indices Review
- Review patient results for hemolysis indicators.
- Check icterus levels against reference values.
- Evaluate lipemia presence and severity.
- Use visual inspection and automated flags.
- Record findings for further analysis.
- Log all abnormal results in the patient record.
- Include specific values and reference ranges.
- Note date and time of assessment.
- Attach any relevant comments or observations.
- Ensure documentation is clear and accessible.
- Evaluate the severity of abnormalities.
- Consider patient history and clinical context.
- Consult with physicians regarding retesting necessity.
- Set retest timelines based on urgency.
- Document the decision-making process.
- Identify key personnel for notification.
- Use established communication protocols.
- Provide clear details of the abnormal findings.
- Ensure timely notifications to avoid delays.
- Record notifications in the patient’s chart.
Delta Checks
- Compare current test results with previous results.
- Determine the threshold for significant changes based on laboratory standards.
- Flag results that exceed the established delta criteria.
- Ensure the comparison considers timing of previous tests.
- Consult clinical guidelines to assess significance.
- Evaluate potential impact on patient management.
- Consider patient-specific factors such as age and health status.
- Discuss findings with the clinical team for consensus.
- Access the patient’s medical records for updates.
- Review documentation of any recent procedures or medications.
- Confirm if there have been any recent changes in treatment plans.
- Note any relevant allergies or past reactions.
- Record delta results in the patient's electronic health record.
- Include the date, time, and context of the findings.
- Inform the healthcare provider promptly via preferred communication method.
- Ensure follow-up actions are noted for future reference.
Critical Values Review
- Refer to the laboratory's critical value list.
- Cross-check patient results with the critical value thresholds.
- Highlight or mark any critical values found.
- Ensure the patient demographics are accurate.
- Determine the correct physician or medical team to notify.
- Use preferred communication method (phone, pager, etc.).
- Provide patient details and critical result summary.
- Confirm receipt of information with medical personnel.
- Record the date and time of notification.
- Note the method of communication used.
- Include details of the personnel informed.
- Store documentation in patient’s medical record.
- Check for documented follow-up plans in the patient's chart.
- Verify that medical personnel have taken appropriate actions.
- Monitor for additional tests or interventions required.
- Communicate any updates or changes in patient status.
Use in Manifestly