Evaluation of critical value report of laboratory results based on national quality indicators at Bima general hospital
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Abstract
Background: To improve service quality and patient safety, Bima Regional General Hospital has set quality targets according to the national indicator. One such indicator is the national quality indicator for laboratory services, which aims to achieve a critical laboratory value report of 100%. Objectives: This research aims to evaluate the reporting of laboratory critical values by considering the achievement of predetermined quality indicator targets. Material and Methods: This research was carried out by collecting secondary data using the cross sectional design at Bima Hospital from January 2023 to March 2023 with a total sampling of critical value reports to the clinician or room nurses from all treatment rooms. Achievement of reporting time is calculated based on the percentage of timeliness of reporting critical value results compared to the total of all critical value reporting and is expressed as 'achieved' and 'not achieved'. Results: This research identifies the achievements of reporting that do not meet the target, and several obstacles and challenges that affect the efficiency and effectiveness of reporting. These findings indicate needs for improving coordination, communication and reporting procedures to support better achievement of quality indicator targets. Conclusions: The proposed improvement recommendations can help hospitals optimize the laboratory reporting process, thereby improving the quality of service and overall patient safety.
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References
Chuang, F. (2023). A-183 Improving Turnaround Time of Critical Value Reporting by Reducing Redundant Workflow. Clinical Chemistry, 69(Supplement_1). https://doi.org/10.1093/clinchem/hvad097.165.
Desai, K. N., & Chaudhari, S. (2017). Analysis of critical values in NABL accredited hematology and clinical patho;ogy laboratory. Annals of Applied Bio-Sciences, 4(1), A8–A13. https://doi.org/10.21276/aabs.2017.1306.
Febrianto, W., Rahmawati, M., Sastrawan, I. G., & Hariyanti, T. (2021). The importance of hospital re-accreditation: improving the timeliness of laboratory critical value reporting. Health Science Journal of Indonesia, 12(2), 81–87. https://doi.org/10.22435/hsji.v12i2.3315.
HV, S. (2022). A study of critical value analysis at hematology and biochemistry sections of laboratory in a multispeciality hospital. Panacea Journal of Medical Sciences, 12(2), 430–435. https://doi.org/10.18231/j.pjms.2022.081.
Keputusan menteri kesehatan republik indonesia Nomor HK.01.07/Menkes/1128/2022. (2022). Standar Akreditasi Rumah Sakit.
Li, R., Wang, T., Gong, L., Dong, J., Xiao, N., Yang, X., Zhu, D., & Zhao, Z. (2020). Enhance the effectiveness of clinical laboratory critical values initiative notification by implementing a closed-loop system: A five-year retrospective observational study. Journal of Clinical Laboratory Analysis, 34(2). https://doi.org/10.1002/jcla.23038
Marsetyo, S. (2023). Analysis of Factors That Cause the Target of Laboratory Critical Value Report Has Not Been Reached: Study at the Clinical Pathology Department at Haji General Hospital Surabaya. Media Gizi Kesmas, 12(1), 59–65. https://doi.org/10.20473/mgk.v12i1.2023.59-65.
Peraturan Menteri Kesehatan Republik Indonesia. (2022). Indikator Mutu Nasional Mutu Pelayanan Kesehatan Tempat Pratkik Mandiri Dokter dan DOkter Gigi, Klinik, Pusat Kesehatan Masyarakat, Rumah Sakit, Laboratorium Kesehatan, dan Unit Transfusi Darah. Peraturan Menteri Kesehatan Republik Indonesia Nomor 30 Tahun 2022.
Piva, E., Pelloso, M., Penello, L., & Plebani, M. (2014). Laboratory critical values: Automated notification supports effective clinical decision making. Clinical Biochemistry, 47(13–14), 1163–1168. https://doi.org/10.1016/j.clinbiochem.2014.05.056.
Wallace, K., Li, H., Brazeal, J. G., Lewin, D. N., Sun, S., Ba, A., Paulos, C. M., Rachidi, S., Li, Z., & Alekseyenko, A. V. (2020). Platelet and hemoglobin count at diagnosis are associated with survival in African American and Caucasian patients with colorectal cancer. Cancer Epidemiology, 67. https://doi.org/10.1016/j.canep.2020.101746.