[The Present State of Inter-Laboratory Differences in Setting and Practicing Critical Values -Results of a Questionnaire Survey Performed to the Laboratories of Keio University-Associated Hospitals].

Mariko Ito, Shojiro Kano, Terumichi Nakagawa, Haruto Kikuchi, Ayako Shibata, Atsumi Ota, Tomio Hayakawa, Hisayo Ogawa, Akie Tani, Hiroko Takeda, Hiroshi Koyama, Midori Ishibashi, Katsumi Yamalzaki, Mitsuru Murata
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Abstract

Presently we, Keio Endocrine and Metabolite Survey (KEMS) study group conducted a questionnaire sur- vey with respect to panic values in the laboratories belonging to Keio University-associated hospitals. As to the initial setting, most of the laboratories answered to play a leading role in preparing the necessary matters to implementation of panic values and revise them corresponding to physician's request on each occasion. In almost all laboratories, they did not verify whether the notification procedure does work to exert appropriate clinical action. The numbers of critical values answered by the 18 laboratories distributed widely in the test items (8-39) and their critical limits (10-68). As to the critical limits, the lower limits of serum K and blood glucose converged among the laboratories, however, the limits of other test items diverged. The results of the present survey regarding to critical values, although being in small scale, may submit the im- portant issue to be solved in near future. [Short Communication].

[实验室间设置和实践临界值差异的现状-对庆应义塾大学附属医院实验室进行的问卷调查结果]。
目前,我们庆应义塾内分泌和代谢物调查(keems)研究小组在庆应义塾大学附属医院的实验室进行了一项关于恐慌值的问卷调查。对于初始设置,大多数实验室回答在准备实施恐慌值的必要事项方面发挥主导作用,并在每次情况下根据医生的要求对其进行修改。在几乎所有的实验室中,他们都没有验证通知程序是否能够发挥适当的临床作用。18个实验室回答的临界值数量在测试项目(8-39)及其临界极限(10-68)中分布广泛。在临界限上,各实验室对血清K和血糖的下限趋同,而其他检测项目的下限存在差异。目前关于临界值的调查结果,虽然是小规模的,但可以提出在不久的将来需要解决的重要问题。简短的沟通。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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