Promptly reporting of critical laboratory values in pediatrics: A work in progress

Abstract

In the 21^st century, the determination of alert thresholds remains the most challenging and controversial issue in clinical pediatrics. Pre-analytical, analytical, and post-analytical matters will consolidate or undermine the fate of any laboratory process. Pre-analytical issues need to be cleared off before the laboratory physician can dispatch the result to the pediatrician in charge. Once it is cleared off, the classification of essential laboratory results is paramount. It is more than an academic exercise and may be subdivided in the order of priority we handle it to inform promptly and safely the primary physicians. Currently, we are applying new modes of making sure relevant information is transmitted without interrupting the standard workflow of the primary physicians in charge for the child, who eventually need a fast line of action for results that may be life-threatening.

Keywords: Communication; Laboratory; Healthcare; Prioritization; Quality

Core tip: Communication is crucial in pediatrics, not only in the emergency departments. A fast line of action needs to be in place but needs to rely on pediatric laboratory physicians. The interaction between pediatrics and pediatric laboratory will build a center of excellence identifying critical values that need to be transmitted promptly from the bench to bedside.