FOCUS-PDCA can effectively optimize the critical value of test items: FOCUS-PDCA može efikasno da optimizuje kritičnu vrednost ispitivanja.

Chunbao Xie,Jiaqiang Wang,Jiangrong Luo,Taiqiang Zhao,Chao Dai,Yi Shi,Meiling Jian,Linxi Jiang,Jianbo Zhang,Li Jiang,Yao Wei

doi:10.5937/jomb0-34958

Chunbao Xie, Jiaqiang Wang + Show 9 more

Open Access

https://doi.org/10.5937/jomb0-34958

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Abstract

BackgroundTo optimize the critical value of test items using FOCUS-PDCA (find, organize, clarify, understand, select, plan, do, check and act), and to set the personalized critical value of the test for different departments.MethodsWe searched for literature reporting on the critical value and FOCUS-PDCA published over recent 5 years in order to understand the significance and status quo of critical value and FOCUS-PDCA. We also collected and analyzed the critical value data of hospital tests performed in Sichuan province hospitals in 2019, which were later compared to data from 2020 to determine the FOCUSPDCA cycle.ResultsThe proportion of critical values in the whole hospital decreased from 3.5% before optimization to 2.5% to 3% after optimization. The critical values of ICU, hematology, nephrology, urology, and neonatal departments after optimization significantly decreased compared with those before optimization, while the critical values of cardiac surgery, emergency ICU, cardiology, and neurosurgery ICU showed no significant difference before and after optimization. Contrary, the critical values of the infection department after optimization significantly increased before optimization.ConclusionsFOCUS-PDCA can effectively optimize the critical value of test items, which is beneficial for rational utilization of medical resources.

Highlights

The term critical value was first proposed by Lundberg in 1972 [1], referring to the laboratory test value that is life-threatening to a patient without timely clinical intervention [2]
The critical values of the infection department after optimization significantly increased before optimization
This study aimed to optimize the critical value of the test by FOCUS-PDCA and set the personalized critical value of the test for different departments

Summary

Introduction

The term critical value was first proposed by Lundberg in 1972 [1], referring to the laboratory test value that is life-threatening to a patient without timely clinical intervention [2]. Optimizing the critical value reporting process and improving the critical value reporting rate and timely rate of critical value reporting have been explored worldwide. PDCA is a popular iterative methodology that can fix a problem or improve a process and reduce the failure rate of critical value in the laboratory department [6,7]. Some researchers have applied the PDCA cycle method to test critical value management, effectively reducing the return time of critical value management and medical intervention and improving the critical value registration rate and the qualified rate of registration [8]

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