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procedure_for_review_release_of_reports [2025/01/30 05:56] – created adminprocedure_for_review_release_of_reports [2025/01/30 06:13] (current) – admin
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 [[clinical_biochemistry_section|Home]] [[clinical_biochemistry_section|Home]]
 +                 Documented Procedure for review and release of reports
 **Purpose:** To  manage  post analytical processes in relation to the review, reporting and release of test results in clinical biochemistry Laboratory. **Purpose:** To  manage  post analytical processes in relation to the review, reporting and release of test results in clinical biochemistry Laboratory.
  
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 Authorized personnel have responsibility to carry out following procedure  Authorized personnel have responsibility to carry out following procedure 
-Review of patients report against IQC results  +  - Review of patients report against IQC results  
-Review of patients report against Clinical History. +  - Review of patients report against Clinical History. 
-Review of patients report against Previous result. +  - Review of patients report against Previous result. 
-Review of patients results with other parameter results of the same patient. +  - Review of patients results with other parameter results of the same patient. 
-combination of all these information+  - combination of all these information
  
 Authorized personnel have responsibility to take decision  Authorized personnel have responsibility to take decision 
-Release examination result for reporting +  - Release examination result for reporting 
-Repeat examination +  - Repeat examination 
-Ask for repeat sample collection+  - Ask for repeat sample collection
  
  
 See the graphs of each test one by one as the results are given by instrument. See the graphs of each test one by one as the results are given by instrument.
 Following should be noted in Graphs, Following should be noted in Graphs,
-OD  +  - OD  
-Pattern of graph.Any unusual presentation like,spike,reverse pattern of reaction direction,not achieving equilibrium, reaction curve is not linear in reading period. +  - Pattern of graph.Any unusual presentation like,spike,reverse pattern of reaction direction,not achieving equilibrium, reaction curve is not linear in reading period. 
-Flag of test result.in case of any dilution, see the graph of before & after dilution.+  - Flag of test result.in case of any dilution, see the graph of before & after dilution.
  
  
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   - If Result of potassium is very high - Check for sample hemolysis   - If Result of potassium is very high - Check for sample hemolysis
-  - In hemolyzed samples  Potassium, SGOT, LDH, Total protein result will be High because RBC have higher concentration of these analytes as compared to serum. +In hemolyzed samples  Potassium, SGOT, LDH, Total protein result will be High because RBC have higher concentration of these analytes as compared to serum. 
-  - In hemolyzed samples Billirubin can be low as high Hb concentration breaks the azobilirubin complex.+In hemolyzed samples Billirubin can be low as high Hb concentration breaks the azobilirubin complex.
   - High direct bilirubin in samples from neonatal ward should be informed to the doctor    - High direct bilirubin in samples from neonatal ward should be informed to the doctor 
   - If Total & Direct billirubin have the same value- give Indirect billirubin Below detection limit.   - If Total & Direct billirubin have the same value- give Indirect billirubin Below detection limit.
   - If the instrument is showing results as a less than value that means the patient's result for that analyte is below the detection limit of the instrument. For example Creatinine is <0.6 report it as a below detection limit of instrument.   - If the instrument is showing results as a less than value that means the patient's result for that analyte is below the detection limit of the instrument. For example Creatinine is <0.6 report it as a below detection limit of instrument.
-  - If Creatinine below 0.6 - First check the result of Bilirubin. If It is < 15 mg/dl,give result as below detection.If it is > 15 mg/dl ,give comment that creatinine reporting cannot be done as a Hyperbillirubinemia Interfere with creatinine estimation. +  - If Creatinine below 0.6 - First check the result of Bilirubin. If It is < 15 mg/dl,give result as below detection.If it is > 15 mg/dl ,give comment that creatinine reporting cannot be done as a Hyperbillirubinemia Interfere with creatinine estimation.Comment: “Received sample is highly icteric. So, only limited Biochemistry is possible due to technical reason of methodology.”
-  - Comment: “Received sample is highly icteric. So, only limited Biochemistry is possible due to technical reason of methodology.”+
   - If High potassium and low calcium- Check the blood clot in the vacutte,  sample will not be clotted properly if EDTA contamination is there, call the doctor for transfer of sample from flouride or EDTA to plain vacutte &  If transfer of sample was done  then add comment  ‘sample is rejected and send the repeat sample’.   - If High potassium and low calcium- Check the blood clot in the vacutte,  sample will not be clotted properly if EDTA contamination is there, call the doctor for transfer of sample from flouride or EDTA to plain vacutte &  If transfer of sample was done  then add comment  ‘sample is rejected and send the repeat sample’.
   - If report of any patient having low value for all the analyte- Check the sample for proportion of cell part & serum, sample sample may be diluted   - If report of any patient having low value for all the analyte- Check the sample for proportion of cell part & serum, sample sample may be diluted
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 **For reporting of Critical Result:**  **For reporting of Critical Result:** 
-The test result of the parameters is in the critical range defined by the laboratory 7.4.1.3 Critical values The authorized personnel will review, inform the concerned physician and after taking necessary action, the report will be released as a critical report with necessary remarks. Above procedure will be documented in the critical alert register (Hard copy).+The test result of the parameters is in the critical range defined by the laboratory 7.4.1.3 Critical values[[7.4.1.3 Critical values]] The authorized personnel will review, inform the concerned physician and after taking necessary action, the report will be released as a critical report with necessary remarks. Above procedure will be documented in the critical alert register (Hard copy).
        
 **For Interim report:** **For Interim report:**
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 +^ Name of Laboratory : Laboratory Services Sir T. Hospital (LSSTH),Bhavnagar ^^^^ 
 +^Document No.1^ Documented Procedure for review and release of reports ^**Unique ID**:LSSTH /BIOCHEM/ SOP-5^^ 
 +^Issue No. : 01^Issue Date :30/04/2024^Page No.^^ 
 +^Amend No.^ Amend Date ^Prepared by: Section Incharge^Approved & Issued by: HOD,Biochemistry^