Critical insights: Exploring the timeliness and consistency of critical results reporting in hematology section of a specialized healthcare clinical laboratory

Abstract

Background & Objective: A critical laboratory value refers to a test result that falls within a dangerous abnormal range, indicating a potentially life-threatening condition. Delays in reporting such results can jeopardize patient well-being. Therefore, assessing the timely reporting of critical result is key factor for identifying areas of improvement and ensuring efficient dissemination of crucial information to healthcare providers. This proactive approach enhances patient care, expedites clinical decisions, and reduces morbidity and mortality. This study aimed to assess the timeliness and consistency of critical result reporting in hematology section of pathology department in a specialized healthcare facility.

Methodology: A retrospective cross-sectional study was conducted at the Multan Institute of Kidney Diseases from Jan 2022 till June 2025. The sample of CBC, PT, APTT, Reticulocyte count, MP-ICT meeting sample acceptance criteria were included.

Results: During the study period total 2 52, 034 million tests were requested by clinicians in the hematology section of pathology department. The requisition data shows that CBC accounts for 181750 of the total, followed by PT - 34367, APTT - 34145, Reticulocytes -1182 and ICT Malaria - 590. A total of 6,152 hematology tests yielded critical results, of which 6,130 (99.82%) were reported within the established critical reporting benchmark. Only 11 cases (0.18%) experienced delays in notification due to various influencing factors. This reflects a high compliance rate in the timely reporting of critical alerts, demonstrating exceptional operational efficiency and adherence to patient safety protocols.

Conclusion: Ensuring rapid and reliable delivery of critical haematology values is essential for timely clinical intervention and improved patient outcomes. Implementation of targeted strategies such as staff training, automated alert systems, and continuous performance monitoring can significantly enhance the accuracy and efficiency of critical result management.