print this page

Monitoring & Reporting of Critical Laboratory Tests

The timely monitoring and reporting of laboratory tests and results, especially if the results contain a critical value, is crucial to the safe and effective provision of home infusion therapy.  Monitoring and reporting laboratory tests/results to the prescriber has always been part of the BHI&RS practice, although specific standards for the timeliness of such activities were not well defined.




Baystate Home Infusion & Respiratory Services 

A baseline assessment was completed of the services and the associated laboratory tests/results that are needed to support those services.  Based on the assessment results, BHI&RS identified which laboratory tests/results posed the greatest risks to patients, confirming that they should be reported as critical results. 

  • Critical results are predefined values/interpretations that may indicate a possible life-threatening situation, significant morbidity, or serious adverse consequences for the patient that necessitates immediate clinical attention or treatment. 
  • BHI&RS adopted time targets:
    • Results are communicated within 24 hours of the results being available.
    • If the result is critical, it is reported to the prescriber/designee within one hour.
  • Pharmacists keep a log of response times based on the time targets. 
  • BHI&RS receives a report of critical tests/results from Baystate Reference Laboratories (BRL) to double-check to ensure all data are being captured. 
  • Reporting compliance is monitored and reviewed on an ongoing basis to ensure adherence and to continue to refine our reporting process as necessary. 
  • This ongoing feedback has resulted in improvement of compliance with important patient safety standards.


For more information on Quality at Baystate Health

For more information on Baystate Home Infusion and Respiratory Services