{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:16:48Z","timestamp":1747185408093,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T00:00:00Z","timestamp":1569542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Lab Hematology"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Immediate reporting of critical values or test results significantly outside the normal range has a growing role in the management of patients, especially in life\u2010threatening conditions. Due to the lack of international consensus, diverse approaches are used for determination of thresholds, reporting, documentation, and follow\u2010up. In this study, we assessed how Iranian laboratories manage critical values for hemostasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We designed a standard questionnaire to assess different aspects of hemostasis critical values, including the number of coagulation tests with a defined critical value, critical values reporting, documentation, and follow\u2010up policies. All results were self\u2010reported and correctness of the data was not assessed by the authors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 166 (66.4%) out of 250 laboratories completed the questionnaire; most (52.4%) were private. About 97% of responding laboratories had a critical values policy. These were defined for 64.3% (n: 27) of all coagulation tests (n: 42) performed in Iranian laboratories. Activated partial thromboplastin time (APTT), prothrombin time\/international normalized ratio (PT\/INR), platelet count, factor XI, and factor XIII assays had defined critical values among all laboratories performing these tests. Almost all laboratories reported critical values within 1\u00a0hour, after confirmation of the result on the same sample (70% of the laboratories) or a new one (13.4% of the laboratories). State and private laboratories had the same critical value reporting policy for in and outpatients, with laboratory technicians reporting critical results to nurses, for the most part.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although critical value policy is widely used among Iranian laboratories, there is no consensus policy for the reporting of hemostasis critical values, or documentation, threshold determination, and follow\u2010up processes. It is impossible to determine whether non\u2010responding laboratories had any critical values reporting policy. Results thus are biased toward laboratories that did.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijlh.13109","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T15:29:05Z","timestamp":1569598145000},"page":"778-781","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hemostasis critical values among Iranian clinical laboratories \u201cNational Survey of 157 Clinical Laboratories\u201d"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0125-9319","authenticated-orcid":false,"given":"Akbar","family":"Dorgalaleh","sequence":"first","affiliation":[{"name":"Anesthesiology Department Anesthesiology Research Center Shahid Beheshti University of Medicine Tehran Iran"},{"name":"Department of Hematology and Blood Transfusion School of Allied Medicine Iran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yavar","family":"Shiravand","sequence":"additional","affiliation":[{"name":"Department of Hematology and Blood Transfusion School of Allied Medicine TH University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Dabbagh","sequence":"additional","affiliation":[{"name":"Anesthesiology Department Anesthesiology Research Center Shahid Beheshti University of Medicine Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shadi","family":"Tabibian","sequence":"additional","affiliation":[{"name":"Department of Hematology and Blood Transfusion School of Allied Medicine Iran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam Sadat","family":"Hosseini","sequence":"additional","affiliation":[{"name":"Department of Hematology and Blood Transfusion School of Allied Medicine TH University of Medical Sciences Tehran Iran"},{"name":"Department of Hematology and Blood Transfusion School of Allied Medicine Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4904-0156","authenticated-orcid":false,"given":"Hassan","family":"Mansouri Tourghabeh","sequence":"additional","affiliation":[{"name":"Allergy Research Center Mashhad University of Medical Sciences Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamal","family":"Rashidpanah","sequence":"additional","affiliation":[{"name":"Shariati Hospital Tehran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fateme","family":"Narouei","sequence":"additional","affiliation":[{"name":"Khatam o Alanbia Hospital Zahedan University of Medical Sciences Zahedan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmood","family":"Shams","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Faculty of Paramedical Science Babol University of Medical Science Babol Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Saeed","family":"Gholami","sequence":"additional","affiliation":[{"name":"Skull Base Research Center Hazrat Rasoul Akram Hospital Iran University of Medical Sciences Tehran Iran"},{"name":"Student Research Committee Faculty of Allied Medicine Branch Iran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esmaei","family":"Saneei Moghaddam","sequence":"additional","affiliation":[{"name":"High Institute for Education and Research in Transfusion Medicine Zahedan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hojat","family":"Shahreki","sequence":"additional","affiliation":[{"name":"Department of Hematology and Blood Transfusion School of Allied Medicine Iran University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.5935\/1676-2444.20160008"},{"issue":"3","key":"e_1_2_8_3_1","first-page":"18","article-title":"Critical values launch interpretive lab medicine and clinical pathology","volume":"41","author":"Bersch C","year":"2009","journal-title":"MLO Med Lab Obs"},{"issue":"1","key":"e_1_2_8_4_1","first-page":"176","article-title":"Does routine repeat testing of critical laboratory values improve their accuracy?","volume":"29","author":"Motie PB","year":"2015","journal-title":"Med J Islam Repub 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