Vaubourdolle Michel, Alvarez Jean-Claude, Barbé Françoise, Beaudeux Jean-Louis, Boissier Élodie, Caillon Hélène, Chatron Philippe, Joly-Guillou Marie-Laure, Mailloux Agnès
Service de biochimie, Pôle de biologie médicale et pathologie, Site Saint-Antoine, GH Hôpitaux Universitaires Est Parisien, AP-HP, France.
Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
Ann Biol Clin (Paris). 2016 Mar-Apr;74(2):130-55. doi: 10.1684/abc.2015.1113.
SFBC working group on critical care testing describes in this paper guideline for the management of laboratory medicine examination process in emergency conditions. After a summary on French standards and regulations, the critical care testing perimeter and definitions of stat levels are presented in different contexts. The complete examination process is described. Guidelines are proposed for each step, to manage sub-process in a risk management approach. The following steps were studied: ordering (by specialties), sampling, transport, reception, analysis, validation and release. In summary, we proposed a list of examinations allowed to be prescribed in stat conditions with a short list and complementary tests as a function of clinical setting. These guidelines need to be adapted in clinicobiological contracts.
重症监护检测领域的法国生物临床学会(SFBC)工作组在本文中描述了紧急情况下检验医学检查流程的管理指南。在总结法国标准和法规之后,介绍了不同情况下重症监护检测范围和危急值的定义。描述了完整的检查流程。针对每个步骤提出了指南,以便采用风险管理方法管理子流程。研究了以下步骤:医嘱开具(按专科)、采样、运输、接收、分析、验证和发放。总之,我们提出了一份在危急情况下允许开具的检查清单,其中包括一份简表以及根据临床情况而定的补充检查。这些指南需要在临床检验合同中进行调整。