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Problem: Patient was transferred to floor with hand-off of critical troponin of
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Problem: Patient was transferred to floor with hand-off of critical troponin of 674. Morning labs showed troponin level increased to 9080. Critical value was entered into EPIC but not called to nurse because of patient already having a critical value prior. Labs policies are unsafe
and has no place in patient care. Routine review of labs by nurse found the critcal lab value of 9080 result and cardiology was immediately contacted and intervention orders were implemented. Patient care was not timely based on lack of result notificiation. This practice has to change. Create a PICOT statement of the above problem. PICOT statement: Patient population, intervention/issue, comparison, desired outcome, timing
Find some reason why it would be important to improve the problem.
Nursing Standards, Joint Commission accreditation criteria, Core Measures, ethics, medication safety, National Patient Safety Goals, infection control standards, policy and procedure, best practices, high reliability, nursing sensitive indicators, financial, wound and skin guidelines, etc.
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