Non-GYNCriticalValues

Critical Values (CV) for Non-Gynecologic? Cytology Reporting

     This material is new content and Needs ReviewThis material is new content and Needs Review. 

Definition of Critical Value: "...is a laboratory test result that represents a pathophysiologic state at such variance with normal as to be life-threatening if an action is not taken quickly and for which an effective action is possible. ..."
Source: MedGenMed. 2007; 9(1): 20. Published online 2007 January 29. 

Definition of Vital Value: "...is a laboratory result just as important as a critical value, but one for which timing is not as crucial. While a blood glucose under 40 mg/dL is a critical value, positive Pap smears, mammograms, or TB cultures are examples of vital values. ..."  
Source: MedGenMed. 2007; 9(1): 20. Published online 2007 January 29. 

It appears that for Non-Gynecologic? Cytology reporting, the terminology commonly in use in the published pathology literature is that of "critical value" and not "vital value", although, as Dr. Lundberg delineates in the above reference, this term may actually be more preferable and practical, based on the definition. 

The items in red indicate the consensus opinion regarding the most common CVs for cytology. The items in black, represent other CVs considered important for notification. The CVs were also grade as to need for phone calls: no phone call, notify within 24hr and phone call notification ASAP.

1. Unexpected malignancy
2. Disagreement between prelim and final FNA result
3. Organisms in non-GYN and FNA
4. Amended report
5. Very unusual tumor
6. Disagreement with outside slide review
7. Anticipated delay in diagnosis (ie. outside consultation)

References: