1. All reports are entered in info.diagnostica software by data entry operator/ technician which are password protected.

2. All printed reports are verified by authorized signatories and being released by the same.

3. The printed reports are arranged according to ward. In routine hours, printed reports are dispatched by OPD servants between 11a.m. to 12p.m. and 3 p.m. to 4 p.m.

4. In emergency hours, dispatch of printed reports are done by dispatch boy from 6:00 pm 12:00 am and rest of the time technician on duty dispatch the reports.

5. In case of misplacement of reports, person (doctor /patient relative/ patient him or herself/ ward boy) who come to collect the report is asked to submit acknowledgement slip. Sample ID no and name are verified and after that printed report is given.

1. Release of reports

1. All reports are checked by authorized signatory and released by same authorities in printed form.

1. Release of printed report.
   1. Authorized person to receive reports
      1. The requesting clinicians and persons deputed by requesting clinicians. Generally ward servents, interns, residents are deputed for collecting reports.
      2. The patients themselves and persons deputed by the patients(When presented with acknowledgement in form of ward register or acknowledgement slip given by the laboratory)

1. Release of printed revised reports.
   1. Authorized person to receive reports
      1. The requesting clinicians and persons deputed by requesting clinicians. Generally ward servents, interns, residents are deputed for collecting reports.
      2. The patients themselves and persons deputed by the patients(When presented with acknowledgement in form of ward register or acknowledgement slip given by the laboratory)

1. Release of report telephonically
   1. Authorized person to receive reports
      1. ward doctors and nursing staff (When called via hospital intercom)

1. Release of critical reports telephonically
   1. Records of critical reports released are maintained which includes date, time, responsible laboratory staff member, person authorized to receive critical alert report, details of reports conveyed and any difficulty encountered during release of critical report.
   2. Authorized person to receive reports
      1. ward doctors and nursing staff (via hospital intercom)

FOLLOWING CRITICAL VALUES TO BE INFORMED TO CLINICIAN AS SOON AS THE REPORT IS DONE.

ESR:

Stroke> 28 mm/hr

Prostatic cancer> 37 mm/hr

Coronary Artery Disease>22 mm/hr

Metastasis >100 mm/hr

Temporal arteritis>90 mm/hr

Peripheral Smear:

Presence of Blast cells, sickle cells

New diagnosis of leukemia, Sickle cell anemia, Aplastic crisis.

Malaria parasite: p.falciparum ++++

Note:

When the examination reports fall within the established critical interval following steps are taken

1. The physician or the authorized medical staff in concerned ward is notified immediately
2. The records of the critical value of the tests are maintained in a register monitoring, name of the doctor informing, the person notified and the values of the critical test results.

1. When reports are released on interim bases, later on final report is always released to the requester
2. Results with serious implications are not communicated directly to the patient without the opportunity for adequate counseling.(e.g. Malignancy)
3. Whenever reported data are used for epidemiology, demography or other statistical analyzed, all identification details of patient are separated and confidentiality is maintained.