A patient's hemoglobin changes from 14.2 g/dL to 7.1 g/dL within two hours without a compatible clinical event. What is the best first laboratory response to the delta-check alert?
1Report both results automatically, noting the delta-check alert in the patient record immediately
2Delete the previous result, assuming it was a clerical error from the start without further investigation
3Verify patient and specimen identification, assess specimen integrity, and repeat or recollect per policy✓ 정답
4Change the current result to the previous value, overriding the new measurement without review
해설
A large implausible delta may reflect misidentification, collection problems, contamination, or true acute change. Identification and specimen integrity must be investigated before reporting.