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The document describes purpose, background, definitions, and methods for rapid communication, including what content should be transmitted and how responsibilities are assigned. It also addresses direct result reporting to patients and includes clinical specialty appendices covering laboratory areas such as clinical biochemistry, haematology, immunology, microbiology and virology, cellular pathology, histocompatibility and immunogenetics, and transfusion medicine. 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Responses and authors’ comments will be available to view at:\u003Cbr>[www.rcpath.org/profession/publications/documents-in](www.rcpath.org/profession/publications/documents-in)development. html\u003Cbr>Dr Michael Eden\u003Cbr>Clinical Director of Quality and Safety |\n\nThe Royal College of Pathologists  \n6 Alie Street, London E1 8QT  \nT: 020 7451 6700; [www.rcpath.org](www.rcpath.org)  \nRegistered charity in England and Wales, no. 261035 © 2026 The Royal College of Pathologists  \nYou may download, display, print and reproduce this document for your personal, non-commercial use. All other rights are reserved. Requests and inquiries concerning reproduction and rights should be addressed to the Royal College of Pathologists at the above address.  \nContents  \nForeword..............................................................................................................................3  \n1 Introduction..................................................................................................................3  \n2 Background .................................................................................................................5  \n3 Identification of laboratory test results for rapid communication ..................................5  \n4 Definitions....................................................................................................................6  \n5 Methods for rapid communication ................................................................................6  \n6 Result communication content ....................................................................................7  \n7 Responsibilities for the rapid communication of critical or unexpected test results ......8  \n8 Reporting of results directly to patients ........................................................................9  \n9 References ................................................................................................................ 10  \nAppendix A Clinical biochemistry ................................................................................. 11  \nAppendix B Haematology............................................................................................. 17  \nAppendix C Immunology .............................................................................................. 19  \nAppendix D Medical microbiology and medical virology...............................................22  \nAppendix E Cellular pathology .....................................................................................30  \nAppendix F Histocompatibility and immunogenetics ....................................................33  \nAppendix G Transfusion medicine................................................................................34  \nForeword  \nBest practice recommendations (BPRs) published by the Royal College of Pathologists should assist pathologists in providing a high standard of care for patients. BPRs are systematically developed statements intended to assist the decisions and approach of practitioners and patients abo","cbCaiqTjMismBKei","https://ap.wps.com/l/cbCaiqTjMismBKei","pdf",433383,34,"English","# Foreword\n# 1 Introduction\n# 2 Background\n# 3 Identification of laboratory test results for rapid communication\n# 4 Definitions\n# 5 Methods for rapid communication\n# 6 Result communication content\n# 7 Responsibilities for the rapid communication of critical or unexpected test results\n# 8 Reporting of results directly to patients\n# 9 References\n# Appendix A Clinical biochemistry\n# Appendix B Haematology\n# Appendix C Immunology\n# Appendix D Medical microbiology and medical virology\n# Appendix E Cellular pathology\n# Appendix F Histocompatibility and immunogenetics\n# Appendix G Transfusion medicine","[{\"question\":\"What is the purpose of these best practice recommendations (BPRs)?\",\"answer\":\"They support pathologists in delivering a high standard of care by providing systematically developed statements for decisions and actions in specific clinical circumstances.\"},{\"question\":\"How often are BPRs revised?\",\"answer\":\"A formal revision cycle takes place every 5 years, with consultation carried out for major revisions and short change notices for minor updates.\"},{\"question\":\"What topics are covered for rapid communication of results?\",\"answer\":\"The document covers identification of relevant tests, definitions, rapid communication methods, the content to communicate, responsibilities, and reporting results directly to patients, with specialty appendices for multiple laboratory areas.\"}]","Best practice recommendations - The communication of critical and unexpected pathology results - 2 - Version 2 | PDF",1791156886,86]