{
  "id": "medical/lab-result-hemolysis-false-elevation",
  "signature": "AI interprets elevated serum potassium (6.5 mEq/L) as hyperkalemia without considering hemolysis artifact",
  "signature_zh": "AI将血清钾升高（6.5 mEq/L）解释为高钾血症，未考虑溶血假象",
  "regex": "(potassium|K\\+|hyperkalemia)\\s*(hemolysis|hemolyzed|pseudo|artifact)",
  "domain": "medical",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Hemolysis during blood draw or processing releases intracellular potassium, causing pseudohyperkalemia; true potassium may be normal; ignoring hemolysis index leads to unnecessary treatment (e.g., insulin, calcium gluconate) with iatrogenic risks.",
  "root_cause_type": "generic",
  "root_cause_zh": "采血或处理过程中的溶血释放细胞内钾，导致假性高钾血症；实际钾可能正常；忽略溶血指数会导致不必要的治疗（如胰岛素、葡萄糖酸钙），带来医源性风险。",
  "versions": [
    {
      "version": "Roche Cobas 8000",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "hemolysis index ≥ 2+",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "CLSI guidelines H56-A",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "If hemolysis is due to difficult draw or improper technique, repeat may show same artifact; need to check hemolysis index first",
      "fail_rate": 0.75,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Unnecessary treatment causes hypoglycemia; if potassium is actually normal, patient at risk of hypokalemia",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "True hyperkalemia can be asymptomatic; correlation with hemolysis index is required, not clinical judgment alone",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Check hemolysis index on lab report; if ≥ 2+, request recollection with proper technique (no fist clenching, use larger vein); run `python -c \"print('Hemolysis index: check >2+; recollect if elevated')\"`",
      "success_rate": 0.95,
      "how": "Check hemolysis index on lab report; if ≥ 2+, request recollection with proper technique (no fist clenching, use larger vein); run `python -c \"print('Hemolysis index: check >2+; recollect if elevated')\"`",
      "condition": "",
      "sources": []
    },
    {
      "action": "Order venous blood gas for rapid whole blood potassium, less affected by hemolysis",
      "success_rate": 0.88,
      "how": "Order venous blood gas for rapid whole blood potassium, less affected by hemolysis",
      "condition": "",
      "sources": []
    },
    {
      "action": "If hemolysis index unavailable, repeat draw from opposite arm with minimal tourniquet time and avoid small needles",
      "success_rate": 0.85,
      "how": "If hemolysis index unavailable, repeat draw from opposite arm with minimal tourniquet time and avoid small needles",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Check hemolysis index on lab report; if ≥ 2+, request recollection with proper technique (no fist clenching, use larger vein); run `python -c \"print('Hemolysis index: check >2+; recollect if elevated')\"`",
    "Order venous blood gas for rapid whole blood potassium, less affected by hemolysis",
    "If hemolysis index unavailable, repeat draw from opposite arm with minimal tourniquet time and avoid small needles"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.clsi.org/standards/products/hematology/documents/h56/",
  "official_doc_section": null,
  "error_code": "LAB-HEMOLYSIS-003",
  "verification_tier": "ai_generated",
  "confidence": 0.89,
  "fix_success_rate": 0.93,
  "resolvable": "true",
  "first_seen": "2024-03-15",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}