CLSI has published guidelines on the use of delta checks in the medical laboratory. It details different approaches for validation of measurements for which delta checks are useful. It outlines the procedures to determine delta check limits and regulations for comparing current clinical results with previously reported outcomes for a specific patient. It also covers the steps involved in initiating delta check alerts in the laboratory information system, investigating patient samples flagged by delta check alerts, and and evaluating the effectiveness of the laboratory’s delta check program.