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Titolo:
STRATEGIES TO PROMOTE RATIONAL CLINICAL-CHEMISTRY TEST UTILIZATION
Autore:
HINDMARSH JT; LYON AW;
Indirizzi:
OTTAWA GEN HOSP,DIV BIOCHEM,501 SMYTH RD OTTAWA ON K1H 8L6 CANADA OTTAWA GEN HOSP,DIV CLIN CHEM OTTAWA ON K1H 8L6 CANADA UNIV OTTAWA,DEPT PATHOL LAB MED & BIOCHEM OTTAWA ON CANADA UNIV SASKATCHEWAN,DEPT PATHOL SASKATOON SK S7N 0W0 CANADA
Titolo Testata:
Clinical biochemistry
fascicolo: 4, volume: 29, anno: 1996,
pagine: 291 - 299
SICI:
0009-9120(1996)29:4<291:STPRCT>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
URINARY-TRACT INFECTION; TEST-ORDERING BEHAVIOR; REQUESTING PATTERNS; LABORATORY TESTS; DIPSTICK TESTS; MICROSCOPY; URINALYSIS; FEEDBACK; POPULATION; MODIFY;
Keywords:
LABORATORY; UTILIZATION; SCREENING; COST SAVINGS; PROFILE TESTING; STANDING ORDERS;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
52
Recensione:
Indirizzi per estratti:
Citazione:
J.T. Hindmarsh e A.W. Lyon, "STRATEGIES TO PROMOTE RATIONAL CLINICAL-CHEMISTRY TEST UTILIZATION", Clinical biochemistry, 29(4), 1996, pp. 291-299

Abstract

Objective: To critically review the elements of laboratory services that result in inappropriate ordering of clinical chemistry tests and the efficacy of corrective interventions. Methods and Results: In our experience, inappropriate use of laboratory services derives from multiple factors, including the use of multitest profiles, organ- or disease-specific test panels, indiscriminate ordering, standing orders, excessive reporting delays, poor audit trails of test requests, rigid group test ordering, failure to eliminate obsolete tests, and some features of computer software design. Educational strategies can be effectivein modifying test-ordering patterns, provided there is sustained feedback to physicians. Careful design of requisitions and the use of disease-specific algorithms have also proven effective. Conclusion: Limited resources must be directed to where they are most effective by optimizing laboratory work-flow from test ordering to reporting, to avoid practices that promote inappropriate laboratory use.

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Documento generato il 24/09/20 alle ore 05:15:49