Assessment of completion of forms requesting skin biopsies

Schettini, Daniel Almeida; Schettini, Antônio Pedro Mendes; Sardinha, José Carlos; Ferreira, Luíz Carlos de Lima; Vasques, Felicien; Xerez, Luena

doi:10.1590/s0365-05962012000100014

Cited by 4 publications

(12 citation statements)

References 6 publications

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“…Studies from different parts of the world in different laboratory services had shown deficits in filling of laboratory test request forms. [345671011]…”

Section: Discussionmentioning

confidence: 99%

“…The previous studies showed that missing information in request form for various laboratory and radiology testing cause delay in treatment process. [34567] Missing information in blood request form leads chances of error and transfusion reactions to the patient. Predetermined transfusion guidelines, pretransfusion approval, and transfusion audits are useful tools in the education of those ordering blood components.…”

Section: Introductionmentioning

confidence: 99%

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Audit and education: Role in safe transfusion practice

Patidar

Kaur

2018

Asian J Transfus Sci

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BACKGROUND:Auditing and education are the tools for improvement in the transfusion practices. Clinicians are not providing patient's demographic data and medical history to the blood bank that required transfusion. This missing information in blood request forms can lead to transfusion reactions to the patient. So we planned to analyse the blood request forms received at our blood bank and the impact of educational program for the clinicians.METHODS:A total of 6894 blood request forms were received from the month of July 2014 to December 2014 at a blood bank in Amritsar, India. We evaluated for completeness of the blood request form in parameter columns like second identification (CR No. or Father/Husband Name), diagnosis, pre transfusion hematological parameters, quality and quantity of blood component required, history of previous transfusion and adverse transfusion reaction, urgency of transfusion, medical officer name and signature, phlebotomist name and signature etc. A series of CMEs on “Safe Transfusion Practices” were organized for clinicians and hospital staff from 1st August 2014 and improvement in clinicians’ behavior was analysed.RESULTS:A total of 60.83% requests were not filled completely during the study period. Of these 91.42% were in the month of July, which decreased to 48.76% in the month of December 2014 with a total improvement of 42.66%. Incomplete second identification (91.03%) and history of previous transfusion and adverse transfusion reactions (80.21%) were the commonest incomplete fields in the month of July 2014. In the month of December 2014, an improvement in incomplete second identification was observed (12.8%) however phlebotomist signature was still a major incomplete field (45.19%). A statistically significant (p value = 0.004, paired ‘t’ test) improvement in completeness of forms was observed.SUMMARY:Results of medical audit and using those as a basis for developing a highly targeted educational program, can improve the clinicians’ approch towards transfusion practices.

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“…Studies from different parts of the world in different laboratory services had shown deficits in filling of laboratory test request forms. [345671011]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Audit and education: Role in safe transfusion practice

Patidar

Kaur

2018

Asian J Transfus Sci

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“…[10,11,20] This study found that the patient demographic data was the best-provided data on the request forms referred for thrombophilia-screen tests, which was in agreement with other studies. [11,12,[19][20][21] The satisfactory completion of demographic data on all the request forms assessed, is largely due to the patient-specific, electronically generated stickers which are mandatory patient identifiers.…”

Section: Discussionmentioning

confidence: 99%

“…A similar previous study indicated that insufficient data on the laboratory request forms influenced the interpretive comment. [ 21 ] In this study, clinical information including the diagnosis or presumptive diagnosis, the presence or absence of acute thrombosis at the time of sample collection, family history of thrombosis, past thrombotic episodes, patient exposure to anticoagulation therapy as well as other medications taken at the time of sample collection such as oral contraceptives, was inadequate on all request forms evaluated. The presence of acute thrombosis decreases PC, PS and AT levels, which can result in a false impression of inherited deficiency.…”

Section: Discussionmentioning

confidence: 99%

The impact of physician education regarding the importance of providing complete clinical information on the request forms of thrombophilia-screen tests at Tygerberg hospital in South Africa

2020

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Background Thrombophilia-screen tests are specialised haemostasis tests that are affected by numerous unique patient variables including the presence of acute thrombosis, the concomitant use of medication and patient demographics. Complete information on the request form is therefore crucial for the haematological pathologist to make patient-specific interpretation of patients' results. Objectives To assess the completeness of thrombophilia-screen test request forms and determine the impact of provision of incomplete information, on the interpretive comments generated by reporting haematological pathologists. To assess the impact of an educational session given to clinicians on the importance of providing all the relevant information on the request forms. Method Two retrospective audits, each covering 3 months, were performed to evaluate the completeness of demographic and clinical information on thrombophilia-screen request forms and its impact on the quality of the interpretive comments before and after an educational intervention. Results One hundred and seventy-one request forms were included in the first audit and 146 in the second audit. The first audit revealed that all 171 thrombophilia-screen request forms had

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“…Nowadays, histopathological examination of specimens is not only an auxiliary means of diagnosis, but also a useful method to assist clinicians with appropriate therapy, proper prognosis prediction, and critical decisions in patient management (1)(2)(3). In the past, the quality of laboratory examinations was determined by the accuracy of the analytical phase (4).…”

Section: Introductionmentioning

confidence: 99%

Information adequacy in histopathology request forms: a milestone in making a communication bridge between confusion and clarity in medical diagnosis

Abbasi¹,

Asghari²,

Niazkhani³

2022

TJPATH

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Objective: Information contained in request forms for histopathological examinations plays a critical role in the microscopic interpretation of tissue changes. Despite its importance, studies have shown inadequacies in the information communicated by clinicians. This study aimed to determine how well the necessary information is provided on the histopathology request forms and to compare its variability among different departments of a hospital. Material and Method:A retrospective, 3-month, cross-sectional study was conducted to evaluate all consecutive histopathology request forms received from different departments of a tertiary, academic hospital for three months, regarding the documentation of 12 criteria.Results: None of the 2040 requests received had all the required items. Four items of specimen description, laboratory and imaging findings, and physician contact number were available only in less than 12.5% (range between 0.05 to 12.45%) of the requests. However, four other items of patient name and contact number, physician name, and anatomical site of the lesion were documented in more than 90%. The median number of the documented items was the highest in the surgery and orthopedics (9 items) and the lowest in the pulmonology department (7 items). Comparison between departments showed that the documentation of items in the surgery department were significantly better than that of the ENT, urology, and internal medicine departments (p<0.001). Also, the internal medicine department was significantly different from all other departments (p<0.001) except neurosurgery (p=0.88). Conclusion:Our results point out a serious gap in the adequacy of pathology request forms, especially clinical items. Given the implication of such information to ensure patient safety, further studies are recommended to evaluate the impact of educational and supportive computerized interventions such as clinician education and barcoding and specimen tracking systems to help fill in the required items completely.

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Assessment of completion of forms requesting skin biopsies

Abstract: We concluded that information on many of the essential items required for a correct interpretation of the anatomopathologic examination was missing from the request forms.

Cited by 4 publications

References 6 publications

Audit and education: Role in safe transfusion practice

Audit and education: Role in safe transfusion practice

The impact of physician education regarding the importance of providing complete clinical information on the request forms of thrombophilia-screen tests at Tygerberg hospital in South Africa

Information adequacy in histopathology request forms: a milestone in making a communication bridge between confusion and clarity in medical diagnosis

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