2014
DOI: 10.5935/1676-2444.20140049
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Abstract: Introduction: The most common cause of diagnostic error is related to errors in laboratory tests as well as errors of results interpretation. In order to reduce them, the laboratory currently has modern equipment which provides accurate and reliable results. The development of automation has revolutionized the laboratory procedures in Brazil and worldwide. Objective: To determine the prevalence of microscopic changes present in blood slides concordant and discordant with results obtained using fully automated … Show more

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Cited by 8 publications
(11 citation statements)
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“…This occurs despite evidence that such testing may lead to harmful over-investigation, may contribute to iatrogenic anaemia, and is costly; and that a substantial proportion of these tests are normal or unchanged on repeat testing. [1][2][3][4] Targeted diagnostic testing, in which clinicians order tests in response to specific clinical questions, may reduce unnecessary diagnostic test ordering by up to 50% and has been identified as a priority area to decrease waste by both clinicians and consumers. 5,6 However, concern has been raised that targeted testing may increase the risk of missed diagnoses, and high-quality evidence of the safety and effectiveness of targeted compared with routine diagnostic testing is lacking.…”
Section: Introductionmentioning
confidence: 99%
“…This occurs despite evidence that such testing may lead to harmful over-investigation, may contribute to iatrogenic anaemia, and is costly; and that a substantial proportion of these tests are normal or unchanged on repeat testing. [1][2][3][4] Targeted diagnostic testing, in which clinicians order tests in response to specific clinical questions, may reduce unnecessary diagnostic test ordering by up to 50% and has been identified as a priority area to decrease waste by both clinicians and consumers. 5,6 However, concern has been raised that targeted testing may increase the risk of missed diagnoses, and high-quality evidence of the safety and effectiveness of targeted compared with routine diagnostic testing is lacking.…”
Section: Introductionmentioning
confidence: 99%
“…It was stated that those unnecessary requests had increased the total cost and decreased the patient care efficiency. Oliveira et al ( 3 ) found the rate of unnecessary tests 41% in intensive care unit. Miyakis et al ( 20 ) found that 28.6% of tests conducted at the day of hospitalization are unnecessary and in the following days, it can increase up to 69.3%.…”
Section: Discussionmentioning
confidence: 99%
“…This puts the ICU patient at risk of need blood transfusions which is an all new set of risks such as Transfusion Related Acute Lung Injury, Transfusion Associated Circulatory Overload, or Transfusion Related Immunomodulation [7]. Costs for the hospital and patient accumulate quickly [1]. Hospital resources are spent obtaining these laboratory tests and that's if the data appear to be reliable.…”
Section: Increase Risks Associated With Labsmentioning
confidence: 99%
“…Similarly, electrolyte panels are scheduled, when a patient is on diuretic infusion despite minimal urine output. It is known that laboratory values are very expensive and add up very quickly [1]. We also know that drawing labs interrupt patients sleep and possibly cause pain, which leads to dissatisfaction among patients [2].…”
Section: Introductionmentioning
confidence: 99%