Duplicated Laboratory Tests: A Hospital Audit

Bridges, Sharon; Papa, Linda; Norris, Anne E.; Chase, Susan K.

doi:10.1373/clinchem.2012.185264

Cited by 4 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bridges at al. [10] found that 7.7% of tests were ordered unnecessarily in the hospitalized patients. Test requesting behaviours of clinicians are affected by many factors such as experience, perceived medical and legal risks, patient-related factors such as anxiety, hospital processes and cultural beliefs.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Gereksiz serbest PSA test istemleri ve önleyici faaliyetlerin etkinliğinin değerlendirilmesi

Zorbozan

Akarken

Atikeler³

2019

Pamukkale Medical Journal

View full text Add to dashboard Cite

The aim of our work is to determine unnecessary fPSA test requests according to the European Association of Urology, European Society for Radiotherapy & Oncology guideline (EAPS-ESTRO-SIOG) and to assess the effectiveness of preventive actions we have made due to unnecessary test order. Materials and methods: The use of fPSA/tPSA ratio in patients with a serum tPSA level above than 10 ng/mL or below than 4 ng/mL is considered clinically insignificant according to guidelines. Measurement uncertainty for tPSA was calculated as ±15.49%. The limit values (4 and 10 ng/mL)were expanded according to uncertainty value. fPSA ordered in patients with tPSA levels above than 11.54 ng/mL or below than 3.38 ng/mL were considered unnecessary. In addition, if the patient did not have a tPSA test previously performed in another laboratory, the requested fPSA tests in patients without tPSA in our laboratory was evaluated as unnecessary. An informational message has been added to the hospital information system regarding the guideline recommendation. Unnecessary fPSA tests in six months period before and after adding the information message were evaluated. Results: The number of unnecessary fPSA test significantly decreased in the six-month term after the addition of information note (p<0.05). The fPSA test was not requested without the tPSA test in 6 month period after the addition of the information note. Conclusion: It is important to use the rules and algorithms mentioned in the guidelines when ordering the test. The results of our study suggest that the addition of an informative message according to the guideline recommendation to the hospital information system can reduce the unnecessary test order.

show abstract

Section: Discussionmentioning

confidence: 99%

“…In addition, it causes total cost and labour increase in laboratories. For these reasons, the reduction of unnecessary laboratory tests has become even more important in recent years [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Gereksiz serbest PSA test istemleri ve önleyici faaliyetlerin etkinliğinin değerlendirilmesi

Zorbozan

Akarken

Atikeler³

2019

Pamukkale Medical Journal

View full text Add to dashboard Cite

show abstract

“…Majority of RC tests were from the outpatient internal medicine service in our study but the rate of URC tests was highest in inpatient services. Bridges et al ( 9 ) had evaluated 6 common laboratory test requests in a group of hospitalized patients over a 12-month period and 7.7% were considered as unnecessary requests. It was stated that those unnecessary requests had increased the total cost and decreased the patient care efficiency.…”

Section: Discussionmentioning

confidence: 99%

Unnecessary repeated total cholesterol tests in biochemistry laboratory

2016

View full text Add to dashboard Cite

Introduction: We aimed to determine the number of repeated cholesterol (RC) tests and the ratio of unnecessary-repeated cholesterol (URC) tests among patients admitted to Pamukkale University Hospital (Denizli, Turkey) and provide solutions to avoid URC testing. Materials and methods: Total cholesterol (T-cholesterol) tests (N = 86,817) between June 2014 and May 2015 were evaluated. The tests performed more than once per patient were determined as RC test (N = 28,811). RC test with an interval shorter than 4 weeks were determined as URC test (N = 3968) according to the shortest retest interval stated in ACC/AHA blood cholesterol guideline. RC testing included internal medicine, surgery and paediatric outpatients and inpatients. Reference change value (RCV) of total cholesterol was calculated. Results: The 33.1% of the T-cholesterol tests were RC tests (N = 28,811), 13.7% of them were URC tests (N = 3968). Our RCV value was 25%. The percentage change between consecutive tests was less than RCV in 86.1% (N = 3418) of URC tests. URC tests were performed more frequently in patients with desirable total cholesterol value (P < 0.001). Conclusion:There is a significant part of repeated T-cholesterol tests requested in our hospital. URC test requests can be evaluated by laboratories and the obtained data should be shared with clinicians. Laboratories can calculate RCV for the tests they performed and report this value with the test result. To prevent from URC tests, a warning plug-in can be added to hospital information software in accordance with guidelines to prevent from URC test requests.

show abstract