Etude de la qualité rédactionnelle des bulletins d’analyses biologiques au CHU Yalgado Ouédraogo, Burkina Faso

Abstract

RESUMELa non-conformité des bulletins d'analyses biologiques (BAB) rend difficile la réalisation et l'interprétation des résultats des examens biologiques. Elle compromet de ce fait l'utilisation optimale et rationnelle de l'outil d'aide au diagnostic que constituent les laboratoires. L'objectif de cette étude était d'évaluer la conformité des bulletins d'analyses biologiques prescrits et leur impact économique au Centre Hospitalier Yalgado Ouédraogo (CHU-YO), Burkina Faso. Il s'est agi d'une étude transversale descriptive réalisée de décembre 2016 à février 2017 dans le département de laboratoire du CHU-YO. Les informations portées sur chaque BAB et les coûts des examens prescrits sur ces bulletins ont été étudiés. Au total, 1683 BAB provenant de 10 services cliniques, ont été inclus dans l'étude. Sur les 1683 BAB, 71 (4,2%) étaient conformes aux règles de bonne prescription médicale. Le coût moyen des examens prescrits sur des BAB non conformes (9,2 $US) était significativement plus élevé par rapport à ceux prescrits sur des BAB conformes (7,12 $US) (p < 0,05). La qualité rédactionnelle des BAB est faible au Burkina Faso. Les BAB non conformes ont un impact réel sur le revenu du ménage et par conséquent sur l'économie du pays. ABSTRACTThe non-conformity of the laboratory requesting forms (LRF) makes it difficult to produce and interpret the results of the biological test; it compromises the optimal and rational use of the laboratory diagnostic tool. The aim of this study was to evaluate the conformity of the laboratory requisition forms prescribed and their economic impact at Yalgado Ouédraogo teaching hospital (CHU-YO), Burkina Faso. Cross-sectional and descriptive study was conducted between December 2016 and February 2017 in the department of laboratory, CHU-YO. The information provided of each request form and the cost of investigation required on each one were recorded and analyzed. A total of 1683 LRF from 10 clinicals services A. YACOUBA et al. / Int. J. Biol. Chem. Sci. 13(6): 2683-2690, 2019 2684 were included. Of the 1683 LFR, 71 (4.2%) complied with the rules of good medical prescription. There is a significant difference between the average cost of tests prescribed on non-compliant LRF (9.2 $US) and those prescribed on compliant LRF (7.12 $US) (p < 0.05). The drafting quality of LRF is low in Burkina Faso. The occurrence of errors in the writing of the LRF has a real impact on the household income and consequently on the country's economy.

The Compliance and Quality of Biological Examination Requests at the Douala General Hospital

“…The identity (name or unique identifier) was specified in 97.11%, the signature was notified in 93.48% of the cases and the stamp was present in 85.78% of the requests. These results are similar to those obtained by Yacouba et al who showed that the identity (name and surname) of the prescribers was mentioned in 94.10%, the signature was present in 94.20% and the stamp in 44.10% of cases [17].…”

“…The majority of information on the requests for examinations was first and last name (99.77%), sex (80%) and age (60.06%). These results are close to those of Yacouba et al who show that the majority of the information on the patients was first and last name (99.80%), age (96.70%) and sex (94.30%) [17]. In addition, only 23.79% of requests had the relevant clinical information reported, which is lower than the 33.30% obtained by Onyiaorah et al in 2012 [20].…”

“…In 17.88% of cases, the qualification of prescribers is not specified and general practitioners prescribed 7.38% of non-compliant requests. Yacouba et al had observed that 7.20% of non-compliant examination reports did not include the qualification of the prescriber [17].…”

Evaluation of non-conformities in the drafting of bulletins for urine cytobacteriological examinations at Sikasso Hospital (Mali)

“…A biological test report is a medical prescription for diagnostic purposes, specifying the parameter to be measured, in relation to the diagnostic hypothesis envisaged, and all the information needed for the laboratory to carry out the test correctly ( 1 ). Non-compliance in the prescription of medical biology tests makes it difficult to carry them out and interpret the results ( 2 ). A number of researchers have concluded that non-compliance has a number of possible consequences for patients, such as misdiagnosis, mismanagement and treatment, as well as therapeutic abstention ( 3 ).…”

“…A number of researchers have concluded that non-compliance has a number of possible consequences for patients, such as misdiagnosis, mismanagement and treatment, as well as therapeutic abstention ( 3 ). In Burkina Faso, 59.4% of non-compliances concerning clinical information were reported in a study in 2021 ( 2 ). In Niger, Djobo et al recorded 53.99% of non-compliances concerning failure to notify the name of the service on biological examination forms ( 4 ).…”