Article Data

  • Views 1850
  • Dowloads 183

Original Research

Open Access

Minimum retesting intervals – application through electronic order forms on common laboratory tests

  • RUŽICA GALOVIĆ1
  • MIRJANA FUČEK1
  • DUNJA ROGIĆ1

1University Hospital Centre Zagreb, Department of Laboratory Diagnostics, Zagreb, Croatia

DOI: 10.22514/SV112.062016.17 Vol.11,Issue S2,June 2016 pp.77-79

Published: 14 June 2016

*Corresponding Author(s): RUŽICA GALOVIĆ E-mail: ruzica.galovic@kbc-zagreb.hr

Abstract

Inappropriate ordering of laboratory tests generates unnecessary excess of labour, ex-penses and waste. Here we present how the laboratory can proactively and effectively manage its workload using minimum re-testing intervals implemented in a com-puterized hospital laboratory test ordering system.

The hospital information system was up-graded with a feature of checking and alert-ing to inappropriateness of a patient’s test request according to pre-set criteria (exist-ence of previous result within a defined time period, and a pending request for the same test). The project was implemented in two hospital wards and results were collected for emergency requests during April 2016. Overall, 4,094/20,495 requests violated the implemented criteria for the appropriate-ness of testing and generated alerts. As a consequence, 1,517 requests were dismissed (7% of all requests, 37% of alerted tests). Throughout the study, the total financial savings was 33,394 HRK (approximately 4,300 EUR). The average saving per test was 8.1%.

A restriction of emergency tests requests resulted in substantial effectiveness, sug-gesting further implementation together with the promotion and education between clinicians and laboratory professionals.

Keywords

minimum retesting intervals, lab-oratory test ordering, emergency test requests

Cite and Share

RUŽICA GALOVIĆ,MIRJANA FUČEK,DUNJA ROGIĆ. Minimum retesting intervals – application through electronic order forms on common laboratory tests. Signa Vitae. 2016. 11(S2);77-79.

References

1. Krasowski MD, Chudzik D, Dolezal A, Steussy B, Gailey MP, Koch B, Kilborn SB, Darbro BW, Rysgaard CD, Klesney-Tait JA. Pro-moting improved utilization of laboratory testing through changes in an electronic medical record: experience at an academic medi-cal center. BMC Med Inform Decis Mak. 2015;15(1):11.

2. Elnenaei MO, Campbell SG, Thoni AJ, Lou A, Crocker BD, Nassar BA. An effective utilization management strategy by dual ap-proach of influencing physician ordering and gate keeping. Clin Biochem 2016;49(3):208-212.

3. Lang T. Laboratory demand management of repetitive testing - time for harmonisation and an evidenced based approach. Clin Chem Lab Med 2013;51(6):1139-1140

4. Pelloso M, Basso D, Padoan A, Fogar P, Plebani M. Computer-based-limited and personalised education management maximise ap-propriateness of vitamin D, vitamin B12 and folate retesting. Journal of Clinical Pathology. 2016;:jclinpath-2015-203447.

5. The Royal College of Pathologists, The Association for Clinical Biochemistry and Laboratory Medicine, The Institute of Biomedical Science. National minimum retesting intervals in pathology: A final report detailing consensus recommendations for minimum re-testing intervals for use in pathology. Available at: file:///C:/Users/PC1/Downloads/g147_minretestingintervalsinpathology_dec15. pdf

6. Janssens PM, Wasser G. Managing laboratory test ordering through test frequency filtering. Clin Chem Lab Med. 2013;51(6).

7. Waldron JL, Ford C, Dobie D, Danks G, Humphrey R, Rolli A, Gama R. An automated minimum retest interval rejection rule re-duces repeat CRP workload and expenditure, and influences clinician-requesting behaviour. J Clin Pathol 2014;67(8):731-733.

8. Lippi G, Brambilla M, Bonelli P, Aloe R, Balestrino A, Nardelli A, Ceda GP, Fabi M. Effectiveness of a computerized alert system based on re-testing intervals for limiting the inappropriateness of laboratory test requests. Clin Biochem 2015;48(16-17):1174-1176.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top