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Clinical Chemistry and Laboratory Medicine (CCLM)

Published in Association with the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)

Editor-in-Chief: Plebani, Mario

Editorial Board Member: Gillery, Philippe / Kazmierczak, Steven / Lackner, Karl J. / Lippi, Giuseppe / Melichar, Bohuslav / Schlattmann, Peter / Whitfield, John B.

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Laboratory request appropriateness in emergency: impact on hospital organization

Maria Pia Trisorio Liuzzi1 / Ettore Attolini2 / Roberto Quaranta3 / Domenico Paparella4 / Giangiuseppe Cappabianca5 / Francesca Di Serio6 / Alessandro S. Dell'Erba7








Corresponding author: M.P. Trisorio Liuzzi, Medical Management, Bari Polyclinic Hospital Corporation P.zza Giulio Cesare 11, 70124 Bari, Italy Phone: +39-080-5592738, Fax: +39-080-5575736,

Citation Information: Clinical Chemical Laboratory Medicine. Volume 44, Issue 6, Pages 760–764, ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: 10.1515/CCLM.2006.131, May 2006

Publication History

Published Online:


Within the activities of the Risk Management Unit of the Bari Polyclinic Hospital Corporation, an anomalous trend was found, with excessive requests for urgent laboratory tests being made in the time period between 05:00 and 07:45 h. In addition to slowing down laboratory operations, this anomaly suggested the possibility of inappropriate testing, at least in terms of the request mode, if not in absolute terms. An audit was implemented within the facility to check the grounds of this suspicion and to identify any errors and/or critical points. The results gathered are extremely interesting, as they show deficiencies at both the organizational and clinical level. The final objective of the investigation is to draft a common corporate procedure.

Keywords: appropriateness; emergency; evidence-based medicine; laboratory tests; risk management


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