Skip to content
Licensed Unlicensed Requires Authentication Published by De Gruyter June 4, 2020

Frequency of repetitive laboratory testing in patients transferred from the Emergency Department to hospital wards: a 3-month observational study

Ivana Lapić ORCID logo and Dunja Rogić
From the journal Diagnosis

Corresponding author: Ivana Lapić, Department of Laboratory Diagnostics, University Hospital Center Zagreb, Kišpatićeva 12, 10000, Zagreb, Croatia, Phone: +385 98 1767367, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The local Institutional Review Board deemed the study exempt from review.

References

1. Lippi, G, Panteghini, M, Bernardini, S, Bonfanti, L, Carraro, P, Casagranda, I, et al. Laboratory testing in the emergency department: an Italian Society of Clinical Biochemistry and Clinical Molecular Biology (SIBioC) and Academy of Emergency Medicine and Care (AcEMC) consensus report. Clin Chem Lab Med 2018;56:1655–9. https://doi.org/10.1515/cclm-2017-0077.Search in Google Scholar PubMed

2. Janssens, PM, van de Wijngaart, DJ, van Dijk, N. Sensible use of laboratory testing requires active laboratory involvement. Clin Chem Lab Med 2014;52:e131–2. https://doi.org/10.1515/cclm-2013-1097.Search in Google Scholar PubMed

3. Salinas, M, López-Garrigós, M, Uris, J. Pilot group of the appropriate utilization of laboratory tests (REDCONLAB) working group. Differences in laboratory requesting patterns in Emergency Department in Spain. Ann Clin Biochem 2013;50:353–9. https://doi.org/10.1177/0004563212474568.Search in Google Scholar PubMed

4. Van de Wijngaart, DJ, Scherrenburg, J, van den Broek, L, van Dijk, N, Janssens, PMW. A survey of doctors reveals few laboratory tests are of primary importance at the emergency department. Diagnosis 2014;1:239–44. https://doi.org/10.1515/dx-2014-0025.Search in Google Scholar PubMed

5. Ezzie, ME, Sberegg, SK, O'Brien, JM. Laboratory testing in the intensive care unit. Crit Care Clin 2007;23:435–65. https://doi.org/10.1016/j.ccc.2007.07.005.Search in Google Scholar PubMed

6. Corson, AH, Fan, VS, White, T, Sullivan, SD, Asakura, K, Myint, M, et al. A multifaceted hospitalist quality improvement intervention: decreased frequency of common labs. J Hosp Med 2015;10:390–5. https://doi.org/10.1002/jhm.2354.Search in Google Scholar PubMed

7. The Association for Clinical Biochemistry and Laboratory Medicine. National minimum retesting interval project: a final report detailing consensus recommendations for minimum retesting intervals for use in clinical biochemistry[Online]. Available from: https://www.acb.org.uk/docs/default-source/guidelines/acb-mri-recommendations-a4-computer.pdf [Accessed 15 Feb 2020].Search in Google Scholar

8. Eaton, KP, Levy, K, Soong, C, Pahwa, AK, Petrilli, C, Ziemba, JB, et al. Evidence-based guidelines to eliminate repetitive laboratory testing. JAMA Intern Med 2017;177:1833–9. https://doi.org/10.1001/jamainternmed.2017.5152.Search in Google Scholar PubMed

9. Lapić, I, Rogić, D, Fuček, M, Galović, R. Effectiveness of minimum retesting intervals in managing repetitive laboratory testing: experience from a Croatian university hospital. Biochem Med 2019;29:030705. https://doi.org/10.11613/bm.2019.030705.Search in Google Scholar PubMed PubMed Central

10. Lippi, G, Brambilla, M, Bonelli, P, Aloe, R, Balestrino, A, Nardelli, A, et al. Effectiveness of a computerized alert system based on re-testing intervals for limiting the inappropriateness of laboratory test requests. Clin Biochem 2015;48:1174–6. https://doi.org/10.1016/j.clinbiochem.2015.06.006.Search in Google Scholar PubMed

11. Janssens, PM, Wasser, G. Managing laboratory test ordering through test frequency filtering. Clin Chem Lab Med 2013;51:1207–15. https://doi.org/10.1515/cclm-2012-0841.Search in Google Scholar PubMed

12. Sadowski, BW, Lane, AB, Wood, SM, Robinson, SL, Kim, CH. High-value, cost-conscious care: iterative systems-based interventions to reduce unnecessary laboratory testing. Am J Med 2017;130:1112.e1–7. https://doi.org/10.1016/j.amjmed.2017.02.029.Search in Google Scholar PubMed

13. Rogg, JG, Rubin, JT, Hansen, P, Liu, SW. The frequency and cost of redundant laboratory testing for transferred ED patients. Am J Emerg Med 2013;31:1121–3. https://doi.org/10.1016/j.ajem.2013.03.037.Search in Google Scholar PubMed

14. Bertrand, J, Fehlmann, C, Grosgurin, O, Sarasin, F, Kherad, O. Inappropriateness of repeated laboratory and radiological tests for transferred emergency department patients. J Clin Med 2019;8:1342. https://doi.org/10.3390/jcm8091342.Search in Google Scholar PubMed PubMed Central

15. Stewart, BA, Fernandes, S, Rodriguez-Huertas, E, Landzberg, M. A preliminary look at duplicate testing associated with lack of electronic health record interoperability for transferred patients. J Am Med Inf Assoc 2010;17:341–4. https://doi.org/10.1136/jamia.2009.001750.Search in Google Scholar PubMed PubMed Central

16. Lapić, I, Juroš, GF, Rako, I, Rogić, D. Changing the electronic request form proves to be an effective tool for optimizing laboratory test utilization in the emergency department. Int J Med Inf 2017;102:29–34. https://doi.org/10.1016/j.ijmedinf.2017.03.002.Search in Google Scholar PubMed

17. Pelloso, M, Basso, D, Padoan, A, Fogar, P, Plebani, M. Computer-based-limited and personalised education management maximise appropriateness of vitamin D, vitamin B12 and folate retesting. J Clin Pathol 2016;69:777–83. https://doi.org/10.1136/jclinpath-2015-203447.Search in Google Scholar PubMed

Received: 2020-04-15
Accepted: 2020-04-20
Published Online: 2020-06-04
Published in Print: 2021-02-23

© 2020 Walter de Gruyter GmbH, Berlin/Boston

Scroll Up Arrow