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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

Ed. by Gillery, Philippe / Lackner, Karl J. / Lippi, Giuseppe / Melichar, Bohuslav / Payne, Deborah A. / Schlattmann, Peter / Tate, Jillian R.

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IMPACT FACTOR 2016: 3.432

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ISSN
1437-4331
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In This Section
Volume 44, Issue 6 (Jun 2006)

Issues

Laboratory request appropriateness in emergency: impact on hospital organization

Maria Pia Trisorio Liuzzi
  • Medical Management, Bari Polyclinic Hospital Corporation, Bari, Italy and Risk Management Unit, Bari Polyclinic Hospital Corporation, Bari, Italy
/ Ettore Attolini
  • Risk Management Unit, Bari Polyclinic Hospital Corporation, Bari, Italy and Quality Office, Bari Polyclinic Hospital Corporation, Bari, Italy
/ Roberto Quaranta
  • Risk Management Unit, Bari Polyclinic Hospital Corporation, Bari, Italy
/ Domenico Paparella
  • Emergency and Organ Transplant Department, Cardiac Surgery Section, Bari University, Bari, Italy
/ Giangiuseppe Cappabianca
  • Emergency and Organ Transplant Department, Cardiac Surgery Section, Bari University, Bari, Italy
/ Francesca Di Serio
  • O.U. Clinical Pathology I, Bari Polyclinic Hospital Corporation, Bari, Italy
/ Alessandro S. Dell'Erba
  • Risk Management Unit, Bari Polyclinic Hospital Corporation, Bari, Italy and Department of Internal Medicine and Public Medicine, Forensic Medicine Section, Bari University, Bari, Italy
Published Online: 2006-05-29 | DOI: https://doi.org/10.1515/CCLM.2006.131

Abstract

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 07:45h. 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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About the article

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,


Published Online: 2006-05-29

Published in Print: 2006-06-01



Citation Information: Clinical Chemistry and Laboratory Medicine (CCLM), ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: https://doi.org/10.1515/CCLM.2006.131. Export Citation

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