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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.

12 Issues per year


IMPACT FACTOR 2016: 3.432

CiteScore 2016: 2.21

SCImago Journal Rank (SJR) 2016: 1.000
Source Normalized Impact per Paper (SNIP) 2016: 1.112

Online
ISSN
1437-4331
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Volume 44, Issue 6

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
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Ettore Attolini
  • Risk Management Unit, Bari Polyclinic Hospital Corporation, Bari, Italy and Quality Office, Bari Polyclinic Hospital Corporation, Bari, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Roberto Quaranta / Domenico Paparella
  • Emergency and Organ Transplant Department, Cardiac Surgery Section, Bari University, Bari, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Giangiuseppe Cappabianca
  • Emergency and Organ Transplant Department, Cardiac Surgery Section, Bari University, Bari, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Francesca Di Serio / 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
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
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

References

  • 1.

    Campari M. Per una nuova governance del sistema sanitario nazionale: la visione e le sfide. In: Falcitelli N, Trabucchi M, Vanara F, editors. Rapporto Sanità 2003. Il governo dei sistemi sanitari tra programmazione, devolution e valorizzazione delle autonomie. Bologna: Il Mulino, 2003.Google Scholar

  • 2.

    Burke MD. Clinical laboratory consultation: appropriateness to laboratory medicine. Clin Chim Acta 2003; 333:125–9.Google Scholar

  • 3.

    Plebani M. Appropriateness in programs for continuous quality improvement in clinical laboratories. Clin Chim Acta 2003; 333:131–9.Google Scholar

  • 4.

    Pansini N, Di Serio F, Tampoia M. Total testing process: appropriateness in laboratory medicine. Clin Chim Acta 2003; 333:141–5.Google Scholar

  • 5.

    Fattore G. L'impatto economico della Medicina di Laboratorio. RIMeL/IJLaM 2005; 1(Suppl):112–4.Google Scholar

  • 6.

    Cappelletti P. La risposta della medicina di laboratorio al quesito clinico. RIMeL/IJLaM 2005; 1(Suppl):15–23.Google Scholar

  • 7.

    Giavarina D. L'appropriatezza e l'EBM. Riv Med Lab 2004; 5(Suppl 3):64–7.Google Scholar

  • 8.

    Dell'Erba A, Quaranta R, Di Nunno N, Vimercati F. Il ruolo medico-legale nel clinical risk management. Riv It Med Leg 2003; XXV:351–64.Google Scholar

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), Volume 44, Issue 6, Pages 760–764, ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: https://doi.org/10.1515/CCLM.2006.131.

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©2006 by Walter de Gruyter Berlin New York. Copyright Clearance Center

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