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

  • 1 Department of Laboratory Diagnostics, University Hospital Center Zagreb, Zagreb, Croatia
  • 2 Department of Laboratory Diagnostics, University Hospital Center Zagreb, Kišpatićeva 12, 10000, Zagreb, Croatia
Ivana LapićORCID iD: https://orcid.org/0000-0002-0854-4526 and Dunja Rogić
  • Department of Laboratory Diagnostics, University Hospital Center Zagreb, Zagreb, Croatia
  • Search for other articles:
  • degruyter.comGoogle Scholar

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 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.

    • Crossref
    • PubMed
    • Export Citation
  • 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.

    • PubMed
    • Export Citation
  • 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.

    • Crossref
    • Export Citation
  • 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.

    • Crossref
    • PubMed
    • Export Citation
  • 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.

    • Crossref
    • PubMed
    • Export Citation
  • 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.

    • Crossref
    • PubMed
    • Export Citation
  • 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].

  • 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.

    • Crossref
    • PubMed
    • Export Citation
  • 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.

  • 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.

    • Crossref
    • PubMed
    • Export Citation
  • 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.

    • PubMed
    • Export Citation
  • 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.

    • Crossref
    • Export Citation
  • 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.

    • Crossref
    • PubMed
    • Export Citation
  • 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.

    • Crossref
    • Export Citation
  • 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.

    • Crossref
    • Export Citation
  • 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.

    • Crossref
    • Export Citation
  • 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.

    • Crossref
    • PubMed
    • Export Citation
Purchase article
Get instant unlimited access to the article.
$42.00
Log in
Already have access? Please log in.


or
Log in with your institution

Journal + Issues

Search