Laboratory request appropriateness in emergency: impact on hospital organization
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Maria Pia Trisorio Liuzzi
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.
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.Search in Google Scholar
2. Burke MD. Clinical laboratory consultation: appropriateness to laboratory medicine. Clin Chim Acta 2003; 333:125–9.10.1016/S0009-8981(03)00176-1Search in Google Scholar
3. Plebani M. Appropriateness in programs for continuous quality improvement in clinical laboratories. Clin Chim Acta 2003; 333:131–9.10.1016/S0009-8981(03)00177-3Search in Google Scholar
4. Pansini N, Di Serio F, Tampoia M. Total testing process: appropriateness in laboratory medicine. Clin Chim Acta 2003; 333:141–5.10.1016/S0009-8981(03)00178-5Search in Google Scholar
5. Fattore G. L'impatto economico della Medicina di Laboratorio. RIMeL/IJLaM 2005; 1(Suppl):112–4.Search in Google Scholar
6. Cappelletti P. La risposta della medicina di laboratorio al quesito clinico. RIMeL/IJLaM 2005; 1(Suppl):15–23.10.23736/S1825-859X.19.00010-0Search in Google Scholar
7. Giavarina D. L'appropriatezza e l'EBM. Riv Med Lab 2004; 5(Suppl 3):64–7.Search in 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.Search in Google Scholar
©2006 by Walter de Gruyter Berlin New York
Articles in the same Issue
- Foreword
- Evidence-based policy-making
- Clinical Governance – from rhetoric to reality?
- Realising the developmental potential of Clinical Governance
- Re-energising Clinical Governance through Integrated Governance
- Clinical Governance: from clinical risk management to continuous quality improvement
- Involvement of patients in Clinical Governance
- Teaching and Continuing Professional Development: an Italian experience
- New National Healthcare Information System
- Clinical Governance and Laboratory Medicine: is the Electronic Medical Record our best friend or sworn enemy?
- Technology to improve quality and accountability
- Clinical Governance and evidence-based laboratory medicine
- ISO 15189:2003 – Quality management, evaluation and continual improvement
- External Quality Assessment: an effective tool for Clinical Governance in Laboratory Medicine
- Errors in clinical laboratories or errors in laboratory medicine?
- Laboratory request appropriateness in emergency: impact on hospital organization
- Point-of-care-testing and Clinical Governance
- Integration between the Tele-Cardiology Unit and the central laboratory: methodological and clinical evaluation of point-of-care testing cardiac marker in the ambulance
Articles in the same Issue
- Foreword
- Evidence-based policy-making
- Clinical Governance – from rhetoric to reality?
- Realising the developmental potential of Clinical Governance
- Re-energising Clinical Governance through Integrated Governance
- Clinical Governance: from clinical risk management to continuous quality improvement
- Involvement of patients in Clinical Governance
- Teaching and Continuing Professional Development: an Italian experience
- New National Healthcare Information System
- Clinical Governance and Laboratory Medicine: is the Electronic Medical Record our best friend or sworn enemy?
- Technology to improve quality and accountability
- Clinical Governance and evidence-based laboratory medicine
- ISO 15189:2003 – Quality management, evaluation and continual improvement
- External Quality Assessment: an effective tool for Clinical Governance in Laboratory Medicine
- Errors in clinical laboratories or errors in laboratory medicine?
- Laboratory request appropriateness in emergency: impact on hospital organization
- Point-of-care-testing and Clinical Governance
- Integration between the Tele-Cardiology Unit and the central laboratory: methodological and clinical evaluation of point-of-care testing cardiac marker in the ambulance
