Salluzzo R, Reilly K
Department of Emergency, Albany Medical Center, NY 12208.
Qual Assur Util Rev. 1991 Spring;6(1):28-31. doi: 10.1177/0885713x9100600106.
A large number of patients with febrile illness are evaluated in emergency departments. Blood cultures are often obtained on such patients without reference to established guidelines. As a result of such practice, unnecessary blood cultures are being ordered with negative financial impact on both hospitals and patients. Generally speaking, as the number of blood cultures obtained increases so does the number of false positive results. Follow-up on these results directly impacts on patient care as these patients are often subjected to call backs, additional work up, and admission to the hospital. This study reviews the manner in which blood cultures were ordered before and after the introduction of general guidelines for their use. It outlines a process whereby excessive ordering of blood cultures can be eliminated and suggests that this approach may be effective in limiting inappropriate use of other laboratory and diagnostic studies.
大量发热疾病患者在急诊科接受评估。这类患者常常在未参考既定指南的情况下接受血培养检查。这种做法导致了不必要的血培养检查，对医院和患者都产生了负面的经济影响。一般来说，随着血培养检查数量的增加，假阳性结果的数量也会增加。对这些结果的后续跟进直接影响患者护理，因为这些患者常常需要再次召回、进一步检查并住院治疗。本研究回顾了在引入血培养使用的一般指南前后，血培养检查的开具方式。它概述了一个可以消除血培养过度开具的流程，并表明这种方法可能有效地限制其他实验室和诊断检查的不当使用。
