为指导当地实验室管理举措而对检测指征进行的前瞻性评估。
Prospective Review of Testing Indications to Inform Local Laboratory Stewardship Initiatives.
作者信息
Reich Noah, Payne Michael, Sharma Azra, Champagne Sylvie, Romney Marc G, Hinch Michelle, Leung Victor, Lowe Christopher F
机构信息
Faculty of Medicine, University of British Columbia, Canada.
Division of Medical Microbiology, St. Paul's Hospital, Vancouver, BC, Canada.
出版信息
Infect Prev Pract. 2019 Aug 5;1(2):100017. doi: 10.1016/j.infpip.2019.100017. eCollection 2019 Jun.
We conducted a prospective chart review to determine the prevalence of and reasons for inappropriate test-ordering at a tertiary care hospital. Inappropriate orders accounted for 54% of all tests. The two primary aetiologies of inappropriate test-ordering were an alternative reason for diarrhoea (34%) and an asymptomatic patient (20%). These results highlight the need to focus diagnostic stewardship of testing on pre-analytical factors.
我们进行了一项前瞻性病历审查，以确定一家三级护理医院不适当检查医嘱的发生率及其原因。不适当的医嘱占所有检查的54%。不适当检查医嘱的两个主要病因是腹泻的替代原因（34%）和无症状患者（20%）。这些结果凸显了将检查的诊断管理重点放在分析前因素上的必要性。
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