Larocque B J, Maykut R J
Department of Medicine, St. Joseph's Health Centre, London, Ont.
Can J Surg. 1994 Oct;37(5):397-401.
To assess the impact on preoperative laboratory investigations in elective surgery after the implementation of guidelines for ordering such tests.
A retrospective chart audit.
A university teaching hospital.
The charts of 903 patients who underwent an elective surgical procedure from each surgical specialty except cardiovascular and thoracic.
Implementation of guidelines for preoperative laboratory investigations.
Impact on the preoperative use of laboratory investigations after implementation of the guidelines as well as patient morbidity and mortality.
The mean number of preoperative laboratory investigations done per patient decreased from 4.65 before implementation of the guidelines to 4.18 after (p < 0.001). There was no apparent adverse impact on patient morbidity or mortality.
Implementation of guidelines for preoperative laboratory investigations for elective surgery resulted in a reduction in the number of tests without adverse impact on patient morbidity or mortality.
评估实施择期手术术前实验室检查医嘱指南后对术前实验室检查的影响。
回顾性病历审核。
一所大学教学医院。
903例接受择期手术的患者病历，这些患者来自除心血管和胸外科以外的各个外科专业。
实施术前实验室检查指南。
指南实施后对术前实验室检查使用情况的影响以及患者的发病率和死亡率。
每位患者术前进行的实验室检查平均数量从指南实施前的4.65项降至实施后的4.18项（p<0.001）。对患者的发病率或死亡率没有明显的不良影响。
实施择期手术术前实验室检查指南可减少检查项目数量，且对患者的发病率或死亡率没有不良影响。
