Journals / Batı Karadeniz Tıp Dergisi / 2020 / Cilt: 4 - Sayı: 3

Appropriate Laboratory Using In Clinic Biochemistry Laboratory During The COVID-19 Pandemia: Retrospective Evaluation of Test Orders

COVID-19 Pandemi Sürecinde Klinik Biyokimya Laboratuvarında Akılcı Laboratuvar Kullanımı: Test İstemlerinin Retrospektif Değerlendirmesi

Pages
122–127
Publication Date
2022-10-12
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It was found that 30% of the total number of tests did not comply with the guide.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: We aimed to evaluate the compliance of the biochemical tests requested from COVID-19 suspected polyclinic patients to the guidelines.
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Key Findings & Data:Material and Methods: Demographic and biochemical data of patients with a pre-diagnosis of COVID-19 between March 1 and June 1, 2020 were examined retrospectively.
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Conclusion & Impact:It was found that 30% of the total number of tests did not comply with the guide.
🔬Design:Research Article
📍Scope:2020 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: We aimed to evaluate the compliance of the biochemical tests requested from COVID-19 suspected polyclinic patients to the guidelines. Material and Methods: Demographic and biochemical data of patients with a pre-diagnosis of COVID-19 between March 1 and June 1, 2020 were examined retrospectively. Results: The total number of patients examined in the biochemistry laboratory was 1618, the total number of testswas 26260. It was found that 30% of the total number of tests did not comply with the guide. Conclusion: It should be ensured that laboratory specialists by reflex and reflective test applications within appropriate laboratory contribute to the clinical decision process of patients and the financial budget of the hospitals.

Özet

Amaç: COVID-19 şüpheli poliklinik hastalarından istenen biyokimyasal testlerin yönergelere uygunluğunu değerlendirmeyi amaçladık. Gereç ve Yöntemler: 1 Mart - 1 Haziran 2020 tarihleri arasında COVID-19 ön tanılı hastaların demografik ve biyokimyasal verileri retrospektif olarak incelendi. Bulgular: Biyokimya laboratuvarında incelenen toplam hasta sayısı 1618, toplam test sayısı 26260 idi. Hastaların toplam test sayısının % 30’unun kılavuza uygun olmadığı bulundu. Sonuç: Refleks ve reflektif test uygulamaları ile laboratuvar uzmanlarının hastaların klinik karar sürecine ve hastanelerin mali bütçesine katkıda bulunmaları sağlanmalıdır.

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Cite This Article

TEKİN, A., CAN, M., GÜVEN, B. (2022). Appropriate Laboratory Using In Clinic Biochemistry Laboratory During The COVID-19 Pandemia: Retrospective Evaluation of Test Orders. Batı Karadeniz Tıp Dergisi, Cilt: 4 - Sayı: 3, 122–127. https://ajindex.com/articles/463171

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References (13)

  1. Freedman DB. Towards better test utilization - strategies to improve physician ordering and their impact on patient out- comes. EJIFCC 2015;26(1):15-30
  2. Zhi M, Ding EL, Theisen-Toupal J, Whelan J, Arnaout R. The landscape of inappropriate laboratory testing: A 15-year meta- analysis. PLoS One 2013;8(11):e78962
  3. T.C. Sağlık Bakanlığı Tetkik ve Teşhis Hizmetleri Dairesi Başkanlığı: Akılcı laboratuvar kullanım projesi. Erişim 07.06.2020,
  4. Henry BH, Santos de Oliveira MH, Benoit S, Plebania M, Lippia G. Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirusdisease 2019 (COVID-19): A meta-analysis. Clin Chem Lab Med 2020;25;58(7):1021-1028
  5. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü: COVID-19 (SARS-CoV-2 enfeksiyonu bilim kurulu çalışması) rehberi. Erişim 08.06.2020, https://covid19bilgi. saglik.gov.tr/tr/covid-19-rehberi.html
  6. T.C. Sosyal Güvenlik Kurumu Sağlık Uygulama Tebliği (SUT). Erişim 08.06.2020, http://www.sgk.gov.tr/wps/ portal/sgk/tr/kurumsal/merkezteskilati/ana_hizmet_birimleri/gss_genel_mudurlugu/anasayfa_duyurular/guncel_ sut_28122018
  7. Casalino LP, Dunham D, Chin MH, Bielang R, Kistner EO, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med 2009;169:1123-1129
  8. Badrick T. Evidence-based laboratory medicine. Clin Biochem Rev 2013;34(2):43-46
  9. Plebani M, Sciacovellia L, Marinova M, Marcuccitti J, Chiozza ML. Quality indicators in laboratory medicine: A fundamental tool for quality and patient safety. Clin Biochem 2013;46(13-14):1170-1174
  10. Nicoll D, Pignone M. Basic principles of diagnostic test use and interpretation. In: Nicoll D, McPhee JS, Pignone M, Detmer WM, Chou TM, editors. Pocket guide to diagnostic tests 3th ed. Lange Medical Books/McGraw-Hill; 2001.5-6
  11. Cadamuro J, Ibarz M, Cornes M, Nybo M, HaschkeBecher E, vonMeyer A, Lippi G, Simundic AM. Managing inappropriate utilization of laboratory resources. Diagnosis (Berl) 2019;6(1):5-13
  12. Laposata M. Putting the patient first - using the expertise of laboratory professionals to produce rapid and accurate diagnoses. LabMed 2014;45:4-5. 13. vanWalraven C, Naylor CD. Do we know what inappropriate laboratory utilization is? A systematic review of laboratory clinical audits. JAMA 1998;280(6):550-558
  13. Cadamuro J, Gaksch M, Wiedemann H, Lippi