Pathology requesting in a regional Australian Emergency Department; an observational study comparing current practice with college guidelines.
Introduction: In 2018, the Australasian College for Emergency Medicine (ACEM) and the Royal College of Pathologists of Australasia (RCPA) produced a guideline to encourage appropriate pathology requesting in the Emergency Department (ED). Objective: To assess adherence to the ACEM/RCPA pathology tes...
| Publicado en: | Australian Journal of Rural Health Vol. 32; no. 5; pp. 1062 - 1068 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181569542&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181569542 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Oct2024 vid: 32 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 181569542 177813622 181569542 181569542 10.1111/ajr.13151 181569542 ppf: 1062 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Pathology requesting in a regional Australian Emergency Department; an observational study comparing current practice with college guidelines. aug: au: Oakman, Georgina Anderson, Alastair Oosthuizen, Johann De Witt Olaussen, Alexander affil: Critical Care SRMO, Northeast Health Wangaratta, Wangaratta Victoria,, Australia sug: subj: Emergency Service Standards Pathologists Standards Guideline Adherence Human Male Female Child Adult Middle Age Aged Australia Retrospective Design Nonexperimental Studies Hematologic Tests Evaluation Practice Guidelines Practice Patterns C-Reactive Protein Blood Abdominal Pain Etiology Outcome Assessment Molecular Diagnostic Techniques Methods Hospitals Pathology, Clinical Methods Proficiency Testing, Laboratory Clinical Information Systems Blood Gas Analysis Descriptive Statistics Comparative Studies Chi Square Test Odds Ratio Confidence Intervals Child: 6-12 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Introduction: In 2018, the Australasian College for Emergency Medicine (ACEM) and the Royal College of Pathologists of Australasia (RCPA) produced a guideline to encourage appropriate pathology requesting in the Emergency Department (ED). Objective: To assess adherence to the ACEM/RCPA pathology testing guideline in a regional ED. Methods, Design, Setting and Participants: This was a retrospective observational study conducted at a regional Australian ED over 7 days. Adults with a presenting complaint encompassed by the guideline were included. All blood tests were audited against the guideline recommendations and classified as indicated or non‐indicated. Chi‐squared analyses were performed to explore the association between presenting complaint and non‐indicated testing. Main Outcome Measure: The primary outcome was the number of non‐indicated blood tests. Results: Forty percent of tests ordered were not clinically indicated, with non‐indicated testing occurring during 87% of encounters. The C‐reactive protein (CRP) was the test most frequently ordered outside of guidelines (94% non‐indicated). Patients presenting with lower abdominal pain accounted for nearly one‐quarter of all non‐indicated tests. Conclusions: Blood tests were commonly requested outside of the guideline recommendations and interventions to improve pathology stewardship are required. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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