Laboratory request appropriateness in emergency: impact on hospital organization.
Within the activities of the Risk Management Unit of the Bari Polyclinic Hospital Corporation, an anomalous trend was found, with excessive requests for urgent laboratory tests being made in the time period between 05:00 and 07:45 h. In addition to slowing down laboratory operations, this anomaly suggested the possibility of inappropriate testing, at least in terms of the request mode, if not in absolute terms. An audit was implemented within the facility to check the grounds of this suspicion and to identify any errors and/or critical points. The results gathered are extremely interesting, as they show deficiencies at both the organizational and clinical level. The final objective of the investigation is to draft a common corporate procedure.
Trisorio Liuzzi
Maria Pia
MP
Medical Management, Bari Polyclinic Hospital Corporation, and Emergency and Organ Transplant Department, Cardiac Surgery Section, Bari University, Italy. mariapia.trisorioliuzzi@fastwebnet.it
Attolini
Ettore
E
Quaranta
Roberto
R
Paparella
Domenico
D
Cappabianca
Giangiuseppe
G
Di Serio
Francesca
F
Dell'Erba
Alessandro S
AS
D019411:Clinical Laboratory Techniques / Q000706:statistics & numerical data*; D004630:Emergencies; D006300:Health Services Misuse / Q000706:statistics & numerical data; D007558:Italy; D007755:Laboratories, Hospital / Q000458:organization & administration* / Q000592:standards; D014600:Utilization Review