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Title Patient safety ;. — Laboratory test requesting appropriateness and patient safety. — volume 14.
Other creators Salinas María
Collection Электронные книги зарубежных издательств ; Общая коллекция
Subjects Medical laboratories — Safety measures. ; Medical errors. ; Medical care — Quality control. ; HEALTH & FITNESS / Holism ; HEALTH & FITNESS / Reference ; MEDICAL / Alternative Medicine ; MEDICAL / Atlases ; MEDICAL / Essays ; MEDICAL / Family & General Practice ; MEDICAL / Holistic Medicine ; MEDICAL / Osteopathy ; Clinical Laboratory Services. ; Health Services Misuse. ; Patient Safety. ; EBSCO eBooks
Document type Other
File type PDF
Language English
Rights Доступ по паролю из сети Интернет (чтение, печать, копирование)
Record key ocn966363775
Record create date 12/16/2016

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  • Preface
  • Table of contents
  • 1 Introduction: clinical laboratory contribution to patient safety
    • References
  • 2 Inappropriateness in laboratory test requesting in the literature
    • 2.1 Laboratory process-test request
    • 2.2 Definition of inappropriate requests
    • 2.3 Causes of inappropriate test requests
      • 2.3.1 Laboratory
      • 2.3.2 Requesting physician
      • 2.3.3 The patient
      • 2.3.4 Factors inherent in the system
    • 2.4 Reducing inefficiency in the laboratory diagnostic process
    • 2.5 Tools described in the literature for the management of the demand for laboratory tests: before, during, and after the request
      • 2.5.1 Before
      • 2.5.2 During the request
      • 2.5.3 After the request
    • 2.6 The future: where we are going
    • References
  • 3 Causes and negative effects of inappropriateness in laboratory test requesting
    • 3.1 Introduction
    • 3.2 Causes of inappropriateness in laboratory test requesting
      • 3.2.1 Clinician’s unawareness about the test
      • 3.2.2 Communication between clinical and laboratory departments
      • 3.2.3 Others
    • 3.3 Negative effects of inappropriateness in laboratory test requesting
    • References
  • 4 Strategies to correct inappropriateness in laboratory test requesting
    • 4.1 Introduction
    • 4.2 Types of strategy to correct inappropriateness in laboratory tests
      • 4.2.1 Strategies based on education, audit, and feedback
      • 4.2.2 Rules and agreements aimed at vetting test requests
      • 4.2.3 Re-design of the request formularies
      • 4.2.4 Computer physician order entry
    • 4.3 Strategies to correct inappropriateness in laboratory test requesting and phase of intervention
      • 4.3.1 Pre-requesting phase interventions
      • 4.3.2 During requesting interventions
      • 4.3.3 Post-requesting interventions
    • 4.4 Laboratory medicine
    • 4.5 Epilogue
    • References
  • 5 Practical pathway to design, establish, and monitor over time test requesting appropriateness strategies: indicators to detect the inappropriateness and to monitor after interventions
    • 5.1 Introduction
    • 5.2 The plan-do-check-act cycle as a basis in the design of strategies to correct inappropriateness in laboratory test requesting
    • 5.3 Indicators that intervene in strategies to correct inappropriateness in laboratory test requesting
      • 5.3.1 Indicators in clinical laboratory: general considerations
      • 5.3.2 Indicators to detect test inappropriateness and to monitor after the establishment of the different interventions
    • 5.4 A step-by-step description of strategies to correct inappropriateness in laboratory test requesting
      • 5.4.1 Identify laboratory test inappropriateness
      • 5.4.2 Selection of the test and target population
      • 5.4.3 Generation of the idea
      • 5.4.4 Pre-design of the strategy
      • 5.4.5 Strategy final design
      • 5.4.6 Strategy establishment
      • 5.4.7 Monitoring through process indicators
      • 5.4.8 Evaluation through outcome indicators
      • 5.4.9 Final decision whether to continue or stop the strategy
    • References
  • 6 Potential of computer physician order entry (CPOE) to improve patient safety related to laboratory test requesting
    • 6.1 What is a computer physician order entry (CPOE) system?
    • 6.2 CPOE interventions
    • 6.3 Design strategies
      • 6.3.1 Re-design of the request formularies
      • 6.3.2 Use of clinical (or “disease-specific”) profiles/panels
      • 6.3.3 Customized formularies
      • 6.3.4 Display costs/fees
      • 6.3.5 Search functions
      • 6.3.6 Research/clinical trial formularies
    • 6.4 Clinical decision support rules
      • 6.4.1 Specialty/staff-grade limitations
      • 6.4.2 Minimum retest intervals
      • 6.4.3 Asking for additional information: questions
      • 6.4.4 Suggestions/corrections
    • 6.5 CPOE advantages in pre-analytical phase
    • 6.6 Conclusions
    • References
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