DocumentCode :
3571550
Title :
Appropriateness of Repeated Execution of Laboratory Examinations: A CDSS Approach
Author :
Gallerani, Massimo ; Pivanti, Marcello ; Boni, Michela ; Pelizzola, Dario ; Lamma, Evelina ; Bellodi, Elena
Author_Institution :
Dip. Med. Interna, Azienda Ospedaliero-Univ. di Ferrara, Ferrara, Italy
fYear :
2014
Firstpage :
161
Lastpage :
169
Abstract :
Repetitive laboratory testing has become a well-recognized problem in the practice of medicine, especially in the hospital inpatient setting, since it increases costs and causes patient discomfort. Among the interventions proposed to reduce unnecessary testing, Clinical Decision Support Systems (CDSS) have been shown to be effective. We present the project of a CDSS recommending professionals in real time regarding the appropriateness for repeating laboratory exams, embedded in a Computerized Physician Order Entry at the Azienda Ospedaliero-Universitaria and Azienda Unità Sanitaria Locale of Ferrara, Italy. Test-specific time intervals within which test repetition is redundant are encoded in formal rules, which are applied against the laboratory results done in the past for the patient. The rules-set implemented concerns: clinical chemistry, hematology, coagulation, infectious diseases serology, microbiology, inflammation, cardiac and tumor markers, hormones, autoimmunity, allergology, molecular biology and drug monitoring testing.
Keywords :
decision support systems; laboratories; medical information systems; Azienda Ospedaliero-Universitaria; Azienda Unita Sanitaria Locale; CDSS recommending professionals; Ferrara; Italy; allergology; autoimmunity; cardiac marker; clinical chemistry; clinical decision support systems; coagulation; computerized physician order entry; drug monitoring testing; hematology; hormones; infectious diseases serology; inflammation; laboratory examinations repeated execution; microbiology; molecular biology; test-specific time intervals; tumor markers; Chemistry; Decision support systems; Hospitals; Laboratories; Medical diagnostic imaging; Clinical decision support system; appropriateness criteria; computerized physician order entry; cost reduction; repeat testing;
fLanguage :
English
Publisher :
ieee
Conference_Titel :
Healthcare Informatics (ICHI), 2014 IEEE International Conference on
Type :
conf
DOI :
10.1109/ICHI.2014.29
Filename :
7052484
Link To Document :
بازگشت