LABORATORY UTILIZATION REVIEW AS A TRIGGER FOR HOSPITAL QUALITY IMPROVEMENT

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MEIDANI ZAHRA; FARZANDIPOUR MEHRDAD; FAROKHIAN ALIREZA; HAGHIGHAT MASOME; NAZEMI BIDGOLI ZAHRA

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Paper Information

Journal: Payavard Salamat Year:2017 | Volume:10 | Issue:6 Page(s): 496-503

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Information Journal Paper

Title

LABORATORY UTILIZATION REVIEW AS A TRIGGER FOR HOSPITAL QUALITY IMPROVEMENT

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Keywords

UTILIZATION REVIEWQ2

OVER UTILIZATIONQ2

LABORATORY TESTSQ2

TEST ORDERINGQ2

INAPPROPRIATEQ2

Abstract

Background and Aim: In attention to pressing need to cost containment and service efficiency, laboratory services serve as a central locus for controlling health care expenditure. This study intents to investigate proportion of laboratory utilization in Iran to pave the way for future interventions.Materials and Methods: A cross-sectional study was conducted to investigate the proportion for laboratory utilization through the retrospective analysis of 384 medical records at the tertiary care Kashan University Hospital Shahid Beheshti. To pave the way for future intervention, OVER UTILIZATION tests were classified into two categories, INAPPROPRIATE and resulted in laboratory errors.Results: Nine thousand five hundred forty one LABORATORY TESTS were ordered, 2522 (26.40%) of the tests were INAPPROPRIATE and 143 (1.5%) of the OVER UTILIZATION tests have occurred due to laboratory testing cycle errors. According to reviewers’ judegment relevancy to medical intervention was considered as the most accepted appropriateness criteria 5012 (52.53%) for LABORATORY TESTS.Conclusion: Since, the LABORATORY TESTS OVER UTILIZATION is multifactorial, forming a multidisciplinary team including physicians, nurses, laboratory staff, medical education experts, health care management and health information technology staffs in terms of Utilization Committee to develop more targeted strategy based on root cause analysis of OVER UTILIZATION behavior seems necessary.

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References

RATE AND CAUSES OF POST-ANALYTICAL ERRORS IN CLINICAL LABORATORY OF CHILDREN’S MEDICAL CENTER

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APA: Copy

MEIDANI, ZAHRA, FARZANDIPOUR, MEHRDAD, FAROKHIAN, ALIREZA, HAGHIGHAT, MASOME, & NAZEMI BIDGOLI, ZAHRA. (2017). LABORATORY UTILIZATION REVIEW AS A TRIGGER FOR HOSPITAL QUALITY IMPROVEMENT. PAYAVARD-SALAMAT, 10(6), 496-503. SID. https://sid.ir/paper/149776/en

Vancouver: Copy

MEIDANI ZAHRA, FARZANDIPOUR MEHRDAD, FAROKHIAN ALIREZA, HAGHIGHAT MASOME, NAZEMI BIDGOLI ZAHRA. LABORATORY UTILIZATION REVIEW AS A TRIGGER FOR HOSPITAL QUALITY IMPROVEMENT. PAYAVARD-SALAMAT[Internet]. 2017;10(6):496-503. Available from: https://sid.ir/paper/149776/en

IEEE: Copy

ZAHRA MEIDANI, MEHRDAD FARZANDIPOUR, ALIREZA FAROKHIAN, MASOME HAGHIGHAT, and ZAHRA NAZEMI BIDGOLI, “LABORATORY UTILIZATION REVIEW AS A TRIGGER FOR HOSPITAL QUALITY IMPROVEMENT,” PAYAVARD-SALAMAT, vol. 10, no. 6, pp. 496–503, 2017, [Online]. Available: https://sid.ir/paper/149776/en

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