Laboratory Tests Ordering Pattern by Medical Residents From a Brazilian University Hospital

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art_SALES_Laboratory_Tests_Ordering_Pattern_by_Medical_Residents_From_2016.PDF (669.88 KB)
Citações na Scopus
5
Tipo de produção
article
Data de publicação
2016
Editora
OXFORD UNIV PRESS INC
DOI
Indexadores
Scopus
Web of Science
PubMed
Título da Revista
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Título do Volume
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Autor de Grupo de pesquisa
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Citação
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, v.146, n.6, p.694-700, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objectives: The adequacy of laboratory test orders by medical residents is a longstanding issue. The aim of this study is to analyze the number, types, and pattern of repetition of tests ordered by medical residents. Methods: We studied all tests ordered over a 1-year period for inpatients of an internal medicine ward in a university hospital. Types, results, and repetition pattern of tests were analyzed in relation to patients' diagnoses. Results: We evaluated 117,666 tests, requested for 1,024 inpatients. The mean number of tests was 9.5 per day. The test repetition pattern was similar, regardless of patients' diagnoses, previous test results, or duration of stay. The probability of an abnormal result after a sequence of three normal tests was lower than 25%, regardless of the diagnosis. Conclusions: Number of tests and repetition were both high, imposing costs, discomfort, and risks to patients, thus warranting further investigation.
Palavras-chave
Test utilization, Laboratory tests, Medical residents, Redundant diagnostic tests, Retesting
URI
https://observatorio.fm.usp.br/handle/OPI/18960
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/03
Artigos e Materiais de Revistas Científicas - LIM/38
Artigos e Materiais de Revistas Científicas - LIM/51
Artigos e Materiais de Revistas Científicas - LIM/56