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Costa di Rovigo, Italy

Camerotto A.,Servizio Medicina Of Laboratorio | Pozzato A.,Struttura Organizzativa Complessa di Ostetricia e Ginecologia | Truppo V.,Servizio Medicina Of Laboratorio | Bedendo S.,Servizio Medicina Of Laboratorio | And 6 more authors.
Biochimica Clinica | Year: 2012

Laboratory tests play a pivotal role in the diagnostic process. Unfortunately, their usefulness is undermined by a substantial proportion of inappropriateness. Up to now the employed strategies appear inadequate to solve the problem. This study presents a structural solution based on health information technology. In 2008 and 2010, an innovative way for prescribing laboratory tests was tested with the help of general practitioners of ULSS 18 Rovigo and ULSS 13 Mirano. It uses a software called GOELM (Guide Order Entry Laboratory Medicine). During the order entry, the software proposes indications about the clinical use of the laboratory test in real time. The general practitioner could accept or not the indication. The number of prescriptions formulated with the use of GOELM was compared with the number of prescriptions formulated by the same doctors without GOELM in the same period of the previous year. Our results demonstrate that the use of GOELM software has achieved a reduction in the total number of prescriptions up to 38% in Rovigo and up to 26% in Mirano. This trial demonstrates that it is possible to make governance in prescription without political and/or administrative measures. GOELM was therefore proved effective in reducing the inappropriateness through knowledge management. Source

Bartlett W.A.,Laboratory Medicine Biological Variation Working Group | Bartlett W.A.,Diagnostics Group Ninewells Hospital and Medical School | Braga F.,Laboratory Medicine Biological Variation Working Group | Braga F.,University of Milan | And 11 more authors.
Clinical Chemistry and Laboratory Medicine | Year: 2015

Data on biological variation are used for many purposes in laboratory medicine but concern exists over the validity of the data reported in some studies. A critical appraisal checklist has been produced by a working group established by the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) to enable standardised assessment of existing and future publications of biological variation data. The checklist identifies key elements to be reported in studies to enable safe accurate and effective transport of biological variation data sets across healthcare systems. The checklist is mapped to the domains of a minimum data set required to enable this process. © 2015 by De Gruyter. Source

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