Appropriate laboratory utilization in diagnosing pulmonary embolism

Annals of Clinical Biochemistry

Volumn 46, Issue 1, 2009, Pages 18-23

  Eva, Fiappo ^a   Rosanna, Quattrin ^b   Laura, Calligaris ^b,c   Piero, Cappelletti ^a   Silvio, Brusaferro ^b  

^a S MARIA DEGLI ANGELI HOSPITAL   (Italy)

^b SANTA MARIA DELLA MISERICORDIA UNIVERSITY HOSPITAL   (Italy)

^c UNIVERSITY HOSPITAL OF TRIESTE   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

ANTICOAGULANT AGENT; HEPARIN; LOW MOLECULAR WEIGHT HEPARIN;

ADULT; AGED; ARTICLE; BLOOD EXAMINATION; D DIMER TEST; DIAGNOSTIC TEST; DRUG SUBSTITUTION; ECONOMIC ASPECT; EMERGENCY WARD; FEMALE; GENERAL HOSPITAL; HEPARINIZATION; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; LABORATORY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; PRESCRIPTION; PRIORITY JOURNAL;

AGED; AGED, 80 AND OVER; DIAGNOSTIC TESTS, ROUTINE; FEMALE; HEPARIN, LOW-MOLECULAR-WEIGHT; HUMANS; MALE; MIDDLE AGED; PULMONARY EMBOLISM;

EID: 58149505979     PISSN: 00045632     EISSN: 00045632     Source Type: Journal    
DOI: 10.1258/acb.2008.008095     Document Type: Article

References (18)

1. Calderon-Margalit R, Mor-Yosef S, Mayer M, Adler B, Shapira SC. An administrative intervention to improve the utilization of laboratory tests within a university hospital. Int J Qual Health Care 2005;17:243-8
2. Solomon DH, Hashimoto H, Daltroy L, Liang MH. Techniques to improve physicians' use of diagnostic tests: a new conceptual framework. JAMA 1998;280:2020-7
3. Winkens R, Dinant GJ. Evidence base of clinical diagnosis: Rational, cost effective use of investigations in clinical practice. Br Med J 2002;324:783
4. Burke MD. Clinical laboratory consultation: appropriateness to laboratory medicine. Clin Chim Acta 2003;333:125-9
5. Smellie WSA. Appropriateness of test use in pathology: a new era or reinventing the wheel? Ann Clin Biochem 2003;40:585-92
6. Editorial. Using Labs Best. Bandolier 1999;61:4. See www.jr2.ox.ac./bandolier/band61/b61-4.html (last checked 27 July 2007)
7. van Walraven C, Goel V, Chan B. Effect of population-based interventions on laboratory utilization: a time-series analysis. JAMA 1998;280:2028-33
8. Wicki J, Perneger TV, Junod AF, Bounameaux H, Perrier A. Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score. Arch Intern Med 2001;161:92-7
9. Le Gal G, Righini M, Roy PM, et al. Differential value of risk factors and clinical signs for diagnosing pulmonary embolism according to age. J Thromb Haemost 2005;3:2457-64
10. Task Force on Pulmonary Embolism, European Society of Cardiology. Guidelines on diagnosis and management of acute pulmonary embolism. Eur Heart J 2000;21:1301-36
11. British Thoracic Society Standards of Care Committee Pulmonary Embolism Guideline Development Group. British Thoracic Society guidelines for the management of suspected acute pulmonary embolism. Thorax 2003;58:470-83
12. Decreto della Giunta Regionale n.531 del 17 marzo 2006. Prestazioni di assistenza specialistica ambulatoriale erogabili nell'ambito del servizio sanitario nazionale. Approvazione del tariffario regionale per le prestazioni specialistiche ambulatoriali, ivi compresa la diagnostica strumentale e di laboratorio
13. Hindmarsh JT, Lyon AW. Strategies to promote rational clinical chemistry test utilization. Clin Biochem 1996;29:291-9
14. Cappelletti P. La modernizzazione dei laboratori orientate all'appropriatezza diagnostica e all'efficacia dei trattamenti. Riv Med Lab 2004;5:147-62
15. Righini M, Le Gal G, Terrier A, Bounameaux H. The challenge of diagnosing pulmonary embolism in elderly patients: influence of age on commonly used diagnostic tests and strategies. J Am Geriatr Soc 2005;53:1039-45
16. Gouin-Thibault I, Pautas E, Siguret V. Safety profile of different low-molecular weight heparins used at therapeutic dose. Drug Saf 2005;28:333-49
17. Lewandrowski K. Managing utilization of new diagnostic tests. Clin Leadersh Manage Rev 2003;17:318-24
18. Thomas RE, Croal BL, Ramsay C, Eccles M, Grimshaw J. Effect of enhanced feedback and brief educational reminder messages on laboratory test requesting in primary care: a cluster randomised trial. Lancet 2006;367:1990- 6