The effect of removal of point-of-care fecal occult blood testing on performance of digital rectal examinations in the emergency department

Annals of Emergency Medicine

Volumn 56, Issue 2, 2010, Pages 135-141

  Cleveland, Nathan J ^a   Yaron, Michael ^b   Ginde, Adit A ^b  

^a DENVER HEALTH MEDICAL CENTER   (United States)

^b UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CONSTIPATION; CONTROLLED STUDY; DIARRHEA; DIGITAL RECTAL EXAMINATION; EMERGENCY WARD; FEMALE; GASTROINTESTINAL HEMORRHAGE; HUMAN; IMMUNOHISTOCHEMISTRY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; NAUSEA AND VOMITING; OCCULT BLOOD; POINT OF CARE TESTING; PRIORITY JOURNAL; RECTUM DISEASE; SENSITIVITY ANALYSIS; EMERGENCY HEALTH SERVICE; HOSPITAL INFORMATION SYSTEM; MIDDLE AGED; RETROSPECTIVE STUDY; STANDARD; STATISTICS;

ADULT; DIGITAL RECTAL EXAMINATION; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MIDDLE AGED; OCCULT BLOOD; POINT-OF-CARE SYSTEMS; RETROSPECTIVE STUDIES;

EID: 77955282974     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2009.12.021     Document Type: Article

References (18)

1. G.J. Fermann, and J. Suyama Point of care testing in the emergency department J Emerg Med 22 2002 393 404
2. F.S. Apple, A.Y. Chung, M.E. Kogut, et al. Decreased patient charges following implementation of point-of-care cardiac troponin monitoring in acute coronary syndrome patients in a community hospital cardiology unit Clin Chim Acta 370 2006 191 195
3. A.L. Hsiao, K.A. Santucci, J. Dziura, et al. A randomized trial to assess the efficacy of point-of-care testing in decreasing length of stay in a pediatric emergency department Pediatr Emerg Care 23 2007 457 462
4. E. Lee-Lewandrowski, J. Nichols, E. Van Cott, et al. Implementation of a rapid whole blood D-dimer test in the emergency department of an urban academic medical center: impact on ED length of stay and ancillary test utilization Am J Clin Pathol 132 2009 326 331
5. C.A. Parvin, S.F. Lo, S.M. Deuser, et al. Impact of point-of-care testing on patients' length of stay in a large emergency department Clin Chem 42 1996 711 717
6. W.W. Tsai, D.B. Nash, B. Seamonds, et al. Point-of-care versus central laboratory testing: an economic analysis in an academic medical center Clin Ther 16 1994 898 910
7. J.A. Marx, R.S. Hockberger, and R.M. Walls Rosen's Emergency Medicine: Concepts and Clinical Practice 6th ed. 2006 Elsevier Health Sciences Philadelphia, PA
8. P.K. Bardhan, J. Beltinger, R.W. Beltinger, et al. Screening of patients with acute infectious diarrhea: evaluation of clinical features, fecal microscopy, and faecal occult blood testing Scand J Gastroenterol 35 2000 54 60
9. B. Tannous, E. Lee-Lewandrowski, C. Sharples, et al. Comparison of conventional guaiac to four immunochemical methods for fecal occult blood testing: implications for clinical practice in hospital and outpatient settings Clin Chim Acta 400 2009 120 122
10. J.H. Bond Fecal occult blood tests in occult gastrointestinal bleeding Semin Gastrointest Dis 10 1999 48 52
11. J.E. Allison, L.C. Sakoda, T.R. Levin, et al. Screening for colorectal neoplasms with new fecal occult blood tests: update on performance characteristics J Natl Cancer Inst 99 2007 1462 1470
12. B.D. Adams, K.J. McHugh, S.A. Bryson, et al. The law of unintended consequences: the Joint Commission regulations and the digital rectal examination Ann Emerg Med 51 2008 197 201
13. D. Buchwald, A.L. Komaroff, E.F. Cook, et al. Indirect costs for medical education Is there a July phenomenon? Arch Intern Med 149 1989 765 768
14. P.O. Collinson Point-of-care testing - can we move from anecdote to evidence? Clin Chem Lab Med 44 2006 1049 1051
15. U.R. Jahn, and H. Van Aken Near-patient testing--point-of-care or point of costs and convenience? Br J Anaesth 90 2003 425 427
16. M.J. Murphy, and J.R. Paterson Point-of-care testing: no pain, no gain QJM 94 2001 571 573
17. B.M. Singal Point-of-care blood testing and cost-effective emergency medicine Acad Emerg Med 2 1995 163 164
18. M. Attali, Y. Barel, M. Somin, et al. A cost-effective method for reducing the volume of laboratory tests in a university-associated teaching hospital Mt Sinai J Med 73 2006 787 794