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Related Experiment Video

Updated: May 10, 2026

Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes

Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes

Published on: March 22, 2022

Differences in laboratory requesting patterns in emergency department in Spain.

Maria Salinas¹, Maite López-Garrigós, Joaquín Uris

¹Clinical Laboratory, Hospital Universitario de San Juan de Alicante, Alicante, Spain. salinas_mar@gva.es

Annals of Clinical Biochemistry

|June 14, 2013

Summary

Laboratory test ordering varies significantly in emergency departments. Implementing an appropriateness control report can reduce unnecessary tests and costs, improving healthcare efficiency.

Keywords:

Laboratory management laboratory methods

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Area of Science:

Clinical Laboratory Science
Healthcare Management
Emergency Medicine

Background:

Reducing unnecessary laboratory test requests is crucial for healthcare efficiency.
Variations in laboratory testing practices impact resource allocation.
Improving the appropriateness of testing behavior is a key objective.

Purpose of the Study:

Compare laboratory test ordering patterns in Spanish emergency departments (EDs).
Design an appropriateness pre-pre-analytical quality control report.
Identify potential cost savings through standardized testing.

Main Methods:

Collected production statistics from 36 hospital emergency laboratories.
Calculated appropriateness indicators (test requests per 1000 ED admissions, test requesting ratios).
Developed and distributed a quality control report to participating labs.

Main Results:

Observed wide variation in stat test request rates (44-412 per 1000 ED admissions).
High dispersion noted in related test requesting ratios.
Potential savings estimated at over 1 million urea, 300,000 AST, and 316,000 CK tests.

Conclusions:

Significant variability exists in emergency department test ordering.
The appropriateness control report facilitated comparison of requesting patterns.
Unifying demand through collaboration between clinicians and lab professionals is essential.