一般医生对用于优化实验室测试利用率的干预措施的评估:一个横截面调查研究
Serena Lillo1,2, Trine Rennebod Larsen1, Kirsten Ohm Kyvik2
1Department of Clinical Biochemistry, Odense University Hospital (OUH) and Svendborg Hospital, Svendborg, Denmark.
Scandinavian journal of clinical and laboratory investigation
|September 1, 2023
概括
一般医生发现指南和反报告有助于优化维生素D测试. 然而,中断性警报是有问题的,这表明需要精细的反和有限的警报持续时间,以防止警报疲劳.
科学领域:
- 临床实践 临床实践
- 医疗保健服务研究 医疗服务研究
- 诊断测试 诊断测试 诊断测试
背景情况:
- 优化实验室测试的使用,如维生素D,在初级保健中至关重要.
- 一般医生需要有效的干预措施来指导适当的测试订单.
研究的目的:
- 评估全科医生对旨在优化维生素D测试利用的各种干预措施的看法.
- 评估指南,反报告和IT系统警报的有效性和接受度.
主要方法:
- 在丹麦南部的638名全科医生中,使用REDCap平台进行了一项调查.
- 参与者回答了关于他们在一年内与不同干预措施的经验的定制问题.
- 响应率为21% (131名全科医生),响应者与非响应者之间没有显著的人口差异.
主要成果:
- 大约50%的全科医生认为指南有帮助,同样比例的人经常审查反报告.
- 弹出警报在很少使用的测试中更容易被接受,在经常使用的测试中更短的时间 (长达三个月) 可以被接受.
- 在每次维生素D测试请求时触发的中断警报被认为是有问题的.
结论:
- 虽然指南和反报告被普遍接受,但它们对生物化学测试利用的影响可能有限.
- 信息技术系统中的弹出警报可能导致警报疲劳;应仔细考虑其持续时间.
- 未来的干预措施应将临床信息整合到反报告中,并限制频繁测试警报的显示时间.
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