对所有人的参考范围:对跨性别和非二进制患者实施参考范围
Anthony B Cardillo1,2, Dan Chen2, Nina Haghi2
1MCIT Department of Health Informatics, NYU Langone Health, New York, United States.
Applied clinical informatics
|December 18, 2024
概括
开发针对跨性别和非二进制 (TGNB) 患者的特定实验室参考范围对于准确的健康评估至关重要. 实施这些范围可以通过防止对实验室结果的误解来提高患者安全和公平的医疗保健.
科学领域:
- 医疗信息学 医疗信息学
- 临床病理学 临床病理学
- 健康 公平 卫生 公平
背景情况:
- 目前的实验室系统往往缺乏针对跨性别和非二进制 (TGNB) 个体的具体参考范围.
- 这种缺失可能导致对TGNB患者的诊断测试结果的误解.
- 确保准确的实验室解释对于提供公平的医疗保健至关重要.
研究的目的:
- 为了强调为TGNB种群量身定制的参考范围的需要.
- 为了应对未定义的实验室参考范围对性别多样性患者所带来的挑战.
- 促进包容性实验室实践的发展和实施.
主要方法:
- 一份病例报告详述了一个TGNB患者的异常实验室值因缺乏"X"性别参考范围而被遗漏的情况.
- 实施性别不变报告作为临时措施.
- 在实验室信息系统 (LIS) 中映射额外的参考范围到"X"性别标签.
主要成果:
- 实施"X"性别标签参考范围显著改善了异常实验室结果的标记.
- 性不变报告是有效的临时解决方案.
- 目前正在对新出现的TGNB特定参考范围进行监测.
结论:
- 信息学专业人员必须审查和更新TGNB患者登记和实验室报告的机构政策.
- 未能实施适当的参考范围会带来严重的患者安全风险.
- 采用新兴的TGNB特定参考范围和使用性别不变报告是推的最佳实践.
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