一个基于电子健康记录的解决方案,以减少在住院患者身上进行的CBC差异的数量
Elizabeth Margolskee1,2, Robert Klenk2, Tracey Polsky1,2
1Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
American journal of clinical pathology
|September 25, 2025
概括
一个新的电子健康记录 (EHR) 工作流程成功地减少了在儿科医院的差异化测试的同一天重复的完整血细胞计数 (CBC). 这种干预措施减少了9%的测试,并节省了成本,而不会给临床医生带来负担.
科学领域:
- 儿科医院的实验室医学实验室医学.
- 临床病理学信息学临床病理学信息学
背景情况:
- 同一天重复全血细胞计数 (CBC) 与差异检测在儿科重症监护和瘤病房中很常见.
- 不必要的重复测试会增加实验室的工作量和成本.
研究的目的:
- 研究在儿科机构中使用不同顺序的重复CBC的利用情况.
- 设计和实施基于电子健康记录 (EHR) 的干预措施,以限制CBC与差异检测每天一次.
主要方法:
- 开发了一个EHR集成的工作流程,如果结果已经存在,可以自动重新分类同一天重复的CBC与差异顺序到没有差异的CBC.
- 允许临床医生在订单输入点上覆盖系统.
主要成果:
- 在EHR工作流程中,CBC与差异测试每年减少9%,手动差异性能减少16%.
- 实现了大约45,500美元的年度成本节省.
- 通过差异化测试周转时间改善了CBC.
结论:
- 基于EHR的干预有效地减少了重复的CBC,通过差异测试和手动幻灯片审查在重症儿童中.
- 这种自动化方法为优化测试利用提供了对临床医生依赖的管理方法的可持续替代方案.
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