减少不适当的维生素D检测:对三个连续的诊断管理干预措施的分析以及碳足迹的影响
C Hughes1, M A Myers2, M Tickell-Painter3
1Department of Clinical Biochemistry, East Lancashire NHS Foundation Trust, United Kingdom.
Clinical biochemistry
|November 28, 2025
概括
诊断管理干预措施显著减少了不必要的维生素D测试,从而大大节省了二氧化碳当量 (CO2e). 广泛实施这些战略可以在医疗保健领域带来显著的环境和财务效益.
科学领域:
- 环境健康 环境健康
- 临床病理学 临床病理学
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 医疗保健通过资源消耗,温室气体排放和废物产生,为气候危机做出贡献.
- 病理学测试对于医疗保健至关重要,由于测试量大,因此具有环境成本.
- 有证据表明,许多病理学测试,包括维生素D,是不必要的,浪费资源和影响环境.
研究的目的:
- 评估诊断管理干预措施在减少不适当的维生素D检测方面的有效性.
- 量化通过减少测试量而实现的二氧化碳当量 (CO2e) 节约.
主要方法:
- 一项准实验性研究评估了三个现实世界的诊断管理干预措施.
- 在每次干预之前和之后,测量了维生素D测试请求量.
- 根据减少测试,估计可以节省二氧化碳.
主要成果:
- 被动信息干预并没有减少测试.
- 取消自动反射测试和实施临床决策工具显著减少了维生素D测试请求.
- 这些干预措施累计节省了近44,000g的二氧化碳.
结论:
- 诊断管理干预可以有效地减少测试量,并节省二氧化碳.
- 在各种测试和设置中广泛实施可能会导致大量的累积碳和财务节省.
- 将"软停止"干预与行为改变策略相结合可能会最大限度地提高效益.
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