通过测试订购适当性和创新,绿色实验室
Sveva Stangalini1, Sara Sacchetti1,2, Paolo Tillio1
1Clinical Chemistry Laboratory, 9256 "Maggiore Della Carità" University Hospital , Novara, Italy.
Clinical chemistry and laboratory medicine
|February 3, 2026
概括
过度采血和不必要的测试造成的临床实验室废物造成了严重的环境和财务负担. 实施预分析干预可以防止超过40的废物,并每年节省60,800欧元.
科学领域:
- 临床实验室医学 临床实验室医学
- 环境科学 环境科学
- 医疗保健管理的管理
背景情况:
- 临床实验室是必不可少的,但资源密集型,面临着高能源/水使用,一次性塑料和生物医疗废物所带来的挑战.
- 临床实验室医学当前的做法造成了相当大的环境和经济负担.
研究的目的:
- 量化临床实验室医学中常见的,可以避免的做法对环境和经济的影响.
- 专注于过度采血,不适当的测试订单,以及在预分析工作流程中冗余的管道使用.
主要方法:
- 从临床生物化学实验室 (2024) 分析现实世界的数据.
- 基于重复测试间隔的不适当的测试订单对环境和经济影响的量化.
- 评估预分析实践,包括多余的样本管采集和过量的血液体积.
主要成果:
- 不适当的重新测试产生了2,931个不必要的管子 (26.7公斤的废物).
- 用于特定测试的冗余EDTA管产生了356.14公斤的多余废物,通过样本整合可以预防.
- 血液学和生物化学测试分别产生了2.62和36.98的废物.
结论:
- 过度采血和不必要的测试重复会造成严重的,可避免的环境和财务负担.
- 预分析干预措施,如减少管子体积和整合测试,可以防止超过40的废物,并在单个实验室每年节省60,800欧元.
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