Using pathology-specific laboratory profiles in clinical pathology to reduce inappropriate test requesting: Two completed audit cycles

Roberto Baricchi, Michele Zini, Maria Grazia Nibali, Walter Vezzosi, Vincenzo Insegnante, Clotilde Manfuso, Alessandra Polese, Valmer Costoli, Antonio Spelti, Debora Formisano, Danilo Orlandini, Fausto Nicolini, Antonio Poli

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Systematic reviews have shown that, although well prepared, the Consensus Guidelines have failed to change clinical practice. In the healthcare district of Castelnovo n Monti (Reggio Emilia, Italy), it became necessary for the GPs and Clinical Pathologists to work together to jointly define laboratory profiles. Methods: Observational study with two cycles of retrospective audit on test request forms, in a primary care setting. Objectives of the study were to develop pathology-specific laboratory profiles and to increase the number of provisional diagnoses on laboratory test request forms. A Multiprofessional Multidisciplinary Inter-hospital Work Team developed pathology-specific laboratory profiles for more effective test requesting. After 8 training sessions that used a combined strategy with multifaceted interventions, the 23 General Practitioners (GPs) in the trial district (Castelnovo né Monti) tested the profiles; the 21 GPs in the Puianello district were the control group; all GPs in both districts participated in the trial. All laboratory tests for both healthcare districts are performed at the Laboratory located in the trial district. A baseline and a 1-year audit were performed in both districts on the GPs request forms. Results: Seven pathology-specific laboratory profiles for outpatients were developed. In the year after the first audit cycle: 1) the number of tests requested in the trial district was distinctly lower than that in the previous year, with a decrease of about 5% (P

Original languageEnglish
Article number187
JournalBMC Health Services Research
Volume12
Issue number1
DOIs
Publication statusPublished - 2012

ASJC Scopus subject areas

  • Health Policy

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