Computer-based-limited and personalised education management maximise appropriateness of vitamin D, vitamin B12 and folate retesting

Journal of Clinical Pathology
Michela PellosoMario Plebani

Abstract

To identify the best management strategy for improving the appropriateness of vitamin D, vitamin B12 and folate retesting. The study was conducted between 3 November 2012 and 8 June 2015, with inpatients and outpatients being considered separately. After an observational reference period (3 November 2012 to 14 September 2013), an information technology (IT)-based permissive strategy (16 September 2013 to 27 July 2014) followed by a limiting strategy was used to manage the demand for inpatient retesting. For outpatients, an educational strategy period (28 July 2014 to 16 December 2014) with direct contact between medical personnel and general practitioners (GPs) was followed by a post-educational period without any restriction. Data from a total of 66 496 patients for vitamin D, 14 618 for vitamin B12 and 14 445 for folate were retrieved from the laboratory IT system. The main outcomes measures were inappropriate vitamin D, vitamin B12 and folate retesting. The minimal retesting intervals were 90 (vitamin D) or 180 days (vitamin B12 and folate). In the absence of a laboratory demand strategy, the frequency of inappropriate retesting for vitamin D, vitamin B12 and folate was 60%, 94% and 93%, respectively, for inpatients, and 27%...Continue Reading

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Citations

Feb 11, 2018·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani
Apr 17, 2018·Nutrients·Michelle RockwellJohn Epling
Aug 11, 2018·Diagnosis·Janne CadamuroAna-Maria Simundic
May 30, 2019·Scandinavian Journal of Clinical and Laboratory Investigation·Jens K MunkHenrik L Jørgensen
Jul 21, 2020·Scandinavian Journal of Primary Health Care·Jens K MunkBent S Lind
Nov 2, 2016·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani
Feb 24, 2017·Clinical Chemistry and Laboratory Medicine : CCLM·Maria SalinasUNKNOWN Pilot Group of the Appropriate Utilization of Laboratory Tests (REDCONLAB) working group
Sep 7, 2020·Clinical Chemistry and Laboratory Medicine : CCLM·Tim Lang
Jul 17, 2021·Clinical Chemistry and Laboratory Medicine : CCLM·Helena ScullyKevin McCarroll

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