Biochemia Medica, Vol. 25 No. 2, 2015.
Izvorni znanstveni članak
https://doi.org/10.11613/BM.2015.024
Education and communication is the key for the successful management of vitamin D test requesting
Maria Salinas
; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Maite López-Garrigós
; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Emilio Flores
; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
María Leiva-Salinas
; Department of Biochemistry and Molecular Pathology, Universidad Miguel Hernandez, Elche, Spain
Miguel Ahumada
; Department of Clinical Medicine, Universidad Miguel Hernandez, Elche, Spain
Carlos Leiva-Salinas
; Department of Radiology, University of Virginia, Charlottesville, VA, USA
Sažetak
Introduction: Pre-preanalytical and post-postanalytical phases are steps where the laboratory professional may play a crucial role. Measuring the serum circulating 25 hydroxyvitamin D level (25(OH)D) is recommended to evaluate vitamin D status in patients at risk for vitamin D deficiency while 1,25 hydroxyvitamin D (1,25(OH)2D) is only recommended to monitor several particular conditions (chronic kidney disease, hereditary phosphate-losing disorders, and some other) clearly defined by the current clinical guidelines of Endocrine Society.
Our research hypothesis was that through education and communication through comments in the Laboratory Information System (LIS), we could improve appropriateness in the request vitamin D tests.
Materials and methods: A retrospective observational cross-sectional study was conducted from January 2005 to December 2014. Each 1,25(OH)2D request was reviewed individually by a member of the laboratory staff. Starting in November 2011, each inappropriate 1,25(OH)2D request was registered in LIS and 25(OH)D was measured instead of 1,25(OH)2D. We counted the overall number of 1,25(OH)2D requests and the number of inappropriate requests which then were marked with a comment.
Results: The request of 25(OH)D increased along years. However, 1,25(OH)2D requests increased until 2012 when demand began to diminish.
Conclusions: Education and communication through comments in the LIS, corrected the inappropri-ate request of 1,25(OH)2D and promoted the use of 25(OH)D to study vitamin D deficiency.
Ključne riječi
clinical laboratory services; utilization; vitamin D; communication; education
Hrčak ID:
139810
URI
Datum izdavanja:
15.6.2015.
Posjeta: 1.464 *