[Effectiveness of an intervention to improve demand management of laboratory tests related to anaemia in primary care]. / Efectividad de una intervención para mejorar la gestión de la demanda de pruebas de laboratorio relacionadas con la anemia en Atención Primaria.

OBJECTIVE: To evaluate the appropriateness oflaboratory test requests for the diagnosis and monitoring of anaemia in Primary Care. As a secondary objective, a decrease in variability was sought byunifying the test profile performed. MATERIAL AND METHODS: A decision algorithm based on scientific evidence for test requests related to anaemia in Primary Care was implemented, so that the profile of tests performed is conditioned by haemoglobin results and mean corpuscular volume. A multidisciplinary laboratory-Primary Care team was created for the design, execution and evaluation of the results obtained. In addition, there was computer support for the development and inclusion of the rules in the laboratory and Primary Care computer systems. RESULTS: Through the directed algorithm, the necessary tests for the diagnosis and follow-up of anaemia were performed sequentially, even so this meant an average monthly decrease in the number of tests of 70% for folic acid, 66% for vitamin B12, 92% for transferrin, 43% foriron and 42% for ferritin. It was also possible to unify the profile of tests performed, regardless of the centre of origin. CONCLUSIONS: Better use of the biochemical tests related to anaemia was achieved, since only the necessary tests for the patient were performed. Variability is reduced by unifying the request profile in all centres.

Laboratorio Clínico en el entorno de los nuevos modelos de Gestión hospitalaria: la Fundación Hospital Alcorcón / The Clinical Laboratory in the the enviroment of new models for hospital management: the Alcorcón Hospital Foundation

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