Evaluation of Unnecessary Requests for Routine Tests in Patients with Abdominal and Chest Trauma in the Emergency Room of Besat Hospital in Hamadan, Iran, in 2020
Iranian Journal of Emergency Medicine,
Vol. 9 No. 1 (2022),
Introduction: Today, paraclinical tests play an important role in diagnosis and treatment of trauma patients. The present study was performed with the aim of evaluating unnecessary requests for routine tests in patients with abdominal and chest trauma (ACT) in the emergency room of Besat Hospital in Hamadan, Iran.
Methods: In this cross-sectional study, 400 patients with ACT, referring to the emergency department of Besat Hospital in Hamadan in 2020, were selected using census method. Then the number and type of tests and their effect on disease outcome were examined. Data were analyzed using SPSS version 23 and Kruskal-Wallis and Spearman correlation coefficients.
Results: In the present study, the mean age of patients was 46.05±18.92 years, 75.5% were male and 24.5% were female. Frequency of essential tests (. 81.7% of the necessary tests and 94.8% of the unnecessary tests had yielded negative results. There was no significant relationship between the number of unnecessary tests requested and the type of trauma or day and shift of presentation to the department. But there was a significant relationship between the number of unnecessary tests requested and age, sex, length of hospital stay, and the final outcome (P <0.001).
Conclusion: In this study, requests for unnecessary tests was more than requests for necessary tests in patients with ACT. Planning to optimize the current system of requesting tests and collaboration between physicians and laboratory specialists can minimize the inadequacy of the tests.
- Multiple trauma
- Diagnostic Tests
How to Cite
Ahmadian L, Ghasemi E, Khajouei R. EVALUATING THE PROCESS OF REQUESTING AND COLLECTING LABORATORY TEST RESULTS FROM NURSES’VIEWPOINTS BEFORE AND AFTER HIS IMPLEMENTATION. 2014.
Jahanian F, Hosseininejad S, Rostamian N, Moradi S, Bozorgi F, Montazer S, et al. Necessity of performing routine tests in trauma patients referring to emergency departments. Medical Studies/Studia Medyczne.2009; 35(4):271-6.
Saadat S, Yousefifard M, Asady H, Jafari AM, Fayaz M, Hosseini M. The most important causes of death in Iranian population; a retrospective cohort study. Emergency. 2015;3(1):16.
Horst K, Andruszkow H, Weber CD, Pishnamaz M, Herren C, Zhi Q, et al. Thoracic trauma now and then: a 10 year experience from 16,773 severely injured patients. PLoS One.2017; 12(10):e0186712.
Cole E, Lynch A, Cugnoni H. Assessment of the patient with acute abdominal pain. Nursing Standard (through 2013). 2006;20(39):67.
HABIBI KM, Hosseinpour K, Mobasheri E, Behnampour N. A study on curative centers managers, knowledge and attitude levels about Hospital Informatics Systems. 2008.
Kahouei M, SOLEYMANI M, Ghazavi S, Aalaei S. Views, behavior and satisfaction of the nurses and other hospital ward personnel about the effectiveness of computer systems of hospital information on caring process. 2007.
Nagurney JT, Brown DF, Chang Y, Sane S, Wang AC, Weiner JB. Use of diagnostic testing in the emergency department for patients presenting with non-traumatic abdominal pain. The Journal of emergency medicine. 2003;25(4):363-71.
Esses D, Birnbaum A, Bijur P, Shah S, Gleyzer A, Gallagher E. Ability of CT to alter decision making in elderly patients with acute abdominal pain. The American journal of emergency medicine. 2004;22(4):270-2.
Rosen MP, Sands DZ, Longmaid III HE, Reynolds KF, Wagner M, Raptopoulos V. Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain. American Journal of Roentgenology. 2000;174(5):1391-6.
Hutton HD, Drummond HS, Fryer AA. The rise and fall of C-reactive protein: managing demand within clinical biochemistry. Annals of clinical biochemistry. 2009;46(2):155-8.
Fryer AA, Smellie WSA. Managing demand for laboratory tests: a laboratory toolkit. Journal of clinical pathology. 2013;66(1):62-72.
Kianmehr N, MOFIDI M, FATAHI M, Farsi D. Use of Diagnostic Tests in Patients with non Traumatic Acute Abdominal Pain Referred to the Emergency Department. 2008.
Cadamuro J, Gaksch M, Wiedemann H, Lippi G, von Meyer A, Pertersmann A, et al. Are laboratory tests always needed? Frequency and causes of laboratory overuse in a hospital setting. Clinical biochemistry. 2018;54:85-91.
Nazerian P, Vanni S, Fanelli A, Fallai L, Duranti C, Ognibene A, et al. Appropriate use of laboratory test requests in the emergency department: a multilevel intervention. European Journal of Emergency Medicine. 2019;26(3):205-11.
Faisal A, Andres K, Rind JAK, Das A, Alter D, Subramanian J, et al. Reducing the number of unnecessary routine laboratory tests through education of internal medicine residents. Postgraduate medical journal. 2018;94(1118):716-9.
Rostamian N, Hosseini Nejad M, Pashaei M. Evaluation of the need for routine tests in trauma patients referred to the emergency department of Imam Khomeini Hospital in Sari in 2018 [Doctoral thesis]: Sari Medical School 2018(Persian Thesis)
Cadamuro J, Gaksch M, Wiedemann H, Lippi G, von Meyer A, Pertersmann A, et al. Are laboratory tests always needed? Frequency and causes of laboratory overuse in a hospital setting. Clinical biochemistry.2018; 54:85-91.
Oliveira AM, Oliveira MV, Souza CL. Prevalence of unnecessary laboratory tests and related avoidable costs in intensive care unit. Jornal Brasileiro de Patologia e Medicina Laboratorial. 2014;50:410-6.
Bahreini M, Rafiee S, Hadadi A, Payandemehr P, Rasooli F. Assessment of laboratory test requests from three hospital emergency departments. New Zealand Journal of Medical Laboratory Science.2021; 75(1):38-41.
Melendez-Rosado J, Thompson KM, Cowdell JC, Alvarez CS, Ung RL, Villanueva A, et al. Reducing unnecessary testing: an intervention to improve resident ordering practices. Postgraduate medical journal. 2017;93(1102):476-9.
Soltys J. Strategies for reducing the ordering of unnecessary laboratory Tests. Can Soc Med Lab Sci. 2016;78(1):19-22.
- Abstract Viewed: 126 times
- pdf (فارسی) Downloaded: 112 times