0,05). Laboratuvar maliyetlerinin klinisyenlerle paylaşılması, klinisyen eğitim programlarının arttırılması, test istemlerinde tanı algoritmalarının geliştirilmesi ve kullanımı gibi uygulamalar gereksiz test istemlerinin azaltılmasında etkili olabilir Objective: In recent years the main reason of the increase in the use of laboratory services is unnecessary laboratory testing. We aimed to investigate the unnecessary laboratory testing for fPSA test through tPSA test by examining the tPSA and fPSA tests which were ordered at our hospital. Methods: We evaluated the tPSA and fPSA tests retrospectively which were ordered at our hospital between 01.01.2011 and 31.12.2015. fPSA tests which were ordered simultaneously when tPSA test results were 4 ng/ml or greater than 10 ng/ml, were accepted as inappropriate initial testing. We investigated the departments that requested these tests and the distribution of these tests by years. Results: We determined that 9759 of fPSA tests (78.8%) were unnecessary laboratory testing. When evaluated according to the outpatient departments we determined that most frequently (95%) unnecessary laboratory tests was ordered by the polyclinics of nuclear medicine. While neurology service most frequently (90.6%) ordered unnecessary laboratory testing. Conclusion: Although the laboratory test commission imposed restrictions on the ordering of PSA tests in 2015, we haven’t observed a statistically significant change in the frequency of unnecessary laboratory testing rate (p>0.05). The preventive measures as sharing information about the cost of laboratory tests with clinicians, increasing the number of clinician education programs, developing and using diagnostic algorithms for test ordering may be effective in reducing the number of unnecessary laboratory testing">
[PDF] Gereksiz test istemlerinin incelenmesinde bir örnek: Serbest PSA testi | [PDF] An example for investigation of unnecessary laboratory testing Free PSA test
0,05). Laboratuvar maliyetlerinin klinisyenlerle paylaşılması, klinisyen eğitim programlarının arttırılması, test istemlerinde tanı algoritmalarının geliştirilmesi ve kullanımı gibi uygulamalar gereksiz test istemlerinin azaltılmasında etkili olabilir">
0,05). Laboratuvar maliyetlerinin klinisyenlerle paylaşılması, klinisyen eğitim programlarının arttırılması, test istemlerinde tanı algoritmalarının geliştirilmesi ve kullanımı gibi uygulamalar gereksiz test istemlerinin azaltılmasında etkili olabilir Objective: In recent years the main reason of the increase in the use of laboratory services is unnecessary laboratory testing. We aimed to investigate the unnecessary laboratory testing for fPSA test through tPSA test by examining the tPSA and fPSA tests which were ordered at our hospital. Methods: We evaluated the tPSA and fPSA tests retrospectively which were ordered at our hospital between 01.01.2011 and 31.12.2015. fPSA tests which were ordered simultaneously when tPSA test results were 4 ng/ml or greater than 10 ng/ml, were accepted as inappropriate initial testing. We investigated the departments that requested these tests and the distribution of these tests by years. Results: We determined that 9759 of fPSA tests (78.8%) were unnecessary laboratory testing. When evaluated according to the outpatient departments we determined that most frequently (95%) unnecessary laboratory tests was ordered by the polyclinics of nuclear medicine. While neurology service most frequently (90.6%) ordered unnecessary laboratory testing. Conclusion: Although the laboratory test commission imposed restrictions on the ordering of PSA tests in 2015, we haven’t observed a statistically significant change in the frequency of unnecessary laboratory testing rate (p>0.05). The preventive measures as sharing information about the cost of laboratory tests with clinicians, increasing the number of clinician education programs, developing and using diagnostic algorithms for test ordering may be effective in reducing the number of unnecessary laboratory testing">
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