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Frequency that Laboratory Tests Influence Medical Decisions

机译:医学实验室测试的频率影响决定

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Background: Among the variables that influence medical decisions, laboratory tests are considered to be among the most important and frequently used. The influence of laboratory tests on medical decisions has been difficult to estimate. The goal of this study was to estimate the number of patient encounters that included a laboratory test. Methods: We extracted information for 72196 patient encounters from 1 -week intervals each quarter of a year from our comprehensive academic medical center electronic medical record. The patients examined represent a comprehensive range of clinical conditions and medical services. We determined for which encounters laboratory and other orders existed. Results: Overall 35% of encounters had 1 or more laboratory tests ordered. However, the percent varied markedly with patient care areas. For inpatient, emergency department, and outpatient populations, 98%, 56%, and 29%, respectively, had 1 or more laboratory tests ordered. Conclusions: Our observations support that it is not possible to use a single number to categorize the frequency with which laboratory tests occur in patient encounters. Utilization of laboratory tests varied with type of medical service with almost all inpatients, approximately half of emergency department patients, and nearly one-third of outpatients having laboratory tests during their healthcare visit.
机译:背景:在变量的影响医疗决策,实验室测试被认为是最重要的经常使用的。测试医疗决定很难估计。病人接触,包括的数量实验室测试。从1 72196名患者遇到的信息一周的时间间隔从我们每个季度的一年综合电子学术医疗中心医疗记录。综合临床条件和范围医疗服务。遇到实验室和其他订单的存在。结果:总体35%的遇到1或更多实验室测试命令。与病人护理领域的显著变化。住院、急诊、门诊人口,98%、56%和29%,分别1或多个实验室测试命令。我们的观察支持,这是不可能的用一个数字来分类频率发生在实验室测试病人接触。测试不同类型的医疗服务几乎所有的住院病人,大约一半的急诊病人,和近三分之一的门诊病人在实验室测试在医疗保健的访问。

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