LO88: Reducing urine culture testing in the emergency department
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چکیده
منابع مشابه
REDucing Unnecessary Coagulation Testing in the Emergency Department (REDUCED)
The PT/INR (prothrombin time/international normalized ratio) and aPTT (activated partial thromboplastin time) were tests developed in the early 20th century for specific and unique indications. Despite this, they are often ordered together routinely. The objective of this study was to determine if a multimodal intervention could reduce PT/INR and aPTT testing in the emergency department (ED). T...
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Blood cultures are an important investigation to help tailor effective management for patients with severe sepsis. Frequent contaminated samples increase laboratory workload and can delay or cause incorrect changes to patient management. This can prolong patient hospitalisation, increase the risk of harm and increase cost to health boards. Current guidelines advocate a contamination rate of 2-3...
متن کاملOptimizing urine culture collection in the emergency department using frontline ownership interventions.
TO THE EDITOR—The recent article by Leis et al, “Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study” [1], reveals a novel way to manage the problem of unnecessary urine collection. However, this laboratory-based solution proposed by Leis et al does not address the complex behaviors leading to the unnecessary urine collection. I...
متن کاملImpact of two-step urine culture ordering in the emergency department: a time series analysis
BACKGROUND Despite evidence against the use of antimicrobials for asymptomatic bacteriuria (ASB), they are frequently prescribed leading to unnecessary adverse events. Prior studies have shown that reducing unnecessary urine cultures (UCs) results in decreased antimicrobial utilisation for ASB. Emergency departments (EDs) submit the largest volume of UCs, yet efforts to limit overordering in th...
متن کاملDiagnostic testing in the emergency department.
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ژورنال
عنوان ژورنال: CJEM
سال: 2019
ISSN: 1481-8035,1481-8043
DOI: 10.1017/cem.2019.130