Reducing red blood cell folate testing: a case study in utilisation management

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Serum and red blood cell folate testing on hospitalized patients.

Medical Service, Veterans Affairs Boston Healthcare System, West Roxbury, Massachusetts; Harvard Medical School, Boston, Massachusetts; Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts; Divisions of General Internal Medicine and Pediatrics, Johns Hopkins Hospital, Baltimore, Maryland; Johns Hopkins School of Medicine, Baltimore, Maryland.

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The measurement of folate in red blood cells (RBCs) is preferred since it reflects long-term folate status in the body compared to plasma/serum folate which may be influenced by recent dietary intake. The commonly accepted technique for RBC folate analysis involves preparation of a hemolysate using a fresh whole blood sample. Hematocrit and plasma folate concentrations are needed to calculate R...

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ژورنال

عنوان ژورنال: BMJ Open Quality

سال: 2019

ISSN: 2399-6641

DOI: 10.1136/bmjoq-2018-000531