Decision support system through automatic algorithms and electronic request in diagnosis of anaemia for primary care patients

An appropriate management of anaemia laboratory tests is crucial for a correct diagnosis and treatment. A non-sequential "shotgun" approach (where every anaemia related test is ordered) causes workload and cost increases and could be potentially harmful. We have implemented a Decision Supp...

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Permalink: http://skupnikatalog.nsk.hr/Record/nsk.NSK01001163333/Details
Matična publikacija: Biochemia medica (Online)
31 (2021), 2 ; str. 250-257
Glavni autori: Rodriguez-Borja, Enrique (Author), Pozo-Giraldez, Adela, Díaz-Gimenez, Macarena, Hervas-Romero, Ausias, Corchon-Peyrallo, Africa, Vinyals-Bellido, Inmaculada, Carratala Calvo, Arturo
Vrsta građe: e-članak
Jezik: eng
Online pristup: https://doi.org/10.11613/BM.2021.020702
Elektronička verzija članka
Elektronička verzija članka
Elektronička verzija članka
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024 7 |2 doi  |a 10.11613/BM.2021.020702 
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040 |a HR-ZaNSK  |b hrv  |c HR-ZaNSK  |e ppiak 
041 0 |a eng 
042 |a croatica 
044 |a ci  |c hr 
080 1 |2 2011 
100 1 |a Rodriguez-Borja, Enrique  |4 aut  |9 HR-ZaNSK 
245 1 0 |a Decision support system through automatic algorithms and electronic request in diagnosis of anaemia for primary care patients  |h [Elektronička građa]  |c Enrique Rodriguez-Borja, Adela Pozo-Giraldez, Macarena Díaz-Gimenez, Ausias Hervas-Romero, Africa Corchon-Peyrallo, Inmaculada Vinyals-Bellido, Arturo Carratala Calvo. 
300 |b Ilustr. 
504 |a Bibliografija: 
504 |a Summary. 
520 |a An appropriate management of anaemia laboratory tests is crucial for a correct diagnosis and treatment. A non-sequential "shotgun" approach (where every anaemia related test is ordered) causes workload and cost increases and could be potentially harmful. We have implemented a Decision Support System through our laboratory information system (LIMS) based on reflexive algorithms and automatic generation of interpretative reports specifically in diagnosis of anaemia for primary care patients.When a request contained an "Anaemia Suspicion Study" profile, more than twenty automatic reflexive rules were activated in our LIMS based upon laboratory results. These rules normally involved the addition of reflexive tests. A final report was automatically generated for each interpretation which was always reviewed for their validity by two staff pathologists. We measured the impact of this system in the ordering of most common anaemia related tests and if a proper treatment was established based on the interpretive report.From all the studies performed, only 12% were positive being "iron deficiency" and "anaemia of chronic disease" the most frequent causes, 62% and 17%, respectively. Proper treatment was established in 88% of these anaemic patients. Total iron, transferrin, ferritin, folate and vitamin B12 demand decreased substantially after implementation representing a cost reduction of 40% only for these five tests.Our system has easily improved patient outcomes, advising on individual clinical cases. We have also noticeably reduced the number of over-requested tests and laboratory costs. 
700 1 |a Pozo-Giraldez, Adela  |4 aut  |9 HR-ZaNSK 
700 1 |a Díaz-Gimenez, Macarena  |4 aut  |9 HR-ZaNSK 
700 1 |a Hervas-Romero, Ausias  |4 aut  |9 HR-ZaNSK 
700 1 |a Corchon-Peyrallo, Africa  |4 aut  |9 HR-ZaNSK 
700 1 |a Vinyals-Bellido, Inmaculada  |4 aut  |9 HR-ZaNSK 
700 1 |a Carratala Calvo, Arturo  |4 aut  |9 HR-ZaNSK 
773 0 |t Biochemia medica (Online)  |x 1846-7482  |g 31 (2021), 2 ; str. 250-257  |w nsk.(HR-ZaNSK)000655372 
981 |b Be2021 
856 4 0 |u https://doi.org/10.11613/BM.2021.020702 
856 4 0 |u https://www.biochemia-medica.com/en/journal/31/2/10.11613/BM.2021.020702  |y Elektronička verzija članka 
856 4 0 |u https://www.biochemia-medica.com/en/journal/31/2/10.11613/BM.2021.020702/fullArticle  |y Elektronička verzija članka 
856 4 1 |y Digitalna.nsk.hr 
856 4 0 |u https://hrcak.srce.hr/258880  |y Elektronička verzija članka