Rational use of blood calcium determinations
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000400243 |
Resumo: | CONTEXT AND OBJECTIVE:This study was motivated by the recent excessive increase in requests for blood calcium determinations and laboratory tests in general, in the Hospital das Clínicas complex of Faculdade de Medicina, Universidade de São Paulo (HCFMUSP). Its aim was to suggest rules for the determination of total and ionized calcium in our intensive care units, emergency department, wards and outpatient services, thus contributing towards improving the quality of medical care and achieving more appropriate use of human and financial resources.DESIGN AND SETTING:Critical analysis on clinical and laboratory data and the pertinent scientific literature, conducted by the study group for rational clinical laboratory use, which is part of the Central Laboratory Division, HCFMUSP.METHODS:The study group reviewed scientific publications, statistics and clinical and laboratory data concerning requests for total and ionized calcium determinations in the settings of intensive care units, emergency department, wards and outpatient services.RESULTS:From this critical analysis, clinical decision flow diagrams aimed at providing guidance for ordering these tests were constructed.CONCLUSIONS:Use of the proposed flow diagrams may help to limit the numbers of inappropriate requests for ionized and total calcium determinations, with consequent reductions in the number of tests, risks to patients and unnecessary costs. |
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Rational use of blood calcium determinationsClinical laboratory techniquesBlood chemical analysisCalciumPractice management, medicalDecision makingCONTEXT AND OBJECTIVE:This study was motivated by the recent excessive increase in requests for blood calcium determinations and laboratory tests in general, in the Hospital das Clínicas complex of Faculdade de Medicina, Universidade de São Paulo (HCFMUSP). Its aim was to suggest rules for the determination of total and ionized calcium in our intensive care units, emergency department, wards and outpatient services, thus contributing towards improving the quality of medical care and achieving more appropriate use of human and financial resources.DESIGN AND SETTING:Critical analysis on clinical and laboratory data and the pertinent scientific literature, conducted by the study group for rational clinical laboratory use, which is part of the Central Laboratory Division, HCFMUSP.METHODS:The study group reviewed scientific publications, statistics and clinical and laboratory data concerning requests for total and ionized calcium determinations in the settings of intensive care units, emergency department, wards and outpatient services.RESULTS:From this critical analysis, clinical decision flow diagrams aimed at providing guidance for ordering these tests were constructed.CONCLUSIONS:Use of the proposed flow diagrams may help to limit the numbers of inappropriate requests for ionized and total calcium determinations, with consequent reductions in the number of tests, risks to patients and unnecessary costs.Associação Paulista de Medicina - APM2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000400243Sao Paulo Medical Journal v.132 n.4 2014reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2014.1324731info:eu-repo/semantics/openAccessFerreira-Junior,MarioLichtenstein,ArnaldoSales,Maria MirtesTaniguchi,Leandro UtinoAguiar,Francisco José Bueno deFonseca,Luiz Augusto MarcondesSumita,Nairo MassakazuDuarte,Alberto José da Silvaeng2015-09-29T00:00:00Zoai:scielo:S1516-31802014000400243Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2015-09-29T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Rational use of blood calcium determinations |
title |
Rational use of blood calcium determinations |
spellingShingle |
Rational use of blood calcium determinations Ferreira-Junior,Mario Clinical laboratory techniques Blood chemical analysis Calcium Practice management, medical Decision making |
title_short |
Rational use of blood calcium determinations |
title_full |
Rational use of blood calcium determinations |
title_fullStr |
Rational use of blood calcium determinations |
title_full_unstemmed |
Rational use of blood calcium determinations |
title_sort |
Rational use of blood calcium determinations |
author |
Ferreira-Junior,Mario |
author_facet |
Ferreira-Junior,Mario Lichtenstein,Arnaldo Sales,Maria Mirtes Taniguchi,Leandro Utino Aguiar,Francisco José Bueno de Fonseca,Luiz Augusto Marcondes Sumita,Nairo Massakazu Duarte,Alberto José da Silva |
author_role |
author |
author2 |
Lichtenstein,Arnaldo Sales,Maria Mirtes Taniguchi,Leandro Utino Aguiar,Francisco José Bueno de Fonseca,Luiz Augusto Marcondes Sumita,Nairo Massakazu Duarte,Alberto José da Silva |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Ferreira-Junior,Mario Lichtenstein,Arnaldo Sales,Maria Mirtes Taniguchi,Leandro Utino Aguiar,Francisco José Bueno de Fonseca,Luiz Augusto Marcondes Sumita,Nairo Massakazu Duarte,Alberto José da Silva |
dc.subject.por.fl_str_mv |
Clinical laboratory techniques Blood chemical analysis Calcium Practice management, medical Decision making |
topic |
Clinical laboratory techniques Blood chemical analysis Calcium Practice management, medical Decision making |
description |
CONTEXT AND OBJECTIVE:This study was motivated by the recent excessive increase in requests for blood calcium determinations and laboratory tests in general, in the Hospital das Clínicas complex of Faculdade de Medicina, Universidade de São Paulo (HCFMUSP). Its aim was to suggest rules for the determination of total and ionized calcium in our intensive care units, emergency department, wards and outpatient services, thus contributing towards improving the quality of medical care and achieving more appropriate use of human and financial resources.DESIGN AND SETTING:Critical analysis on clinical and laboratory data and the pertinent scientific literature, conducted by the study group for rational clinical laboratory use, which is part of the Central Laboratory Division, HCFMUSP.METHODS:The study group reviewed scientific publications, statistics and clinical and laboratory data concerning requests for total and ionized calcium determinations in the settings of intensive care units, emergency department, wards and outpatient services.RESULTS:From this critical analysis, clinical decision flow diagrams aimed at providing guidance for ordering these tests were constructed.CONCLUSIONS:Use of the proposed flow diagrams may help to limit the numbers of inappropriate requests for ionized and total calcium determinations, with consequent reductions in the number of tests, risks to patients and unnecessary costs. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000400243 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000400243 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2014.1324731 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.132 n.4 2014 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209263951020032 |