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Education and communication is the key for the successful management of vitamin D test requesting

INTRODUCTION: Pre-preanalytical and post-postanalytical phases are steps where the laboratory professional may play a crucial role. Measuring the serum circulating 25 hydroxyvitamin D level (25(OH)D) is recommended to evaluate vitamin D status in patients at risk for vitamin D deficiency while 1,25...

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Autores principales: Salinas, Maria, López-Garrigós, Maite, Flores, Emilio, Leiva-Salinas, María, Ahumada, Miguel, Leiva-Salinas, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Croatian Society of Medical Biochemistry and Laboratory Medicine 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470103/
https://www.ncbi.nlm.nih.gov/pubmed/26110036
http://dx.doi.org/10.11613/BM.2015.024
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author Salinas, Maria
López-Garrigós, Maite
Flores, Emilio
Leiva-Salinas, María
Ahumada, Miguel
Leiva-Salinas, Carlos
author_facet Salinas, Maria
López-Garrigós, Maite
Flores, Emilio
Leiva-Salinas, María
Ahumada, Miguel
Leiva-Salinas, Carlos
author_sort Salinas, Maria
collection PubMed
description INTRODUCTION: Pre-preanalytical and post-postanalytical phases are steps where the laboratory professional may play a crucial role. Measuring the serum circulating 25 hydroxyvitamin D level (25(OH)D) is recommended to evaluate vitamin D status in patients at risk for vitamin D deficiency while 1,25 hydroxyvitamin D (1,25(OH)(2)D) is only recommended to monitor several particular conditions (chronic kidney disease, hereditary phosphate-losing disorders, and some other) clearly defined by the current clinical guidelines of Endocrine Society.
Our research hypothesis was that through education and communication through comments in the Laboratory Information System (LIS), we could improve appropriateness in the request vitamin D tests. MATERIALS AND METHODS: A retrospective observational cross-sectional study was conducted from January 2005 to December 2014. Each 1,25(OH)(2)D request was reviewed individually by a member of the laboratory staff. Starting in November 2011, each inappropriate 1,25(OH)(2)D request was registered in LIS and 25(OH)D was measured instead of 1,25(OH)(2)D. We counted the overall number of 1,25(OH)(2)D requests and the number of inappropriate requests which then were marked with a comment. RESULTS: The request of 25(OH)D increased along years. However, 1,25(OH)(2)D requests increased until 2012 when demand began to diminish. CONCLUSIONS: Education and communication through comments in the LIS, corrected the inappropriate request of 1,25(OH)(2)D and promoted the use of 25(OH)D to study vitamin D deficiency.
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spelling pubmed-44701032015-06-24 Education and communication is the key for the successful management of vitamin D test requesting Salinas, Maria López-Garrigós, Maite Flores, Emilio Leiva-Salinas, María Ahumada, Miguel Leiva-Salinas, Carlos Biochem Med (Zagreb) Research Article INTRODUCTION: Pre-preanalytical and post-postanalytical phases are steps where the laboratory professional may play a crucial role. Measuring the serum circulating 25 hydroxyvitamin D level (25(OH)D) is recommended to evaluate vitamin D status in patients at risk for vitamin D deficiency while 1,25 hydroxyvitamin D (1,25(OH)(2)D) is only recommended to monitor several particular conditions (chronic kidney disease, hereditary phosphate-losing disorders, and some other) clearly defined by the current clinical guidelines of Endocrine Society.
Our research hypothesis was that through education and communication through comments in the Laboratory Information System (LIS), we could improve appropriateness in the request vitamin D tests. MATERIALS AND METHODS: A retrospective observational cross-sectional study was conducted from January 2005 to December 2014. Each 1,25(OH)(2)D request was reviewed individually by a member of the laboratory staff. Starting in November 2011, each inappropriate 1,25(OH)(2)D request was registered in LIS and 25(OH)D was measured instead of 1,25(OH)(2)D. We counted the overall number of 1,25(OH)(2)D requests and the number of inappropriate requests which then were marked with a comment. RESULTS: The request of 25(OH)D increased along years. However, 1,25(OH)(2)D requests increased until 2012 when demand began to diminish. CONCLUSIONS: Education and communication through comments in the LIS, corrected the inappropriate request of 1,25(OH)(2)D and promoted the use of 25(OH)D to study vitamin D deficiency. Croatian Society of Medical Biochemistry and Laboratory Medicine 2015-06-05 /pmc/articles/PMC4470103/ /pubmed/26110036 http://dx.doi.org/10.11613/BM.2015.024 Text en
spellingShingle Research Article
Salinas, Maria
López-Garrigós, Maite
Flores, Emilio
Leiva-Salinas, María
Ahumada, Miguel
Leiva-Salinas, Carlos
Education and communication is the key for the successful management of vitamin D test requesting
title Education and communication is the key for the successful management of vitamin D test requesting
title_full Education and communication is the key for the successful management of vitamin D test requesting
title_fullStr Education and communication is the key for the successful management of vitamin D test requesting
title_full_unstemmed Education and communication is the key for the successful management of vitamin D test requesting
title_short Education and communication is the key for the successful management of vitamin D test requesting
title_sort education and communication is the key for the successful management of vitamin d test requesting
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470103/
https://www.ncbi.nlm.nih.gov/pubmed/26110036
http://dx.doi.org/10.11613/BM.2015.024
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