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Choosing Wisely audit: Blood gas ordering in the emergency department. | LitMetric

Choosing Wisely audit: Blood gas ordering in the emergency department.

Emerg Med Australas

Emergency Department, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Published: October 2023

AI Article Synopsis

  • The study aimed to minimize unnecessary blood gas tests to enhance patient flow, decrease false positives, and avoid unnecessary treatments.
  • A retrospective audit of 100 patients showed 45 blood gases per 100 ED presentations, but after implementing educational measures, a follow-up audit revealed a 33% reduction in ordered tests.
  • The conclusion indicates that many blood gases were ordered for patients not in critical condition, suggesting their results did not significantly impact patient management.

Article Abstract

Objective: Our aim was to reduce unnecessary blood gases to improve patient flow, reduce false positives and reduce unnecessary treatments.

Methods: This was a retrospective, single-centre audit of 100 patients in June 2022.

Results: There were approximately 45 blood gases per 100 ED presentations. Following education and poster reminders, a re-audit was undertaken in October 2022, resulting in a reduction of 33% of blood gases ordered.

Conclusion: We have found that many blood gases are ordered for patients who are not critically unwell, and whose disposition was not affected by their result.

Download full-text PDF

Source
http://dx.doi.org/10.1111/1742-6723.14261DOI Listing

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