caa a22 4500 39751977X CHVBK 20180308164629.0 cr unu---uuuuu 161202e199503 xx s 000 0 eng 10.1093/intqhc/7.1.25 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.1.25 Clinical Practice and the Use of Laboratory Tests at the May 15 Hospital in Egypt [Elektronische Daten] [NADWA RAFEH, DALAL EL-TOBGI] The purpose of this study was to assess physicians' practices in the use of laboratory tests at a public hospital in Egypt. Methods included medical record reviews, interviews with selected physicians, literature review, and cost analysis. Three variables were examined in the medical record: appropriateness of laboratory tests, laboratory tests performed but not used as a basis for clinical treatment, and laboratory tests requested but not performed. Direct and indirect costs for each test were calculated. Results of the study indicated that 31.4% of the tests were inappropriate, 20.1% of test results were not used in treatment decisions, and 16.3% were not performed. Inappropriate and unused tests accounted for 22.6% of the annual total budget deficit for the hospital laboratory. To improve the quality of patient care and to decrease the wasteful use of resources, the hospital formed process improvement teams to develop clinical guidelines for problem-prone tests and to improve processes for requesting and providing laboratory results in a timely manner. © 1995 Elsevier Science Ltd Articles nationallicence Quality assurance nationallicence appropriate use of laboratory tests nationallicence variation in clinical practice nationallicence process improvement of laboratory procedures/functions nationallicence RAFEH NADWA Quality Assurance Project/Center for Human Services and the Cost Recovery for Health Project Cairo, Egypt aut EL-TOBGI DALAL Department of Pediatrics, May 15 Hospital Cairo, Egypt aut International Journal for Quality in Health Care Oxford University Press 7/1(1995-03), 25-30 1353-4505 7:1<25 1995 7 intqhc https://doi.org/10.1093/intqhc/7.1.25 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.1.25 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- RAFEH NADWA Quality Assurance Project/Center for Human Services and the Cost Recovery for Health Project Cairo, Egypt aut NATIONALLICENCE 700 1- EL-TOBGI DALAL Department of Pediatrics, May 15 Hospital Cairo, Egypt aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/1(1995-03), 25-30 1353-4505 7:1<25 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford