Minimizing unnecessary proBNP blood tests: an evaluation of a pop-up form implementation in general practice.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-03 DOI:10.1080/02813432.2024.2410984

Morvarid Sophia Esmaeilzadeh, Anna Elise Engell, Henrik Løvendahl Jørgensen, Bent Struer Lind

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引用次数: 0

Abstract

Objective: To evaluate the impact of a compulsory pop-up form on the ordering pattern of proBNP blood tests by general practitioners in the Capital Region of Denmark.

Design: A follow-up study comparing the average number of proBNP tests ordered before and after the implementation of an intervention.

Setting and subjects: From 2016 to 2021, the average number of proBNP tests increased by over 300%. In March 2022, a compulsory pop-up form was introduced in the electronic request system (WebReq), requiring general practitioners to select one of three indications for ordering proBNP, as recommended by the Danish Society of Cardiology. The study included 528 general practitioners in the Capital Region of Denmark, with data available from January 2020 to 2023, encompassing 83,576 proBNP results from 56,645 patients.

Main outcome measure: The average number of proBNP tests ordered per month and the median level of proBNP before and after the intervention.

Results: Following the intervention, the average number of proBNP tests per month decreased by 60% over a 22-month follow-up period. The highest reduction was seen among general practitioners who previously ordered the most tests (≥3 per 1000 biochemical tests). In this group, the median proBNP level increased from 12.1 pmol/L before the intervention to 13.5 pmol/L after the intervention (p < 0.0001).

Conclusions: This study demonstrates a significant decrease in the number of proBNP requests from general practitioners in the Capital Region of Denmark after the introduction of a pop-up form in the requisition system containing the current guidelines.

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尽量减少不必要的 proBNP 血液检测：对全科医生实施弹出式表格的评估。

目的评估强制性弹出式表格对丹麦首都地区全科医生订购proBNP血液化验单模式的影响：一项跟踪研究，比较干预措施实施前后proBNP检测的平均订购数量：从 2016 年到 2021 年，proBNP 检测的平均次数增加了 300% 以上。2022 年 3 月，在电子申请系统（WebReq）中引入了强制性弹出式表格，要求全科医生根据丹麦心脏病学会的建议，从订购 proBNP 的三个适应症中选择一个。研究对象包括丹麦首都地区的 528 名全科医生，数据提供期为 2020 年 1 月至 2023 年，涵盖了来自 56,645 名患者的 83,576 项 proBNP 检测结果：结果：干预后，在 22 个月的随访期内，平均每月的 proBNP 检测次数减少了 60%。减少最多的是以前要求进行最多检测的全科医生（每 1000 次生化检测中≥3 次）。在这一群体中，proBNP 水平的中位数从干预前的 12.1 pmol/L 增加到干预后的 13.5 pmol/L（p 结论：干预后，proBNP 水平的中位数从干预前的 12.1 pmol/L 增加到干预后的 13.5 pmol/L：本研究表明，在申购系统中引入包含现行指南的弹出式表格后，丹麦首都地区全科医生提出的 proBNP 申请数量明显减少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.