Urine cytology: appropriate usage maximizes sensitivity and reduces cost
Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An au...
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| Autor*in: |
Allen, D. J. [verfasserIn] Challacombe, B. [verfasserIn] Clovis, J. S. [verfasserIn] |
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E-Artikel |
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| Erschienen: |
Oxford, UK: Blackwell Science Ltd ; 2005 |
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Online-Ressource |
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2005 ; Blackwell Publishing Journal Backfiles 1879-2005 |
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In: Cytopathology - Oxford : Wiley-Blackwell, 1990, 16(2005), 3, Seite 0 |
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volume:16 ; year:2005 ; number:3 ; pages:0 |
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| DOI / URN: |
10.1111/j.1365-2303.2005.00255.x |
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| 520 | |a Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. | ||
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| 700 | 1 | |a Dasgupta, P. |4 oth | |
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10.1111/j.1365-2303.2005.00255.x doi (DE-627)NLEJ242484115 DE-627 ger DE-627 rakwb Allen, D. J. verfasserin aut Urine cytology: appropriate usage maximizes sensitivity and reduces cost Oxford, UK Blackwell Science Ltd 2005 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| urine cytology Challacombe, B. verfasserin aut Clovis, J. S. verfasserin aut Chandra, A. oth Dasgupta, P. oth Popert, R. oth In Cytopathology Oxford : Wiley-Blackwell, 1990 16(2005), 3, Seite 0 Online-Ressource (DE-627)NLEJ243926294 (DE-600)2020042-0 1365-2303 nnns volume:16 year:2005 number:3 pages:0 http://dx.doi.org/10.1111/j.1365-2303.2005.00255.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 16 2005 3 0 |
| spelling |
10.1111/j.1365-2303.2005.00255.x doi (DE-627)NLEJ242484115 DE-627 ger DE-627 rakwb Allen, D. J. verfasserin aut Urine cytology: appropriate usage maximizes sensitivity and reduces cost Oxford, UK Blackwell Science Ltd 2005 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| urine cytology Challacombe, B. verfasserin aut Clovis, J. S. verfasserin aut Chandra, A. oth Dasgupta, P. oth Popert, R. oth In Cytopathology Oxford : Wiley-Blackwell, 1990 16(2005), 3, Seite 0 Online-Ressource (DE-627)NLEJ243926294 (DE-600)2020042-0 1365-2303 nnns volume:16 year:2005 number:3 pages:0 http://dx.doi.org/10.1111/j.1365-2303.2005.00255.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 16 2005 3 0 |
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10.1111/j.1365-2303.2005.00255.x doi (DE-627)NLEJ242484115 DE-627 ger DE-627 rakwb Allen, D. J. verfasserin aut Urine cytology: appropriate usage maximizes sensitivity and reduces cost Oxford, UK Blackwell Science Ltd 2005 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| urine cytology Challacombe, B. verfasserin aut Clovis, J. S. verfasserin aut Chandra, A. oth Dasgupta, P. oth Popert, R. oth In Cytopathology Oxford : Wiley-Blackwell, 1990 16(2005), 3, Seite 0 Online-Ressource (DE-627)NLEJ243926294 (DE-600)2020042-0 1365-2303 nnns volume:16 year:2005 number:3 pages:0 http://dx.doi.org/10.1111/j.1365-2303.2005.00255.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 16 2005 3 0 |
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10.1111/j.1365-2303.2005.00255.x doi (DE-627)NLEJ242484115 DE-627 ger DE-627 rakwb Allen, D. J. verfasserin aut Urine cytology: appropriate usage maximizes sensitivity and reduces cost Oxford, UK Blackwell Science Ltd 2005 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| urine cytology Challacombe, B. verfasserin aut Clovis, J. S. verfasserin aut Chandra, A. oth Dasgupta, P. oth Popert, R. oth In Cytopathology Oxford : Wiley-Blackwell, 1990 16(2005), 3, Seite 0 Online-Ressource (DE-627)NLEJ243926294 (DE-600)2020042-0 1365-2303 nnns volume:16 year:2005 number:3 pages:0 http://dx.doi.org/10.1111/j.1365-2303.2005.00255.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 16 2005 3 0 |
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10.1111/j.1365-2303.2005.00255.x doi (DE-627)NLEJ242484115 DE-627 ger DE-627 rakwb Allen, D. J. verfasserin aut Urine cytology: appropriate usage maximizes sensitivity and reduces cost Oxford, UK Blackwell Science Ltd 2005 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| urine cytology Challacombe, B. verfasserin aut Clovis, J. S. verfasserin aut Chandra, A. oth Dasgupta, P. oth Popert, R. oth In Cytopathology Oxford : Wiley-Blackwell, 1990 16(2005), 3, Seite 0 Online-Ressource (DE-627)NLEJ243926294 (DE-600)2020042-0 1365-2303 nnns volume:16 year:2005 number:3 pages:0 http://dx.doi.org/10.1111/j.1365-2303.2005.00255.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 16 2005 3 0 |
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Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general.</subfield></datafield><datafield tag="533" ind1=" " ind2=" "><subfield code="d">2005</subfield><subfield code="f">Blackwell Publishing Journal Backfiles 1879-2005</subfield><subfield code="7">|2005||||||||||</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">urine cytology</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Challacombe, B.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Clovis, J. 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Urine cytology: appropriate usage maximizes sensitivity and reduces cost |
| abstract |
Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. |
| abstractGer |
Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. |
| abstract_unstemmed |
Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general. |
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Urine cytology: appropriate usage maximizes sensitivity and reduces cost |
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Challacombe, B. Clovis, J. S. Chandra, A. Dasgupta, P. Popert, R. |
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Challacombe, B. Clovis, J. S. Chandra, A. Dasgupta, P. Popert, R. |
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NLEJ243926294 |
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10.1111/j.1365-2303.2005.00255.x |
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2024-07-06T02:09:25.716Z |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">NLEJ242484115</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230505204419.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">120427s2005 xx |||||o 00| ||und c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1111/j.1365-2303.2005.00255.x</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)NLEJ242484115</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Allen, D. J.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Urine cytology: appropriate usage maximizes sensitivity and reduces cost</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Oxford, UK</subfield><subfield code="b">Blackwell Science Ltd</subfield><subfield code="c">2005</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">zzz</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">z</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">zu</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Objective: Urine cytology is costly because of the skilled manpower required for analysis. Inappropriate requests are a significant drain both financially and on the cytopathologist's time. The present study aimed at identifying the extent and cause of this misuse and reduce it.Methods: An audit of urine cytology usage was undertaken using the hospital results reporting system to identify requests. Patient case notes were then obtained to gain further clinical information. Initially a 2-week period was analysed, following which departmental guidelines for requesting urine cytology were produced and circulated. The audit loop was then closed.Results: Over the initial 2-week period, 117 urine cytology requests were received. Thirty-three per cent were inappropriate, either because they were from patients with benign disease or because of duplication. Following the education programme this number fell to 6%. Expenditure on unnecessary samples thus decreased from £2418 to only £310, giving an annual overall saving of £55 000.Conclusion: Significant cost and time savings can be made if urine cytology is sent appropriately. Simple guidelines and staff education are the key to reducing inefficiency. Our findings have implications not just for cytopathology costs but for laboratory and radiology requests in general.</subfield></datafield><datafield tag="533" ind1=" " ind2=" "><subfield code="d">2005</subfield><subfield code="f">Blackwell Publishing Journal Backfiles 1879-2005</subfield><subfield code="7">|2005||||||||||</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">urine cytology</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Challacombe, B.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Clovis, J. 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