Volume 35, Issue 5 pp. 871-872
Short Report

Choosing Wisely audit: Blood gas ordering in the emergency department

Evan Kumarakurusingham BBiomed, BMedSci, MD

Corresponding Author

Evan Kumarakurusingham BBiomed, BMedSci, MD

Hospital Medical Officer

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

Correspondence: Dr Evan Kumarakurusingham, Emergency Department, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC 3050, Australia. Email: [email protected]

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Fahad Yousif MBChB, FACEM, CCPU

Fahad Yousif MBChB, FACEM, CCPU

Emergency Consultant

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

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First published: 14 June 2023
Citations: 1

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.

Data availability statement

The data that support the findings of this study are available on request from the corresponding author.

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