A Reflex Protocol for Creatinine Testing Reduces Costs and Maintains Patient Safety

• Published in: Laboratory medicine Vol. 50; no. 2; pp. 202 - 207
• Main Authors: Lehman, Christopher M, Pearson, Lauren, Salmond, Jennifer, Raphael, Kalani, Schmidt, Robert L
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 08.04.2019
• Subjects: Clinical Chemistry Tests - economics; Clinical Chemistry Tests - methods; Control; Cost reduction; Cost-Benefit Analysis; Creatinine - blood; Creatinine tests; Enzymes; Glomerular Filtration Rate; Health care costs; Humans; Medical protocols; Methods; Middleware; Patient care; Patient Safety; Prejudice; Retrospective Studies; Safety and security measures; Scientists; United States; eGFR; creatinine; patient safety; enzymatic method; cost effectiveness; risk; Jaffe method; reflex testing

The Jaffe and enzymatic methods are the 2 most common methods for creatinine measurement. The Jaffe method is less expensive but subject to interferences. Some laboratory scientists have called for the Jaffe method to be retired. To determine the most cost-effective and safe protocol for creatinine...