NHS Tayside Management of CA125 requesting on ICE
Initial Problem
Over requesting of CA125, especially for patients that are pre- or pero- menopausal.
Change in practise
When users select CA125 on ICE to request a CA125, a dialogue box (below) appears asking if the patient is pre- or peri- menopausal. If they select No, a CA125 is selected and the request proceeds. If they select Yes, the following screen appears asking for the LMP date and also advises that CA125 samples should not be taken during menstruation:
Impact of Change
Since the drop down asking about menopausal status was instigated, the number of CA 125 requests with no clinical details also fell from 5-10% without clinical details to under 3% a year later.
Health Board of Implementation
NHS Tayside
Contact
Judith Strachan
