Format

Send to

Choose Destination
BMC Med Inform Decis Mak. 2015 Feb 22;15:11. doi: 10.1186/s12911-015-0137-7.

Promoting improved utilization of laboratory testing through changes in an electronic medical record: experience at an academic medical center.

Author information

1
Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242, USA. mkrasows@healthcare.uiowa.edu.
2
Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242, USA.
3
Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242, USA.
4
Stead Family Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242, USA.
5
Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242, USA.

Abstract

This case study over time describes five years of experience with interventions to improve laboratory test utilization at an academic medical center. The high-frequency laboratory tests showing the biggest declines in order volume post intervention were serum albumin (36%) and erythrocyte sedimentation rate (17%). Introduction of restrictions for 170 high-cost send-out tests resulted in a 23% decline in order volume. Targeted interventions reduced mis-orders involving several "look-alike" tests: 1,25-dihydroxyvitamin D, 25-hydroxyvitamin D; manganese, magnesium; beta-2-glycoprotein, beta-2-microglobulin. Lastly, targeted alerts reduced duplicate orders of germline genetic testing and orders of hepatitis B surface antigen within 2 weeks of hepatitis B vaccination.

PMID:
25880934
PMCID:
PMC4344785
DOI:
10.1186/s12911-015-0137-7
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center