A computer-based intervention for improving the appropriateness of antiepileptic drug level monitoring

American Journal of Clinical Pathology

Volumn 119, Issue 3, 2003, Pages 432-438

  Chen, Philip ^a   Tanasijevic, Milenko J ^a   Schoenenberger, Ronald A ^a   Fiskio, Julie ^a   Kuperman, Gilad J ^a   Bates, David W ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Antiepileptic drug level; Appropriateness; Benchmark; Evidence based medicine; Guidelines; Indicators; Test ordering; Utilization

Indexed keywords

ANTICONVULSIVE AGENT;

ARTICLE; AUTOANALYSIS; CLINICAL PRACTICE; COMPUTER SYSTEM; COST BENEFIT ANALYSIS; COST MINIMIZATION ANALYSIS; DIAGNOSTIC ACCURACY; DRUG BLOOD LEVEL; DRUG MONITORING; ELECTRONIC MEDICAL RECORD; EVALUATION; EVIDENCE BASED MEDICINE; HEALTH CARE COST; HEALTH CARE QUALITY; HOSPITAL PATIENT; HUMAN; LABORATORY TEST; MAJOR CLINICAL STUDY; OUTCOMES RESEARCH; PATIENT INFORMATION; PHARMACOKINETICS; PHYSICIAN ATTITUDE; PRACTICE GUIDELINE; PRIORITY JOURNAL; REMINDER SYSTEM; STEADY STATE; ALGORITHM; COMPUTER ASSISTED DRUG THERAPY; HEALTH CARE PLANNING; HOSPITAL PHARMACY; MEDICAL INFORMATION SYSTEM; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PRESCRIPTION; QUALITY CONTROL; TEACHING HOSPITAL; UNNECESSARY PROCEDURE;

ALGORITHMS; ANTICONVULSANTS; BENCHMARKING; CLINICAL PHARMACY INFORMATION SYSTEMS; DRUG MONITORING; DRUG THERAPY, COMPUTER-ASSISTED; EVIDENCE-BASED MEDICINE; HEALTH PLANNING GUIDELINES; HOSPITALS, TEACHING; HUMANS; PHARMACY SERVICE, HOSPITAL; PRESCRIPTIONS, DRUG; REMINDER SYSTEMS; UNNECESSARY PROCEDURES;

EID: 0037364370     PISSN: 00029173     EISSN: None     Source Type: Journal    
DOI: 10.1309/A96XU9YKU298HB2R     Document Type: Article

References (42)

1. Redelmeier DA, Fuchs VR. Hospital expenditures in the United States and Canada. N Engl J Med. 1993;328:772-778.
2. Fineberg HV. Clinical chemistries: the high cost of low-cost diagnostic tests. In: Altman SH, Blendon R, eds. Medical Technology: The Culprit Behind Health Care Costs? Washington, DC: US Dept of Health, Education, and Welfare; 1979:144-165. DHEW publication PHS 79-3216.
3. Daniels M, Schroeder SA. Variation among physicians in the use of laboratory tests: relation to clinical productivity and outcomes of care. Med Care. 1977;15:482-487.
4. Bates DW, Boyle DL, Rittenberg E, et al. What proportion of common diagnostic tests appear redundant? Am J Med. 1998;104:361-368.
5. Wong ET, McCarron MM, Shaw ST Jr. Ordering of laboratory tests in a teaching hospital: can it be improved? JAMA. 1983;249:3076-3080.
6. Schroeder SA, Kenders K, Cooper JK, et al. Use of laboratory tests and pharmaceuticals: variation among physicians and effect of cost audit on subsequent use. JAMA. 1973;225:969-973.
7. van Walraven C, Naylor CD. Do we know what inappropriate laboratory utilization is? JAMA. 1998;280:550-558.
8. Poteat HT, Chen P, Loughlin KR, et al. Appropriateness of prostate-specific antigen testing. Am J Clin Pathol. 2000;113:421-428.
9. Wachtel TJ, O'Sullivan P. Practice guidelines to reduce testing in the hospital. J Gen Intern Med. 1990;5:335-341.
10. Joint Commission on Accreditation of Healthcare Organizations. Accreditation Manual for Hospitals. Chicago, IL: Joint Commission on Accreditation of Healthcare Organizations; 1990.
11. Joint Commission on Accreditation of Healthcare Organizations. 2000-2001 Comprehensive Accreditation Manual for Pathology and Clinical Laboratory Services. Chicago, IL: Joint Commission on Accreditation of Healthcare Organizations; 2000.
12. Lyon AW, Greenway DC, Hindmarsh JT. A strategy to promote rational clinical chemistry test utilization. Am J Clin Pathol. 1995;103:718-724.
13. van Walraven C, Goel V, Chan B. Effect of population-based interventions on laboratory utilization: a time-series analysis. JAMA. 1998;280:2028-2033.
14. Durand-Zaleski I, Roudot-Thoraval F, Rymer JC, et al. Reducing unnecessary laboratory use with new test request form: example of tumour markers. Lancet. 1993;342:150-153.
15. Zaat JO, van Eijk JT, Bonte HA. Laboratory test form design influences test ordering by general practitioners in the Netherlands. Med Care. 1992;30:189-198.
16. Lundberg GD. Laboratory request forms (menus) that guide and teach [editorial]. JAMA. 1983;249:3075.
17. Studnicki J, Bradham DD, Marsbum J, et al. A feedback system for reducing excessive laboratory tests. Arch Pathol Lab Med. 1993;117:35-39.
18. Grivel AR, Forgie HJ, Fraser CG, et al. Effect of feedback to clinical staff of information on clinical biochemistry requisition patterns. Clin Chem. 1981;27:1717-1720.
19. Tierney WM, McDonald CJ, Martin DK, et al. Computerized display of past test results: effect on outpatient testing. Ann Intern Med. 1987;107:569-574.
20. Tierney WM, McDonald CJ, Hui SL, et al. Computer predictions of abnormal test results: effects on outpatient testing. JAMA. 1988;259:1194-1198.
21. Tierney WM, Miller ME, McDonald CJ. The effect on test ordering of informing physicians of the charges for outpatient diagnostic tests. N Engl J Med. 1990;322:1499-1504.
22. Elson RB, Connelly DP. Computerized decision support systems in primary care. Prim Care. 1995;22:365-384.
23. Connelly DP, Sielaff BH, Willard KE. A clinician's workstation for improving laboratory use: integrated display of laboratory results. Am J Clin Pathol. 1995;104:243-252.
24. Stair TO. Reduction of redundant laboratory orders by access to computerized patient records. J Emerg Med. 1998;16:895-897.
25. Bates DW, Kuperman GJ, Jha A, et al. Does the computerized display of charges affect inpatient ancillary test utilization? Arch Intern Med. 1997;157:2501-2508.
26. Davidoff F, Goodspeed R, Clive J. Changing test ordering behavior. Med Care. 1989;27:45-58.
27. Schoenenberger RA, Tanasijevic MJ, Jha A, et al. Appropriateness of antiepileptic drug level monitoring. JAMA. 1995;274:1622-1626.
28. Bates DW, Kuperman GJ, Rittenberg E, et al. A randomized trial of a computer-based intervention to reduce utilization of redundant laboratory tests. Am J Med. 1999;106:144-150.
29. Fleiss JL. Statistical Methods for Rates and Proportions. 2nd ed. New York, NY: John Wiley & Sons; 1981.
30. Top 25 inpatient procedures driven by new technology, push to outpatient settings. Health Care Cost Reengineering Rep. 1999;4:121-122.
31. Hayward RS, Wilson MC, Tunis SR, et al. Users' guides to the medical literature, VIII: how to use clinical practice guidelines, A: what are the recommendations and will they help you in caring for your patients? The Evidence-Based Medicine Working Group. JAMA. 1995;274:570-574.
32. Eisenberg JM, Williams SV, Garner L, et al. Computer-based audit to detect and correct over-utilization of laboratory tests. Med Care. 1977;15:915-921.
33. Axt-Adam P, Van Der Wouden JC, Van Der Does E. Influencing behavior of physicians ordering laboratory tests: a literature study. Med Care. 1993;31:784-794.
34. Tierney WM, Miller ME, Overhage JM, et al. Physician inpatient order writing on microcomputer workstations: effects on resource utilization. JAMA. 1993;269:379-383.
35. Sittig DF, Stead WW. Computer-based physician order entry: the state of the art. J Am Med Inform Assoc. 1994;1:108-123.
36. Bates DW, Kuperman G, Teich JM. Computerized physician order entry and quality of care. Qual Manag Health Care. 1994;2:18-27.
37. Johnson ME, Langton KB, Haynes RB, et al. Effects of computer-based clinical decision support systems on clinician performance and patient outcome: a critical appraisal of research. Ann Intern Med. 1994;120:135-142.
38. Shea S, DuMoouchel W, Bahamonde L. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J Am Med Inform Assoc. 1996;3:399-409.
39. Rossi RA, Every NR. A computerized intervention to decrease the use of calcium channel blockers in hypertension. J Gen Intern Med. 1997;12:672-678.
40. Shojania KG, Yokoe D, Platt R, et al. Reducing vancomycin use utilizing a computer guideline: results of a randomized controlled trial. J Am Med Inform Assoc. 1998;5:554-562.
41. Groopman DS, Powers RD. Effect of "standard order" deletion on emergency department coagulation profile use. Ann Emerg Med. 1992;21:524-527.
42. Kroenke K, Hanley JF, Copley JB, et al. Improving house staff ordering of three common laboratory tests: reductions in test ordering need not result in underutilization. Med Care. 1987;25:928-935.