Do we now know what inappropriate laboratory utilization is? An expanded systematic review of laboratory clinical audits

American Journal of Clinical Pathology

Volumn 141, Issue 6, 2014, Pages 774-783

  Hauser, Ronald G ^a   Shirts, Brian H ^b  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Cost savings; Delivery of health care; Efficiency, organizational; Guideline adherence; Health care; Health planning guidelines; Health services misuse; Physicians' practice patterns; Process assessment (health care); Quality assurance; Utilization review

Indexed keywords

CLINICAL LABORATORY; HUMAN; LABORATORY; LABORATORY TEST; MEDICAL AUDIT; MEDICAL RECORD REVIEW; PRIORITY JOURNAL; REVIEW; SCREENING TEST; SYSTEMATIC REVIEW (TOPIC);

COST SAVINGS; DELIVERY OF HEALTH CARE; EFFICIENCY, ORGANIZATIONAL; GUIDELINE ADHERENCE; HEALTH PLANNING GUIDELINES; HEALTH SERVICES MISUSE; PHYSICIANS' PRACTICE PATTERNS; PROCESS ASSESSMENT (HEALTH CARE); QUALITY ASSURANCE, HEALTH CARE; UTILIZATION REVIEW;

CLINICAL AUDIT; CLINICAL LABORATORY TECHNIQUES; DIAGNOSTIC TESTS, ROUTINE; HEALTH SERVICES MISUSE; HUMANS; UTILIZATION REVIEW;

EID: 84904512253     PISSN: 00029173     EISSN: 19437722     Source Type: Journal    
DOI: 10.1309/AJCPX1HIEM4KLGNU     Document Type: Review

References (37)

1. Hogg W, Baskerville N, Lemelin J. Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis. BMC Health Serv Res. 2005;5:20.
2. Walter LC, Fung KZ, Kirby KA, et al. Five-year downstream outcomes following prostate-specific antigen screening in older men. JAMA Intern Med. 2013;173:866-873.
3. Zeillemaker AM, Verbrugh HA, Hoynck van Papendrecht AA, et al. CA 125 secretion by peritoneal mesothelial cells. J Clin Pathol. 1994;47:263-265. (Pubitemid 24120692)
4. Benson ES. Initiatives toward effective decision making and laboratory use. Hum Pathol. 1980;11:440-448.
5. Rang M. The Ulysses syndrome. Can Med Assoc J. 1972;106:122-123.
6. Eisenberg JM, Williams SV. Cost containment and changing physicians' practice behavior: can the fox learn to guard the chicken coop? JAMA. 1981;246:2195-2201. (Pubitemid 11030567)
7. Bulusu S. Rational, cost effective use of investigations: rising workload and costs in diagnostic departments must be contained. BMJ. 2002;325:222.
8. van Walraven C, Naylor CD. Do we know what inappropriate laboratory utilization is? a systematic review of laboratory clinical audits. JAMA. 1998;280:550-558.
9. Verrilli D, Welch HG. The impact of diagnostic testing on therapeutic interventions. JAMA. 1996;275:1189-1191. (Pubitemid 26113935)
10. Cassel CK, Guest JA. Choosing wisely: helping physicians and patients make smart decisions about their care. JAMA. 2012;307:1801-1802.
11. Brownlee S. Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer. New York, NY: Bloomsbury; 2007.
12. Welch HG, Schwartz L, Woloshin S. Overdiagnosed: Making People Sick in the Pursuit of Health. Boston, MA: Beacon Press; 2011.
13. Altshuler CH, Bareta J, Cafaro AF, et al. The PALI and the SLIC systems. CRC Crit Rev Clin Lab Sci. 1972;3:379-402.
14. Meltzer D, Manning WG, Morrison J, et al. Effects of physician experience on costs and outcomes on an academic general medicine service: results of a trial of hospitalists. Ann Intern Med. 2002;137:866-874. (Pubitemid 35416622)
15. Kim JY, Dzik WH, Dighe AS, et al. Utilization management in a large urban academic medical center: a 10-year experience. Am J Clin Pathol. 2011;135:108-118.
16. Warren JS. Laboratory test utilization program: structure and impact in a large academic medical center. Am J Clin Pathol. 2013;139:289-297.
17. Vegting IL, van Beneden M, Kramer MH, et al. How to save costs by reducing unnecessary testing: lean thinking in clinical practice. Eur J Intern Med. 2012;23:70-75.
18. Munro J, Booth A, Nicholl J. Routine preoperative testing: a systematic review of the evidence. Health Technol Assess. 1997;1:i-iv; 1-62.
19. Dietz PM, Vesco KK, Callaghan WM, et al. Postpartum screening for diabetes after a gestational diabetes mellitus-affected pregnancy. Obstet Gynecol. 2008;112:868-874.
20. Riegert-Johnson DL, Macaya D, Hefferon TW, et al. The incidence of duplicate genetic testing. Genet Med. 2008;10:114-116. (Pubitemid 351271722)
21. Pilon CS, Leathley M, London R, et al. Practice guideline for arterial blood gas measurement in the intensive care unit decreases numbers and increases appropriateness of tests. Crit Care Med. 1997;25:1308-1313. (Pubitemid 27347293)
22. Holtgrave D. Evidence-based efforts to prevent HIV infection: an overview of current status and future challenges. Clin Infect Dis. 2007;45(suppl 4):S293-S299. (Pubitemid 351417232)
23. Diby M, Merlani P, Garnerin P, et al. Harmonization of practice among different groups of caregivers: a guideline on arterial blood gas utilization. J Nurs Care Qual. 2005;20:327-334. (Pubitemid 41426714)
24. Naylor CD, Guyatt GH; Evidence-Based Medicine Working Group. Users' guides to the medical literature: XI, how to use an article about a clinical utilization review. JAMA. 1996;275:1435-1439. (Pubitemid 26155920)
25. Hover AR, Cornwell V, Stevenson S, et al. Evaluation of the American Academy of Pediatrics principles on management of common office infections in a managed care setting. Mo Med. 2000;97:541-544.
26. 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. (Pubitemid 29115953)
27. Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. J Am Med Inform Assoc. 2008;15:424-429. (Pubitemid 351888356)
28. Kiefe CI, Allison JJ, Williams OD, et al. Improving quality improvement using achievable benchmarks for physician feedback: a randomized controlled trial. JAMA. 2001;285:2871-2879. (Pubitemid 32537351)
29. Verstappen WH, van der Weijden T, Sijbrandij J, et al. Effect of a practice-based strategy on test ordering performance of primary care physicians: a randomized trial. JAMA. 2003;289:2407-2412. (Pubitemid 37430174)
30. Leaver H, Keng Lim T, Thomson P, et al. Compliance to recommended liver function monitoring in patients on statin therapy. Cardiovasc Ther. 2009;27:96-100.
31. Deichmann RE, Kumar S. Frequency of HgbA1c testing as a measure of diabetes care in Louisiana. J La State Med Soc. 1999;151:329-334.
32. Sinclair D, Saas M, Stevens JM. The effect of a symptom related "gating policy" on ANCA requests in routine clinical practice. J Clin Pathol. 2004;57:131-134. (Pubitemid 38177747)
33. Ramsey AH, Belongia EA, Chyou PH, et al. Appropriateness of Lyme disease serologic testing. Ann Fam Med. 2004;2:341-344. (Pubitemid 39107891)
34. Branger PJ, Van Oers RJ, Van der Wouden JC, et al. Laboratory services utilization: a survey of repeat investigations in ambulatory care. Neth J Med. 1995;47:208-213.
35. Petitti DB, Contreras R, Ziel FH, et al. Evaluation of the effect of performance monitoring and feedback on care process, utilization, and outcome. Diabetes Care. 2000;23:192-196. (Pubitemid 30071023)
36. Krall M, Metzger J. Driving Quality and Performance Measurement: A Foundation for Clinical Decision Support. Washington, DC: National Quality Forum; 2010.
37. Burtis CA, Ashwood ER, Bruns DE. Tietz Fundamentals of Clinical Chemistry. 6th ed. Philadelphia, PA: WB Saunders; 2007.