A multifaceted hospitalist quality improvement intervention: Decreased frequency of common labs

Journal of Hospital Medicine

Volumn 10, Issue 6, 2015, Pages 390-395

  Corson, Adam H ^a   Fan, Vincent S ^b   White, Travis ^a   Sullivan, Sean D ^c   Asakura, Kenji ^a   Myint, Michael ^d   Dale, Christopher R ^d  

^a SWEDISH MEDICAL CENTER   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

^c UNIVERSITY OF WASHINGTON   (United States)

^d Swedish Medical Group   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BLOOD TRANSFUSION; COHORT ANALYSIS; CONTROLLED STUDY; ELECTRONIC MEDICAL RECORD; FEMALE; HOSPITAL COST; HOSPITAL READMISSION; HUMAN; LABORATORY TEST; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; PATIENT SAFETY; PRIORITY JOURNAL; TOTAL QUALITY MANAGEMENT; COST CONTROL; DIAGNOSIS RELATED GROUP; DIAGNOSTIC TEST; ECONOMICS; ELECTRONIC HEALTH RECORD; HEALTH ECONOMICS; HOSPITAL DISCHARGE; MEDICAL STAFF; MIDDLE AGED; NONBIOLOGICAL MODEL; OUTCOME ASSESSMENT; PROCEDURES; STANDARDS; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; SWEDEN; UNNECESSARY PROCEDURE; UTILIZATION;

COST CONTROL; DIAGNOSIS-RELATED GROUPS; DIAGNOSTIC TESTS, ROUTINE; ECONOMICS, HOSPITAL; ELECTRONIC HEALTH RECORDS; FEMALE; HOSPITALISTS; HUMANS; LINEAR MODELS; MALE; MIDDLE AGED; MODELS, ORGANIZATIONAL; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT DISCHARGE; QUALITY IMPROVEMENT; SWEDEN; UNNECESSARY PROCEDURES;

EID: 84930369622     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.2354     Document Type: Article

References (34)

1. Berwick D. Eliminating "waste" in health care. JAMA. 2012;307(14):1513-1516.
2. Squires DA. The U.S. health system in perspective: a comparison of twelve industrialized nations. Issue Brief (Commonw Fund). 2011;16:1-14.
3. DeKay ML, Asch DA. Is the defensive use of diagnostic tests good for patients, or bad? Med Decis Mak. 1998;18(1):19-28.
4. Epstein AM, McNeil BJ. Physician characteristics and organizational factors influencing use of ambulatory tests. Med Decis Making. 1985;5:401-415.
5. Salinas M, Lopez-Garrigos M, Uris J; Pilot Group of the Appropriate Utilization of Laboratory Tests (REDCONLAB) Working Group. Differences in laboratory requesting patterns in emergency department in Spain. Ann Clin Biochem. 2013;50:353-359.
6. Wong P, Intragumtornchai T. Hospital-acquired anemia. J Med Assoc Thail. 2006;89(1):63-67.
7. Thavendiranathan P, Bagai A, Ebidia A, Detsky AS, Choudhry NK. Do blood tests cause anemia in hospitalized patients? The effect of diagnostic phlebotomy on hemoglobin and hematocrit levels. J Gen Intern Med. 2005;20(6):520-524.
8. Smoller BR, Kruskall MS. Phlebotomy for diagnostic laboratory tests in adults. Pattern of use and effect on transfusion requirements. N Engl J Med. 1986;314(19):1233-1235.
9. Salisbury AC, Reid KJ, Alexander KP, et al. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Arch Intern Med. 2011;171(18):1646-1653.
10. Koch CG, Li L, Sun Z, et al. Hospital-acquired anemia: prevalence, outcomes, and healthcare implications. J Hosp Med. 2013;8(9):506-512.
11. Howanitz PJ, Cembrowski GS, Bachner P. Laboratory phlebotomy. College of American Pathologists Q-Probe study of patient satisfaction and complications in 23, 783 patients. Arch Pathol Lab Med. 1991;115:867-872.
12. Attali M, Barel Y, Somin M, et al. A cost-effective method for reducing the volume of laboratory tests in a university-associated teaching hospital. Mt Sinai J Med. 2006;73(5):787-794.
13. Bareford D, Hayling A. Inappropriate use of laboratory services: long term combined approach to modify request patterns. BMJ. 1990;301(6764):1305-1307.
14. Bunting PS, Van Walraven C. Effect of a controlled feedback intervention on laboratory test ordering by community physicians. Clin Chem. 2004;50(2):321-326.
15. Calderon-Margalit R, Mor-Yosef S, Mayer M, Adler B, Shapira SC. An administrative intervention to improve the utilization of laboratory tests within a university hospital. Int J Qual Heal Care. 2005;17(3):243-248.
16. Critique SI. Surgical vampires and rising health care expenditure. Arch Surg. 2011;146(5):524-527.
17. Fowkes FG, Hall R, Jones JH, et al. Trial of strategy for reducing the use of laboratory tests. Br Med J (Clin Res Ed). 1986;292(6524):883-885.
18. 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(10):928-935.
19. May TA, Clancy M, Critchfield J, et al. Reducing unnecessary inpatient laboratory testing in a teaching hospital. Am J Clin Pathol. 2006;126(2):200-206.
20. Neilson EG, Johnson KB, Rosenbloom ST, et al. Improving patient care the impact of peer management on test-ordering behavior. Ann Intern Med. 2004;141(3):196-204.
21. Novich M, Gillis L, Tauber AI. The laboratory test justified. An effective means to reduce routine laboratory testing. Am J Clin Pathol. 1985;86(6):756-759.
22. Bulger J, Nickel W, Messler J, et al. Choosing wisely in adult hospital medicine: five opportunities for improved healthcare value. J Hosp Med. 2013;8(9):486-492.
23. Dale C. Quality Improvement in the intensive care unit. In: Scales DC, Rubenfeld GD, eds. The Organization of Critical Care. New York, NY: Humana Press; 2014:279.
24. Curtis JR, Cook DJ, Wall RJ, et al. Intensive care unit quality improvement: a "how-to" guide for the interdisciplinary team. Crit Care Med. 2006;34:211-218.
25. Pronovost PJ. Navigating adaptive challenges in quality improvement. BMJ Qual Safety. 2011;20(7):560-563.
26. Scales DC, Dainty K, Hales B, et al. A multifaceted intervention for quality improvement in a network of intensive care units: a cluster randomized trial. JAMA. 2011;305:363-372.
27. O'Neill SM. How do quality improvement interventions succeed? Archetypes of success and failure. Available at: http://www.rand.org/pubs/rgs_dissertations/RGSD282.html. Published 2011.
28. Berwanger O, Guimarães HP, Laranjeira LN, et al. Effect of a multifaceted intervention on use of evidence-based therapies in patients with acute coronary syndromes in Brazil: the BRIDGE-ACS randomized trial. JAMA. 2012;307:2041-2049.
29. Ivers N, Jamtvedt G, Flottorp S, et al. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012;6:CD000259.
30. Glance LG, Osler TM, Mukamel DB, Dick AW. Impact of the present-on-admission indicator on hospital quality measurement: experience with the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators. Med Care. 2008;46:112-119.
31. Pine M, Jordan HS, Elixhauser A, et al. Enhancement of claims data to improve risk adjustment of hospital mortality. JAMA. 2007;297:71-76.
32. Salinas M, López-Garrigós M, Tormo C, Uris J. Primary care use of laboratory tests in Spain: measurement through appropriateness indicators. Clin Lab. 2014;60(3):483-490.
33. Curry LA, Spatz E, Cherlin E, et al. What distinguishes top-performing hospitals in acute myocardial infarction mortality rates? a qualitative study. Ann Intern Med. 2011;154(6):384-390.
34. Porter ME. What is value in health care? N Engl J Med. 2010;363(26):2477-2481.