Reducing duplicate testing: A comparison of two clinical decision support tools

American Journal of Clinical Pathology

Volumn 143, Issue 5, 2015, Pages 623-626

  Procop, Gary W ^a   Keating, Catherine ^a   Stagno, Paul ^a   Kottke Marchant, Kandice ^a   Partin, Mary ^a   Tuttle, Robert ^a   Wyllie, Robert ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Clinical decision support; Meaningful use; Test utilization

Indexed keywords

ARTICLE; CLINICAL DECISION MAKING; CLINICAL EFFECTIVENESS; COMPARATIVE STUDY; COMPUTER TERMINAL; COMPUTERIZED PROVIDER ORDER ENTRY; COST CONTROL; DECISION SUPPORT SYSTEM; ELECTRONIC MEDICAL RECORD; HOSPITAL INFORMATION SYSTEM; HUMAN; LABORATORY; LABORATORY TEST; PRIORITY JOURNAL; ECONOMICS; LABORATORY DIAGNOSIS; MEANINGFUL USE CRITERIA; REMINDER SYSTEM; STATISTICS AND NUMERICAL DATA; UNNECESSARY PROCEDURE; UTILIZATION;

CLINICAL LABORATORY SERVICES; COST SAVINGS; DECISION SUPPORT SYSTEMS, CLINICAL; HUMANS; MEANINGFUL USE; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; REMINDER SYSTEMS; UNNECESSARY PROCEDURES;

EID: 84937113391     PISSN: 00029173     EISSN: 19437722     Source Type: Journal    
DOI: 10.1309/AJCPJOJ3HKEBD3TU     Document Type: Article

References (17)

1. Ashton CM, Petersen NJ, Souchek J, et al. Geographic variations in utilization rates in Veterans Affairs hospitals and clinics. N Engl J Med. 1999;340:32-39.
2. Benson ES. Initiatives toward effective decision making and laboratory use. Hum Pathol. 1980;11:440-448.
3. 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.
4. Robinson A. Rationale for cost-effective laboratory medicine. Clin Microbiol Rev. 1994;7:185-199.
5. Procop GW, Yerian LM, Wyllie R, et al. Duplicate laboratory test reduction using a clinical decision support tool. Am J Clin Pathol. 2014;141:718-723.
6. Sisko A, Truffer C, Smith S, et al. Health spending projections through 2018: recession effects add uncertainty to the outlook. Health Aff (Millwood). 2009;28:w346-w357.
7. Good Stewardship Working Group. The "top 5" lists in primary care: meeting the responsibility of professionalism. Arch Intern Med. 2011;171:1385-1390.
8. Bell DD, Ostryzniuk T, Verhoff B, et al. Postoperative laboratory and imaging investigations in intensive care units following coronary artery bypass grafting: a comparison of two Canadian hospitals. CanJ Cardiol. 1998;14:379-384.
9. Powell EC, Hampers LC. Physician variation in test ordering in the management of gastroenteritis in children. Arch Pediatr Adolesc Med. 2003;157:978-983.
10. Smith AD, Shenkin A, Dryburgh FJ, et al. Emergency biochemistry services-are they abused? Ann Clin Biochem. 1982;19:325-328.
11. Lyon AW, Chin AC, Slotsve GA, et al. Simulation of repetitive diagnostic blood loss and onset of iatrogenic anemia in critical care patients with a mathematical model. Comput Biol Med. 2013;43:84-90.
12. Lewandrowski K. Managing utilization of new diagnostic tests. Clin Leadersh Manag Rev. 2003;17:318-324.
13. Dickerson JA, Cole B, Conta JH, et al. Improving the value of costly genetic reference laboratory testing with active utilization management. Arch Pathol Lab Med. 2014;138:110-113.
14. Henricks WH. "Meaningful use" of electronic health records and its relevance to laboratories and pathologists. J Pathol Inform. 2011;2:7.
15. US Department of Health and Human Services. Health information technology: initial set of standards, implementation specifications, and certification criteria for electronic health record technology; final rule. Fed Regist. 2010;75:44590-44654.
16. US Centers for Medicare & Medicaid Services. Medicare and Medicaid programs; electronic health record incentive program-stage 2; health information technology: standards, implementation specifications, and certification criteria for electronic health record technology, 2014 edition; revisions to the permanent certification program for health information technology; final rules. Fed Regist. 2012;77:53968-54162.
17. US Department of Health and Human Services. Medicare and Medicaid programs; electronic health record incentive program; final rule. Fed Regist. 2010;75:44314-44588.