Effectiveness of a computerized alert system based on re-testing intervals for limiting the inappropriateness of laboratory test requests

Clinical Biochemistry

Volumn 48, Issue 16-17, 2015, Pages 1174-1176

  Lippi, Giuseppe ^a   Brambilla, Marco ^a   Bonelli, Patrizia ^a   Aloe, Rosalia ^a   Balestrino, Antonio ^a   Nardelli, Anna ^a   Ceda, Gian Paolo ^b   Fabi, Massimo ^a  

^a UNIVERSITY HOSPITAL OF PARMA   (Italy)

^b UNIVERSITY OF PARMA   (Italy)

Author keywords

Alert; Inappropriateness; Laboratory diagnostics; Patient safety

Indexed keywords

BRAIN NATRIURETIC PEPTIDE; C REACTIVE PROTEIN; CYANOCOBALAMIN; FERRITIN; FOLIC ACID; GLYCOSYLATED HEMOGLOBIN; HIGH DENSITY LIPOPROTEIN CHOLESTEROL; IMMUNOGLOBULIN; LOW DENSITY LIPOPROTEIN CHOLESTEROL; PROCALCITONIN; PROSTATE SPECIFIC ANTIGEN; THYROTROPIN;

ALBUMINURIA; ARTICLE; AUTOMATION; CHOLESTEROL BLOOD LEVEL; COMPUTERIZED ALERT SYSTEM; COST CONTROL; HOSPITAL PATIENT; HUMAN; LABORATORY TEST; PRIORITY JOURNAL; PROTEIN ELECTROPHORESIS; WARD; CLINICAL DECISION SUPPORT SYSTEM; MEDICAL TECHNOLOGY; PHYSICIAN ORDER ENTRY SYSTEM; PROCEDURES; UNIVERSITY HOSPITAL;

DECISION SUPPORT SYSTEMS, CLINICAL; HOSPITALS, UNIVERSITY; HUMANS; MEDICAL LABORATORY SCIENCE; MEDICAL ORDER ENTRY SYSTEMS;

EID: 84947025260     PISSN: 00099120     EISSN: 18732933     Source Type: Journal    
DOI: 10.1016/j.clinbiochem.2015.06.006     Document Type: Article

References (12)

1. Plebani M., Lippi G. Is laboratory medicine a dying profession? Blessed are those who have not seen and yet have believed. Clin Biochem 2010, 43:939-941.
2. Lippi G., Favaloro E.J., Franchini M. Dangers in the practice of defensive medicine in hemostasis testing for investigation of bleeding or thrombosis: part I-routine coagulation testing. Semin Thromb Hemost 2014, 40:812-824.
3. Zhi M., Ding E.L., Theisen-Toupal J., Whelan J., Arnaout R. The landscape of inappropriate laboratory testing: a 15-year meta-analysis. PLoS One 2013, 8:e78962.
4. Verstappen W.H., van der Weijden T., Sijbrandij J., Smeele I., Hermsen J., Grimshaw 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.
5. Feldman L.S., Shihab H.M., Thiemann D., Yeh H.C., Ardolino M., Mandell S., et al. Impact of providing fee data on laboratory test ordering: a controlled clinical trial. JAMA Intern Med 2013, 173:903-908.
6. Janssens P.M., Wasser G. Managing laboratory test ordering through test frequency filtering. Clin Chem Lab Med 2013, 51:1207-1215.
7. Waldron J.L., Ford C., Dobie D., Danks G., Humphrey R., Rolli A., et al. An automated minimum retest interval rejection rule reduces repeat CRP workload and expenditure, and influences clinician-requesting behaviour. J Clin Pathol 2014, 67:731-733.
8. Chu K.H., Wagholikar A.S., Greenslade J.H., O'Dwyer J.A., Brown A.F. Sustained reductions in emergency department laboratory test orders: impact of a simple intervention. Postgrad Med J 2013, 89:566-571.
9. Salinas M., López-Garrigós M., Asencio A., Batlle E., Minguez M., Lugo J., et al. Strategy to improve the request of uric acid in primary care: preliminary results and evaluation through process and outcome appropriateness indicators. Clin Biochem 2014, 47:467-470.
10. Association for Clinical Biochemistry and Laboratory Medicine National Minimum Retesting Interval Project: a final report detailing consensus recommendations for minimum retesting intervals for use in clinical biochemistry Available at:, (Last access: 20 May 2015). http://www.acb.org.uk/docs/default-source/guidelines/acb-mri-recommendations-a4-computer.pdf.
11. Grad R., Pluye P., Tang D., Shulha M., Slawson D.C., Shaughnessy A.F. Patient-oriented evidence that matters (POEMs)™ suggest potential clinical topics for the Choosing Wisely™ campaign. J Am Board Fam Med 2015, 28:184-189.
12. Howell L.P., MacDonald S., Jones J., Tancredi D.J., Melnikow J. Can automated alerts within computerized physician order entry improve compliance with laboratory practice guidelines for ordering Pap tests?. J Pathol Inform 2014, 5:37.