Use of a checklist and clinical decision support tool reduces laboratory use and improves cost

Pediatrics

Volumn 137, Issue 1, 2016, Pages

  Algaze, Claudia A ^a   Wood, Matthew ^b   Pageler, Natalie M ^a,c   Sharek, Paul J ^a,b   Longhurst, Christopher A ^a,c   Shin, Andrew Y ^a  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b Center for Quality and Clinical Effectiveness   (United States)

^c Division of Systems Medicine   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHECKLIST; CHILD; CLINICAL DECISION SUPPORT SYSTEM; ECONOMICS; FEMALE; HOSPITAL MORTALITY; HUMAN; INFANT; INTENSIVE CARE UNIT; LABORATORY; LENGTH OF STAY; MALE; PHYSICIAN ORDER ENTRY SYSTEM; PRESCHOOL CHILD; UNNECESSARY PROCEDURE; UTILIZATION;

CHECKLIST; CHILD; CHILD, PRESCHOOL; DECISION SUPPORT SYSTEMS, CLINICAL; FEMALE; HOSPITAL MORTALITY; HUMANS; INFANT; INTENSIVE CARE UNITS, PEDIATRIC; LABORATORIES; LENGTH OF STAY; MALE; MEDICAL ORDER ENTRY SYSTEMS; UNNECESSARY PROCEDURES;

EID: 84954120392     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2014-3019     Document Type: Article

References (41)

1. Squires DA. Issues in international health policy: explaining high health care spending in the United States: an international comparison of supply, utilization, prices, and quality. Issue Brief (Commonw Fund). 2012;10:1-14
2. Oye RK, Bellamy PE. Patterns of resource consumption in medical intensive care. Chest. 1991;99(3):685-689
3. Schroeder AR, Harris SJ, Newman TB. Safely doing less: a missing component of the patient safety dialogue. Pediatrics. 2011;128(6). Available at: www.pediatrics.org/cgi/content/full/128/6/e1596
4. Moloney TW, Rogers DE. Medical technology - A different view of the contentious debate over costs. N Engl J Med. 1979;301(26):1413-1419
5. Scitovsky AA, McCall N. Changes in the Costs of Treatment of Selected Illnesses, 1951-1971. Rockville, MD: US Department of Health, Education, and Welfare; 1976
6. Song Y, Skinner J, Bynum J, Sutherland J, Wennberg JE, Fisher ES. Regional variations in diagnostic practices. N Engl J Med. 2010;363(1):45-53
7. Schroeder SA, Kenders K, Cooper JK, Piemme TE. Use of laboratory tests and pharmaceuticals. Variation among physicians and effect of cost audit on subsequent use. JAMA. 1973;225(8):969-973
8. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ. Variations in the longitudinal efficiency of academic medical centers. Health Aff (Millwood). 2004;Suppl Variation(6):VAR19-32
9. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care. Ann Intern Med. 2003;138(4): 288-298
10. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138(4):273-287
11. Steering Committee on Quality Improvement and Management and Committee on Hospital Care. Policy statement-principles of pediatric patient safety: reducing harm due to medical care. Pediatrics. 2011;127(6):1199-1210
12. Grady D, Redberg R F. Less is more: how less health care can result in better health. Arch Intern Med. 2010;170(9):749-750
13. van Walraven C, Naylor CD. Do we know what inappropriate laboratory utilization is? A systematic review of laboratory clinical audits. JAMA. 1998;280(6):550-558
14. Bates DW, Goldman L, Lee TH. Contaminant blood cultures and resource utilization. The true consequences of false-positive results. JAMA. 1991;265(3):365-369
15. Henry ML, Garner WL, Fabri PJ. Iatrogenic anemia. Am J Surg. 1986;151(3):362-363
16. Shaffer C. Diagnostic blood loss in mechanically ventilated patients. Heart Lung. 2007;36(3):217-222
17. Weiss CH, Moazed F, McEvoy CA, et al. Prompting physicians to address a daily checklist and process of care and clinical outcomes: a single-site study. Am J Respir Crit Care Med. 2011;184(6):680-686
18. Hales BM, Pronovost PJ. The checklist - A tool for error management and performance improvement. J Crit Care. 2006;21(3):231-235
19. DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist. J Trauma. 2008;64(1):22-27, discussion 27-29
20. Byrnes MC, Schuerer DJ, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Crit Care Med. 2009;37(10):2775-2781
21. 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(2):144-150
22. Solomon DH, Hashimoto H, Daltroy L, Liang MH. Techniques to improve physicians' use of diagnostic tests: a new conceptual framework. JAMA. 1998;280(23):2020-2027
23. Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2010;126(1):14-21
24. Pageler NM, Franzon D, Longhurst CA, et al. Embedding time-limited laboratory orders within computerized provider order entry reduces laboratory utilization. Pediatr Crit Care Med. 2013;14(4):413-419
25. Menachemi N, Brooks RG, Schwalenstocker E, Simpson L. Use of health information technology by children's hospitals in the United States. Pediatrics. 2009;123(suppl 2):S80-S84
26. Rosenstein AH. Using information management to implement a clinical resource management program. Jt Comm J Qual Improv. 1997;23(12):653-666
27. May LJ, Longhurst CA, Pageler NM, Wood MS, Sharek PJ, Zebrack CM. Optimizing care of adults with congenital heart disease in a pediatric cardiovascular ICU using electronic clinical decision support. Pediatr Crit Care Med. 2014;15(5):428-434
28. Pageler NM, Longhurst CA, Wood M, et al. Use of electronic medical record-enhanced checklist and electronic dashboard to decrease CLABSIs. Pediatrics. 2014;133(3). Available at: www.pediatrics.org/cgi/content/full/133/3/e738
29. Palma JP, Keller H, Godin M, et al: Impact of an EMR-based daily patient update letter on communication and parent engagement in a neonatal intensive care unit. J Particip Med 2012; 4(pii):e33
30. Adams ES, Longhurst CA, Pageler N, Widen E, Franzon D, Cornfield DN. Computerized physician order entry with decision support decreases blood transfusions in children. Pediatrics. 2011;127(5). Available at: www.pediatrics.org/cgi/content/full/127/5/e1112
31. Palma J P, Sharek PJ, Longhurst CA. Impact of electronic medical record integration of a handoff tool on sign-out in a newborn intensive care unit. J Perinatol. 2011;31(5):311-317
32. Jenkins KJ, Gauvreau K, Newburger JW, Spray TL, Moller JH, Iezzoni LI. Consensus-based method for risk adjustment for surgery for congenital heart disease. J Thorac Cardiovasc Surg. 2002;123(1):110-118
33. Nichols JH, Christenson RH, Clarke W, et al; National Academy of Clinical Biochemistry. Executive summary. The National Academy of Clinical Biochemistry Laboratory Medicine Practice Guideline: evidence-based practice for point-of-care testing. Clin Chim Acta. 2007;379(1-2):14-28, discussion 29-30
34. Baltic S, Baltic S. Tort reform. While some states have taken action to cap damages, fear of litigation still drives defensive medicine. Med Econ. 2013;90(15):20-22, 24-26
35. Davenport TH, Glaser J. Just-in-time delivery comes to knowledge management. Harv Bus Rev. 2002;80(7):107-111, 126
36. Baron JM, Lewandrowski KB, Kamis IK, Singh B, Belkziz SM, Dighe AS. A novel strategy for evaluating the effects of an electronic test ordering alert message: optimizing cardiac marker use. J Pathol Inform. 2012;3:3
37. Garg AX, Adhikari NK, McDonald H, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005;293(10):1223-1238
38. Marmor T, Oberlander J. From HMOs to ACOs: the quest for the Holy Grail in U.S. health policy. J Gen Intern Med. 2012;27(9):1215-1218
39. Anderson G F, Reinhardt UE, Hussey PS, Petrosyan V. It's the prices, stupid: why the United States is so different from other countries. Health Aff (Millwood). 2003;22(3):89-105
40. Pozen A, Cutler DM. Medical spending differences in the United States and Canada: the role of prices, procedures, and administrative expenses. Inquiry. 2010;47(2):124-134
41. CRIT (CPOE Reducing Inappropriate Transfusions). Available at: crit. stanford.edu. Accessed August 30, 2014