Reducing Phlebotomy Utilization With Education and Changes to Computerized Provider Order Entry
| Autor: | Stanley Russin, Amit B. Bansal, Christopher Breen, Sara West, Benjamin Hohmuth, Anju Dayal, Andrea Berger, Kevin Maguire, Jordan Olson |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality management Hospitalized patients Cost-Benefit Analysis Health Personnel MEDLINE Psychological intervention Medical Overuse Medical Order Entry Systems Order entry 03 medical and health sciences 0302 clinical medicine Phlebotomy Clinical endpoint medicine Humans 030212 general & internal medicine Performance feedback Academic Medical Centers business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Middle Aged Emergency medicine Female 0305 other medical science business |
| Zdroj: | Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 41(3) |
| ISSN: | 1945-1474 |
| Popis: | INTRODUCTION Daily phlebotomy is often a standard procedure in hospitalized patients. Recently, this practice has begun receiving attention as a potential target for efforts focused on eliminating overuse. Several organizations have published their efforts in this arena. Interventions have included education, feedback, and changes to computerized provider order entry (CPOE) but have yielded mixed results. METHODS A quality improvement initiative to reduce the utilization of daily phlebotomy was conducted at a 505-bed Academic Medical Center. This project involved a combination of educational interventions and changes to CPOE. The primary end point evaluated was the daily performance of complete blood counts (CBCs) and basic metabolic profiles (BMPs) on medical and surgery units relative to the corresponding hospital census. RESULTS Over the course of this project from August 1, 2013, to September 23, 2016, there was a 15.2% reduction in CBCs (p < .001 for linear trend) and 13.1% reduction in BMPs. DISCUSSION Our results suggest that layering multimodal interventions that involve both "hard-wired" changes to CPOE and education and performance feedback can result in decreased utilization of phlebotomy. |
| Databáze: | OpenAIRE |
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