Optimizing vitamin D naming conventions in computerized order entry to support high-value care
| Autor: | Christy M. McKinney, Andrew A. White, Noah G. Hoffman, Paul R. Sutton |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Decision support system
Quality management Health Informatics Medical Overuse 030204 cardiovascular system & hematology computer.software_genre Brief Communication Clinical decision support system Medical Order Entry Systems 03 medical and health sciences 0302 clinical medicine Calcitriol Health care Vitamin D and neurology Medicine Humans 030212 general & internal medicine Vitamin D Academic Medical Centers Database business.industry Diagnostic Tests Routine Human factors and ergonomics medicine.disease Vitamin D Deficiency Quality Improvement Test (assessment) Order (business) Medical emergency business computer |
| Zdroj: | J Am Med Inform Assoc |
| ISSN: | 1527-974X |
| Popis: | Objective: To reduce wasteful ordering of rare 1,25-OH vitamin D lab tests through use of a noninterruptive decision support tool. Materials and Methods: We conducted a time series quality improvement study at 2 academic hospitals. The titles of vitamin D tests and the order in which they appeared in search results were changed to reflect the purpose and rarity of the tests. We used interruptive time series analyses to evaluate the changes we made. Results: The estimated number of monthly tests ordered at the 2 hospitals increased, by 24.8 and 14.2, following the introduction of computerized provider order entry (CPOE) (both P Discussion: Changing catalog names in CPOE systems for infrequently used tests can reduce unintentional overuse. Users may prefer this to interruptive or restrictive interventions. Conclusion: CPOE vendors and users should refine interfaces by incorporating human factors engineering. Health care institutions should monitor test utilization for unintended changes after CPOE implementation. |
| Databáze: | OpenAIRE |
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