A Student-Led, Multifaceted Intervention to Decrease Unnecessary Folate Ordering in the Inpatient Setting
| Autor: | Sukrit Narula, Celine Goetz, John Di Capua, Hyung J. Cho, Rena Mei, Jashvant Poeran, Irene Lee, Sarah Zarrin |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty Population Unnecessary Procedures Drug Prescriptions Laboratory testing 03 medical and health sciences Folic Acid 0302 clinical medicine Serum folate Cost Savings Intervention (counseling) Humans Medicine 030212 general & internal medicine Vitamin B12 Practice Patterns Physicians' Students education Inpatients education.field_of_study Clinical Laboratory Techniques business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Electronic medical record Inpatient setting United States 0305 other medical science business |
| Zdroj: | Journal for Healthcare Quality. 41:e54-e60 |
| ISSN: | 1945-1474 1062-2551 |
| DOI: | 10.1097/jhq.0000000000000177 |
| Popis: | To reduce unnecessary laboratory testing, a three-phase intervention was designed by students to decrease serum folate laboratory testing in the inpatient setting. These included an educational phase, a personalized feedback phase, and the uncoupling of orders in the electronic medical record. Average monthly serum folate ordering decreased by 87% over the course of the intervention, from 98.4 orders per month at baseline to 12.7 per month in the last phase of the intervention. In the segmented regression analysis, joint ordering of folate and vitamin B12 significantly decreased during the intervention ([INCREMENT]slope = -4.22 tests/month, p = .0089), whereas single ordering of vitamin B12 significantly increased ([INCREMENT]slope = +5.6 tests/month; p < .001). Our intervention was successful in modifying ordering patterns to decrease testing for a deficiency that is rare in the U.S. population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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