Cost and turn-around time display decreases inpatient ordering of reference laboratory tests: a time series
| Autor: | Daniel Z. Fang, Ann K. Folkins, Pooja Loftus, Lisa Shieh, John Y Christopher, Daniel Gessner, Gurmeet Sran |
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| Rok vydání: | 2014 |
| Předmět: |
Inpatients
Pediatrics medicine.medical_specialty Series (stratigraphy) Diagnostic Tests Routine business.industry Cost effectiveness Health Policy Medical laboratory Turnaround time California Medical Order Entry Systems Variable cost Hospital medicine Hospitals University Cost Savings Time and Motion Studies Emergency medicine Cohort medicine Humans Observational study Prospective Studies Practice Patterns Physicians' business |
| Zdroj: | BMJ Quality & Safety. 23:994-1000 |
| ISSN: | 2044-5423 2044-5415 |
| DOI: | 10.1136/bmjqs-2014-003053 |
| Popis: | Objective Reference tests, also known as send-out tests, are commonly ordered laboratory tests with variable costs and turn-around times. We aim to examine the effects of displaying reference laboratory costs and turn-around times during computerised physician order entry (CPOE) on inpatient physician ordering behaviour. Design We conducted a prospective observational study at a tertiary care hospital involving inpatient attending physicians and residents. Physician ordering behaviour was prospectively observed between September 2010 and December 2012. An intervention was implemented to display cost and turn-around time for reference tests within our CPOE. We examined changes in the mean number of monthly physician orders per inpatient day at risk, the mean cost per order, and the average turn-around time per order. Results After our intervention, the mean number of monthly physician orders per inpatient day at risk decreased by 26% (51 vs 38, p |
| Databáze: | OpenAIRE |
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