Does admission order form design really matter? A reduction in urea blood test ordering
| Autor: | Pamela Mathura, Narmin Kassam, Reidar Hagtvedt, Cole Boettger, Yvonne Suranyi |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | BMJ Open Quality, Vol 10, Iss 3 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2020-0013 2399-6641 |
| DOI: | 10.1136/bmjoq-2020-001330 |
| Popis: | Introduction Laboratory blood testing is one of the most high-volume medical procedures and continues to increase steadily with instances of inappropriate testing resulting in significant financial implications. Studies have suggested that the design of a standard hospital admission order form and laboratory request forms influence physician test ordering behaviour, reducing inappropriate ordering and promoting resource stewardship.Aim/method To redesign the standard medicine admission order form-laboratory request section to reduce inappropriate blood urea nitrogen (BUN) testing.Results A redesign of the standard admission order form used by general internal medicine physicians and residents in two large teaching hospitals in one health zone in Alberta, Canada led to a significant step reduction in the ordering of the BUN test on hospital admission.Conclusions Redesigning the standard medicine admission order form-laboratory request section can have a beneficial effect on the reduction in BUN ordering altering physician ordering patterns and behaviour. |
| Databáze: | Directory of Open Access Journals |
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