A quality improvement project to reduce overutilization of blood tests in a teaching hospital

Autor: Mohammad Almeqdadi, Hari Krishnan Nair, Jeoffrey Hill, Julian Sanchez-Cruz, Claudia Nader, Bertrand L. Jaber
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Community Hospital Internal Medicine Perspectives, Vol 9, Iss 3, Pp 189-194 (2019)
Druh dokumentu: article
ISSN: 2000-9666
20009666
DOI: 10.1080/20009666.2019.1601979
Popis: Objective: In hospitals, physicians-in-training are major contributors to the burden of tests ordered, increasing cost and resource utilization. We implemented an intervention to discourage overutilization of the complete blood count (CBC) and the basic metabolic panel (BMP). Methods: An intervention was designed, comprising education on high-value care and burden of over-testing, encouragement of competition, and use of positive reinforcement. The intervention was monitored by a test index determined by dividing the total number of a specific laboratory test ordered for a patient by the total number of hospital days. Results: Following a 6-month intervention, the mean CBC index decreased from 1.56 ± 0.02 to 1.45 ± 0.03 (p
Databáze: Directory of Open Access Journals
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