Quality Improvement Intervention Cuts Tests Ordered

This article originally appeared here.
Share this content:
Quality Improvement Intervention Cuts Tests Ordered
Quality Improvement Intervention Cuts Tests Ordered

WEDNESDAY, April 1, 2015 (HealthDay News) -- Implementation of a multifaceted quality improvement intervention is associated with a decrease in the number of ordered laboratory tests, according to a study published online March 21 in the Journal of Hospital Medicine.

Adam H. Corson, M.D., from the Swedish Medical Center in Seattle, and colleagues undertook a quality improvement intervention, composed of academic detailing, audit and feedback, and transparent reporting of the frequency with which common labs were ordered, to decrease unnecessary common laboratory tests in a large community hospitalist group. The authors compared ordered lab tests in a cohort of patients during the 10-month pre-intervention baseline period (7,824 patients) with those in a cohort during the seven-month intervention period (5,759 patients).

The researchers found that during the intervention period, the number of common labs ordered per patient-day decreased by 0.22 (10.7 percent) compared with baseline, after adjustment for age, sex, and principle discharge diagnosis (P < 0.01). In the intervention period versus baseline, there were nonsignificant reductions in hospital mortality (2.2 versus 1.8 percent; P = 0.1) and volume of blood transfused in patients who received a transfusion (127.2-milliliter decrease; P = 0.06). There was an estimated $16.19 decrease in hospital direct costs per admission with the intervention.

"Implementation of a multifaceted quality improvement intervention within a community-based hospitalist group was associated with a significant, but modest, decrease in the number of ordered lab tests and hospital costs," the authors write.

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease



Sign up for myCME e-newsletters




More in Home

Some California Mosquitoes Can Carry Zika Virus

Some California Mosquitoes Can Carry Zika Virus

Aedes aegypti mosquitoes found to transmit Zika virus

Periodontal Inflammation a Risk With Tongue Piercing

Periodontal Inflammation a Risk With Tongue Piercing

And, two young females with tongue piercings have deep lingual infrabony lesions, periodontitis

Risk of OD Highest for First Days of Opioid  Benzodiazepine Use

Risk of OD Highest for First Days of ...

Five-fold increased risk of opioid-related overdose during first 90 days of concurrent use

is free, fast, and customized just for you!




Already a member?

Sign In Now »