Alerting Wisely: Reducing Inappropriate Blood Chemistry Panel Orders Using a Clinical Decision Support Tool.
Journal
Journal for healthcare quality : official publication of the National Association for Healthcare Quality
ISSN: 1945-1474
Titre abrégé: J Healthc Qual
Pays: United States
ID NLM: 9202994
Informations de publication
Date de publication:
Historique:
pubmed:
17
1
2019
medline:
24
11
2020
entrez:
17
1
2019
Statut:
ppublish
Résumé
The Choosing Wisely (CW) initiative provides recommendations for healthcare providers, aimed at reducing unnecessary or inappropriate tests and procedures. A clinical decision support (CDS) alert in the electronic health record was developed to reflect organizational CW guidelines regarding blood chemistry panel ordering in the primary care setting. An interrupted time series design was used to analyze the weekly proportion of inappropriate blood chemistry panel orders prior to and after implementation of the CDS alert in treatment and control groups. Implementation of the CDS alert significantly decreased the average weekly proportion of inappropriate blood chemistry panels from 28.64% to 15.69% in the treatment group (p < .001). Apart from other efforts implemented simultaneously to reduce inappropriate lab ordering, the CDS alert produced a significant reduction in inappropriate lab ordering. We conclude that CDS alerts can be an effective strategy for healthcare organizations seeking to more closely adhere to CW guidelines.
Identifiants
pubmed: 30649004
doi: 10.1097/JHQ.0000000000000175
pii: 01445442-202002000-00002
doi:
Types de publication
Journal Article
Langues
eng
Pagination
12-18Références
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