Skip Navigation
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

National Institute of Environmental Health Sciences

Use this QR code to view the newest version of this document
Use this QR code to view the newest version of this document

Your Environment. Your Health.

Publication Detail

Title: Promoting improved utilization of laboratory testing through changes in an electronic medical record: experience at an academic medical center.

Authors: Krasowski, Matthew D; Chudzik, Deborah; Dolezal, Anna; Steussy, Bryan; Gailey, Michael P; Koch, Benjamin; Kilborn, Sara B; Darbro, Benjamin W; Rysgaard, Carolyn D; Klesney-Tait, Julia A

Published In BMC Med Inform Decis Mak, (2015 Feb 22)

Abstract: This case study over time describes five years of experience with interventions to improve laboratory test utilization at an academic medical center. The high-frequency laboratory tests showing the biggest declines in order volume post intervention were serum albumin (36%) and erythrocyte sedimentation rate (17%). Introduction of restrictions for 170 high-cost send-out tests resulted in a 23% decline in order volume. Targeted interventions reduced mis-orders involving several "look-alike" tests: 1,25-dihydroxyvitamin D, 25-hydroxyvitamin D; manganese, magnesium; beta-2-glycoprotein, beta-2-microglobulin. Lastly, targeted alerts reduced duplicate orders of germline genetic testing and orders of hepatitis B surface antigen within 2 weeks of hepatitis B vaccination.

PubMed ID: 25880934 Exiting the NIEHS site

MeSH Terms: No MeSH terms associated with this publication

Back
to Top