ArticleBMC medical informatics and decision making2015
Promoting improved utilization of laboratory testing through changes in an electronic medical record: experience at an academic medical center.
Article in BMC medical informatics and decision making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to prevent iatrogenic anemia: a Laboratory Medicine Best Practices systematic review.Critical care (London, England) · 2019Pooled it
- Displaying Cost and Completion Time for Reference Laboratory Test Orders-A Randomized Controlled Trial.Applied clinical informatics · 2022Trial
- Linking clinical documentation deficiencies to insurance reimbursement losses: a data quality perspective.BMC health services research · 2026Article
- Article
- Clinical laboratory diagnostic stewardship as boundary infrastructure: a multi-stakeholder qualitative study of digital public health governance in two Chinese regional referral hospitals.Frontiers in public health · 2026Article
- Targeting repetitive laboratory testing with electronic health records-embedded predictive decision support: A pre-implementation study.Clinical biochemistry · 2023Article
- Impact of computerised provider order entry on the quality and quantity of clinical information included with investigation requests: an interrupted time series analysis.BMJ open quality · 2023Article
- Specific test panels for patients with heart failure: implementation and use in the Spanish National Health System.Advances in laboratory medicine · 2022Article
- Adoption of a laboratory EMR system and inappropriate laboratory testing in Ontario: a cross-sectional observational study.BMC health services research · 2021Observational
- Article
- Use of machine learning to predict clinical decision support compliance, reduce alert burden, and evaluate duplicate laboratory test ordering alerts.JAMIA open · 2021Article
- A compulsory pop-up form reduces the number of vitamin D requests from general practitioners by 25 percent.Scandinavian journal of primary health care · 2020Article
- Data on interference indices in body fluid specimens submitted for clinical laboratory analysis.Data in brief · 2020Article
- Noninterruptive Clinical Decision Support Decreases Ordering of Respiratory Viral Panels during Influenza Season.Applied clinical informatics · 2020Article
- Review of interference indices in body fluid specimens submitted for clinical chemistry analyses.Practical laboratory medicine · 2020Article
- Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests.JAMA network open · 2019Article
- The Use of an Electronic Health Record Patient Portal to Access Diagnostic Test Results by Emergency Patients at an Academic Medical Center: Retrospective Study.Journal of medical Internet research · 2019Article
- A Machine Learning Approach to Predicting the Stability of Inpatient Lab Test Results.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2019Article
- Improving laboratory test utilisation at the multihospital Yale New Haven Health System.BMJ open quality · 2019Article
- Impact of nonintrusive clinical decision support systems on laboratory test utilization in a large academic centre.Journal of evaluation in clinical practice · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.