ArticleClinicoEconomics and outcomes research : CEOR2018
The role of a best practice alert in the electronic medical record in reducing repetitive lab tests.
Article in ClinicoEconomics and outcomes research : CEOR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Brazilian Society of Oncologic Surgery Guideline for Bloodless Surgery (Part 1: Preoperative Strategies).Journal of surgical oncology · 2026Guideline
- Effectiveness and mechanisms of interventions to reduce low-value thyroid function tests: a systematic review.Systematic reviews · 2026Pooled it
- Interventions to reduce repetitive ordering of low-value inpatient laboratory tests: a systematic review.BMJ open quality · 2023Pooled it
- Enhancing Comorbidity Management in Patients With Hemorrhagic Stroke via an Electronic Health Record-Linked Best Practice Alert: A Pre/Post Study.Journal of the American Heart Association · 2025Trial
- Impact of a clinical atrial fibrillation risk estimation tool on cardiac rhythm monitor utilization following acute ischemic stroke: A prepost clinical trial.American heart journal · 2025Trial
- Quality improvement project to reduce medicare 1-day write-offs due to inappropriate admission orders.BMC health services research · 2024Trial
- Mixed-methods Evaluation of an Expedited Partner Therapy Take-home Medication Program: Pilot Emergency Department Intervention to Improve Sexual Health Equity.The western journal of emergency medicine · 2023Trial
- Co-designing an Outpatient Clinical Decision Support Prototype for Managing Social Risks in Patients Living with Dementia.Applied clinical informatics · 2026Article
- Assessing the Frequency of Deferrable Thyroid Nodule Biopsies to De-escalate Low-Value Care.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2024Article
- Optimizing Best Practice Advisory alerts in electronic medical records with a multi-pronged strategy at a tertiary care hospital in Singapore.JAMIA open · 2023Article
- Disparities in brain health comorbidity management in intracerebral hemorrhage.Frontiers in neurology · 2023Article
- Article
- Strategies for de-implementation of low-value care-a scoping review.Implementation science : IS · 2022Article
- Using Electronic Clinical Decision Support to Examine Vision Rehabilitation Referrals and Practice Guidelines in Ophthalmology.Translational vision science & technology · 2022Article
- Implementing an electronic health record dashboard for safe anticoagulant management: learning from qualitative interviews with existing and potential users to develop an implementation process.Implementation science communications · 2022Article
- Assessing improvements in emergency department referrals to a hospital-based violence intervention program.Injury epidemiology · 2021Article
- Sustainability in Healthcare: Perspectives and Reflections Regarding Laboratory Medicine.Annals of laboratory medicine · 2021Review
- Developing an Ophthalmology Clinical Decision Support System to Identify Patients for Low Vision Rehabilitation.Translational vision science & technology · 2021Article
- Changing Provider PSA Screening Behavior Using Best Practice Advisories: Interventional Study in a Multispecialty Group Practice.Journal of general internal medicine · 2020Article
- Economic impact of clinical decision support interventions based on electronic health records.BMC health services research · 2020Review
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe recommendations of the American Board of Internal Medicine Foundation's "Choosing Wisely
objectiveTo assess the effectiveness of an electronic medical record Best Practice Alert (BPA or "pop up") intervention aimed at reducing duplicate laboratory tests and hospital costs.
designComparison of the number of duplicated laboratory tests performed on inpatients before and after the intervention.
settingUniversity of Florida Health Shands Hospital, Gainesville, FL, USA, during 2014-2017.
interventionThe electronic medical record intervention was a BPA pop-up alert that informed the ordering physician if a recent identical order already existed along with the "ordering time", "collecting time", "resulting time", and the result itself.
main outcome measuresPercentage change in the number of inpatient duplicate orders of selected clinical biochemistry tests and cost savings from reduction of the duplicates. Student's
resultsResults from the beta-binomial model indicated that the intervention reduced the overall duplicates by 18% (OR=0.82, standard error=0.016,
conclusionsThe present study included all hospital inpatients and covered 17 clinical laboratory tests. This rather simple and low-cost intervention resulted in significant reductions in percentage duplicates of several tests and resulted in cost savings. The study also highlights the role of hospitalists in quality improvement.
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