Evidence map›Paper›PMID 30357374›Full record

ArticleAmerican journal of clinical pathology2019

Optimization of Laboratory Ordering Practices for Complete Blood Count With Differential.

Jeffrey Z Shen, Benjamin C Hill, Sherry R Polhill, Paula Evans, David P Galloway, Robert B Johnson, Vishnu V B Reddy, Patrick L Bosarge, Lisa A Rice-Jennings, Robin G Lorenz

Open access · bronzeAbstract read
In one paragraph

Article in American journal of clinical pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Jeffrey Z ShenDepartments of Pathology, University of Alabama at Birmingham.
Benjamin C HillDepartment of Pathology, Children's Hospital of Alabama, Birmingham.
Sherry R PolhillClinical Laboratories.
Paula EvansClinical Laboratories.
David P GallowayDivision of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Alabama, Birmingham.
Robert B JohnsonDepartment of Respiratory Care, University of Alabama at Birmingham Hospital.
Vishnu V B ReddyDepartments of Pathology, University of Alabama at Birmingham.
Patrick L BosargeDepartments of Medicine, University of Alabama at Birmingham.
Lisa A Rice-JenningsClinical Laboratories.
Robin G LorenzDepartments of Pathology, University of Alabama at Birmingham.
University of Alabama at Birmingham · USChildren's of Alabama · USUniversity of Alabama at Birmingham Hospital · US

Funding

UAB Center for Clinical and Translational Sciences (CCTS)TL1TR001418 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2015 to 2018
$2.1M
NCATS NIH HHS TL1 TR001418
6 · The paper itself

Abstract

Objectives: To investigate the utilization of CBC and CBC with differential (CBC w/diff) tests at University of Alabama at Birmingham Hospital, and to determine if a reduction in CBC w/diff tests could be achieved without negatively impacting patient care. Methods: The quantity of testing and distribution of repeated tests before, during, and after an educational intervention were compared. Results: CBC w/diff tests were ordered 10-fold more frequently than CBC tests. The trauma burn intensive care unit ordered the most CBC w/diff tests, with repeat tests done every 4 or 12 hours. The educational intervention reduced the number of CBC w/diff tests ordered and tests repeated every 12 hours. Conclusions: The educational intervention changed the ordering practices of CBC w/diff and CBC tests. This was sustained after the intervention and no negative effects on patient care were noted. Similar interventions may lead to optimization of ordering practices of other laboratory tests.

Indexed as

Inservice TrainingBlood Cell CountCohort StudiesHospitals, UniversityHumansLaboratories, HospitalMedical Staff, HospitalPractice Patterns, Physicians'Retrospective StudiesUnnecessary Procedures

Identifiers

PMID30357374
PMCPMC6360635
OpenAlexW2898449689

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.