Does admission order form design really matter? A reduction in urea blood test ordering

BMJ Open Quality

article

Pamela Mathura¹  Cole Boettger²  Reidar Hagtvedt³  Yvonne Suranyi⁴  Narmin Kassam⁵ 

[1] Department of Medicine , University of Alberta;Faculty of Medicine & Dentistry , University of Alberta;Alberta School of Business , University of Alberta;Emergency Department , University of Alberta Hospital;Medicine , University of Alberta

关键词: quality improvement;    continuous quality improvement;    cost–benefit analysis;    efficiency;    organisational;   

DOI  :  10.1136/bmjoq-2020-001330

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Introduction Laboratory blood testing is one of the most high-volume medical procedures and continues to increase steadily with instances of inappropriate testing resulting in significant financial implications. Studies have suggested that the design of a standard hospital admission order form and laboratory request forms influence physician test ordering behaviour, reducing inappropriate ordering and promoting resource stewardship.Aim/method To redesign the standard medicine admission order form-laboratory request section to reduce inappropriate blood urea nitrogen (BUN) testing.Results A redesign of the standard admission order form used by general internal medicine physicians and residents in two large teaching hospitals in one health zone in Alberta, Canada led to a significant step reduction in the ordering of the BUN test on hospital admission.Conclusions Redesigning the standard medicine admission order form-laboratory request section can have a beneficial effect on the reduction in BUN ordering altering physician ordering patterns and behaviour.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND