Literature DB >> 1556235

Modifying the request behaviour of clinicians.

R Gama1, P G Nightingale, P M Broughton, M Peters, J G Ratcliffe, G V Bradby, J Berg.   

Abstract

AIM: To evaluate whether the feedback of laboratory use and cost data to clinicians modifies their request behaviour.
METHODS: Over two years the effect of monthly feedback of clinical chemistry test use and revenue expenditure to three consultant physicians on their clinical chemistry and haematology requesting patterns was evaluated. Two physicians who received no information served as controls.
RESULTS: Feedback over one year led to an immediate and sustained decrease of 15%, 27%, and 21% in clinical chemistry requests (p less than 0.01), tests (p less than 0.001), and revenue expenditure (p less than 0.001), respectively, and a 10% reduction in haematology tests (p less than 0.05) per outpatient visit. These changes persisted in the six months after the feedback was stopped.
CONCLUSIONS: These results suggest that feedback of laboratory data to clinicians modifies their request behaviour and that supplying clinicians with information on what they do can influence the way they make decisions.

Entities:  

Mesh:

Year:  1992        PMID: 1556235      PMCID: PMC495487          DOI: 10.1136/jcp.45.3.248

Source DB:  PubMed          Journal:  J Clin Pathol        ISSN: 0021-9746            Impact factor:   3.411


  3 in total

1.  Feedback of laboratory usage and cost data to clinicians: does it alter requesting behaviour?

Authors:  R Gama; P G Nightingale; P M Broughton; M Peters; G V Bradby; J Berg; J G Ratcliffe
Journal:  Ann Clin Biochem       Date:  1991-03       Impact factor: 2.057

Review 2.  Improving laboratory usage: a review.

Authors:  D W Young
Journal:  Postgrad Med J       Date:  1988-04       Impact factor: 2.401

Review 3.  Strategies to modify the test-requesting patterns of clinicians.

Authors:  C G Fraser; F P Woodford
Journal:  Ann Clin Biochem       Date:  1987-05       Impact factor: 2.057

  3 in total
  14 in total

1.  Unnecessary repeat requesting of tests in a university teaching hospital immunology laboratory: an audit.

Authors:  A P Huissoon; S A Carlton
Journal:  J Clin Pathol       Date:  2002-01       Impact factor: 3.411

2.  Modifying the request behaviour of clinicians.

Authors:  T E Blecher
Journal:  J Clin Pathol       Date:  1992-08       Impact factor: 3.411

3.  Educating Physicians-in-Training About Resource Utilization and Their Own Outcomes of Care in the Inpatient Setting.

Authors:  C Jessica Dine; Jean Miller; Alexander Fuld; Lisa M Bellini; Theodore J Iwashyna
Journal:  J Grad Med Educ       Date:  2010-06

4.  Unnecessary repeat requesting of tests: an audit in a government hospital immunology laboratory.

Authors:  J Kwok; B Jones
Journal:  J Clin Pathol       Date:  2005-05       Impact factor: 3.411

5.  The impact of structured laboratory routines in computerized medical records in a primary care service setting.

Authors:  Daniel A Vardy; Tzachit Simon; Yehuda Limoni; Oded Kuperman; Ira Rabzon; Arnon Cohen; Leah Cohen; Pesach Shvartzman
Journal:  J Med Syst       Date:  2005-12       Impact factor: 4.460

6.  Towards an effective and successful clinical liaison service in chemical pathology.

Authors:  A O Olukoga
Journal:  J Clin Pathol       Date:  1997-07       Impact factor: 3.411

7.  A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates.

Authors:  Alyna T Chien; Lisa Soleymani Lehmann; Laura A Hatfield; Kate E Koplan; Carter R Petty; Anna D Sinaiko; Meredith B Rosenthal; Thomas D Sequist
Journal:  J Gen Intern Med       Date:  2016-12-02       Impact factor: 5.128

8.  Factors affecting use of resources for asthma patients.

Authors:  Bayram Sahin; Mehtap Tatar
Journal:  J Med Syst       Date:  2006-10       Impact factor: 4.460

9.  Making finance work for you--strategic issues in clinical directorates.

Authors:  J Stuart; P C Spurgeon; A Cook
Journal:  BMJ       Date:  1995-01-28

10.  How Primary Care Physicians Integrate Price Information into Clinical Decision-Making.

Authors:  Katherine H Schiavoni; Lisa Soleymani Lehmann; Wendy Guan; Meredith Rosenthal; Thomas D Sequist; Alyna T Chien
Journal:  J Gen Intern Med       Date:  2016-08-25       Impact factor: 5.128

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.