Literature DB >> 7004561

An aid to reducing unnecessary investigations.

D W Young.   

Abstract

The number of investigations carried out on patients with the same condition varies greatly. The reason is largely inappropriate investigation. The known progressive increase in the use of laboratory facilities could be slowed down if unnecessary tests were eliminated. A computer-based medical information system, house officer information system, was used to eliminate the ordering of unnecessary tests. Analysis showed that patients cared for while the system was in operation were less likely to have unnecessary tests, which lead to a saving of pound1.34 per patient in laboratory costs.

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Mesh:

Year:  1980        PMID: 7004561      PMCID: PMC1715093          DOI: 10.1136/bmj.281.6255.1610

Source DB:  PubMed          Journal:  Br Med J        ISSN: 0007-1447


  4 in total

1.  Relative contributions of history-taking, physical examination, and laboratory investigation to diagnosis and management of medical outpatients.

Authors:  J R Hampton; M J Harrison; J R Mitchell; J S Prichard; C Seymour
Journal:  Br Med J       Date:  1975-05-31

2.  A problem orientated information system.

Authors:  D W Young
Journal:  Med Inform (Lond)       Date:  1978-06

3.  How much clinical investigation?

Authors:  J S Ashley; P Pasker; J C Beresford
Journal:  Lancet       Date:  1972-04-22       Impact factor: 79.321

4.  Costs of tests.

Authors:  M E Abrams
Journal:  J R Coll Physicians Lond       Date:  1979-10
  4 in total
  11 in total

Review 1.  Pathology tests: is the time for demand management ripe at last?

Authors:  G Gopal Rao; M Crook; M L Tillyer
Journal:  J Clin Pathol       Date:  2003-04       Impact factor: 3.411

Review 2.  Improving laboratory usage: a review.

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

3.  A rule-based decision support application for laboratory investigations management.

Authors:  L Boon-Falleur; E Sokal; M Peters; J M Ketelslegers
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1995

4.  Clinical biochemistry nearer the patient.

Authors:  V Marks
Journal:  Br Med J (Clin Res Ed)       Date:  1983-04-09

5.  Computer aided decision making in medicine.

Authors:  D J Spiegelhalter
Journal:  Br Med J (Clin Res Ed)       Date:  1984-09-08

6.  A survey of decision aids for clinicians.

Authors:  D W Young
Journal:  Br Med J (Clin Res Ed)       Date:  1982-11-06

7.  Patients with suspected myocardial infarction: their test request patterns for clinical biochemistry in a British and a Canadian cardiac care unit.

Authors:  A R Henderson; M D Gardner
Journal:  J Clin Pathol       Date:  1986-07       Impact factor: 3.411

8.  Computerised protocols for laboratory investigation and their effect on use of medical time and resources.

Authors:  D Mutimer; B McCauley; P Nightingale; M Ryan; M Peters; J Neuberger
Journal:  J Clin Pathol       Date:  1992-07       Impact factor: 3.411

9.  A cost-benefit analysis of twice-daily consultant ward rounds and clinical input on investigation and pharmacy costs in a major teaching hospital in the UK.

Authors:  Aftab Ahmad; Philip J Weston; Mahin Ahmad; Dushyant Sharma; Tejpal Purewal
Journal:  BMJ Open       Date:  2015-04-08       Impact factor: 2.692

10.  Utilization of laboratory investigations: study of knowledge, attitude and practice among primary care physicians.

Authors:  M A Bakarman; N Y Kurashi; M Hanif
Journal:  J Family Community Med       Date:  1996-07
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