Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

A multicenter cluster randomized controlled trial of strategies to improve thyroid function testing.

Valentin Daucourt1, Florence Saillour-Glénisson, Philippe Michel

  • 1Comité de Coordination pour l'Evaluation Clinique et la Qualité en Aquitaine, Hôpital Xavier Arnozan, Pessac, France. valentin.daucourt@ccecqa.asso.fr

Medical Care
|March 6, 2003
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

External validation and improvement of an algorithm that identifies multiple sclerosis relapses in the French national healthcare claims database.

Multiple sclerosis and related disorders·2026
Same author

[IDAOH-95 Study - Identifying Organisational Improvement Areas to Enhance Resident Care in Nursing Homes in Val-d'Oise - A Practice-Based Survey].

Geriatrie et psychologie neuropsychiatrie du vieillissement·2026
Same author

Healthcare Utilization Among Older Adults With Dementia in France: A Comparative Analysis of a Dementia Village and Traditional Nursing Homes.

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research·2026
Same author

Patient-Perceived Benefits of Named-Patient Product Sublingual Immunotherapy in Allergic Rhinitis and Asthma: Primary Results From the ERAPP Real-World Cohort Study.

Allergy·2026
Same author

Evidence-based modelling and taxonomy of hospital-based cancer care coordination nurses' roles and boundaries: an iterative multiphase convergent mixed study.

BMJ oncology·2025
Same author

Sex Differences in the Use and Discontinuation of Recommended Drugs in Secondary Ischemic Stroke Prevention: A Regional Registry-Based Analysis.

Journal of women's health (2002)·2025

The Test Request Form (TRF) effectively improved adherence to thyroid function test guidelines, outperforming the Memorandum Pocket Card (MPC). Combining both interventions did not yield significantly better results than the TRF alone.

Area of Science:

  • Clinical Practice Guidelines
  • Healthcare Implementation Science
  • Diagnostic Test Ordering

Background:

  • Adherence to clinical guidelines for diagnostic tests is crucial for effective patient care.
  • Implementation interventions aim to bridge the gap between evidence-based guidelines and clinical practice.
  • Thyroid function tests are commonly ordered, making guideline adherence important for resource optimization and accurate diagnosis.

Purpose of the Study:

  • To evaluate the independent and combined effectiveness of a Memorandum Pocket Card (MPC) and a Test Request Form (TRF) in implementing thyroid function test guidelines.
  • To compare the impact of each intervention and their synergy on guideline conformity.

Main Methods:

  • A 2x2 factorial experimental design was employed, involving four groups of hospital wards: dual intervention (TRF + MPC), TRF only, MPC only, and a control group.

Related Experiment Videos

  • Guideline Conformity Rate (GCR) was the primary outcome measure, assessed across 1412 thyroid function test orders.
  • Hospitals and wards were matched to minimize bias, and physicians received guidelines and attended information meetings.

    • Main Results:

    • The Test Request Form (TRF) intervention significantly increased the Guideline Conformity Rate (GCR) (OR, 2.65; 95% CI, 1.52-4.62).
    • The Memorandum Pocket Card (MPC) intervention did not show a significant increase in GCR (OR, 1.28; CI, 0.75-2.19).
    • The dual intervention group achieved a GCR of 78%, the TRF group 83%, the MPC group 73%, and the control group 62%.

    Conclusions:

    • The Test Request Form (TRF) is a more effective intervention than the Memorandum Pocket Card (MPC) for implementing thyroid function test guidelines.
    • While the TRF demonstrated significant effectiveness, the combination of TRF and MPC did not show a significant synergistic effect.
    • The findings support the use of TRF as a primary strategy for improving adherence to diagnostic testing guidelines.