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

Alteration of physicians' orders by nonphysicians.

A F Finn1, P N Valenstein, M D Burke

  • 1Department of Pathology, State University of New York, Stony Brook 11794-8691.

JAMA
|May 6, 1988
PubMed
Summary
This summary is machine-generated.

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

Editor's Mail.

Postgraduate medicine·2016
Same author

Screening of λgt11 cDNA Libraries Using Monoclonal Antibodies.

Methods in molecular biology (Clifton, N.J.)·2012
Same author

Screening of λgt11 cDNA Libraries Using Monoclonal Antibodies.

Methods in molecular biology (Clifton, N.J.)·2012
Same author

Nutrient removal in a sequencing batch biofilm reactor (SBBR) using a vertically moving biofilm system.

Environmental technology·2004
Same author

The cancer preventative agent resveratrol is converted to the anticancer agent piceatannol by the cytochrome P450 enzyme CYP1B1.

British journal of cancer·2002
Same author

Triggered enzymatic degradation of a water-soluble polymer solution using a novel inhibitor.

Biomacromolecules·2001
Same journal

Alcohol-Related Liver Disease: A Review.

JAMA·2026
Same journal

Online Prescribing of GLP-1 Receptor Agonists.

JAMA·2026
Same journal

Using AI Disagreement to Expose Gaps in Coverage Rules.

JAMA·2026
Same journal

Randomized Trials in Pregnancy.

JAMA·2026
Same journal

Randomized Trials in Pregnancy-Reply.

JAMA·2026
Same journal

WHO Issues Guidelines for Treating Ebola and Marburg Viruses.

JAMA·2026
See all related articles

Physicians

Area of Science:

  • Clinical Chemistry
  • Laboratory Medicine
  • Healthcare Quality Improvement

Background:

  • Physicians' orders for diagnostic tests are crucial for patient care.
  • Variations in test ordering can impact diagnostic accuracy and healthcare costs.
  • The process of order entry and fulfillment is complex and prone to errors.

Purpose of the Study:

  • To evaluate the accuracy of thyroid function test order fulfillment by support staff.
  • To assess the appropriateness of initial physician test orders.
  • To determine the impact of clerical and laboratory staff interventions on order appropriateness.

Main Methods:

  • Prospective evaluation of 181 patients across two institutions.
  • Comparison of original physician orders with executed tests.

Related Experiment Videos

  • Analysis of order appropriateness based on clinical indications.
  • Assessment of staff interventions using computer-based menus and knowledge-based rules.

    • Main Results:

    • Support staff altered physician orders in 54% of cases.
    • Physician orders were inappropriate (lacking or unnecessary tests) in 37% of instances.
    • Intervention by staff reduced inappropriate tests or omissions to 25% of patients.
    • Computer-based ordering menus and informal rules improved order appropriateness.

    Conclusions:

    • Physician test orders are frequently modified during the requisitioning process.
    • Clerical and laboratory staff interventions can improve the appropriateness of diagnostic test orders.
    • Standardized ordering processes and staff training are vital for optimizing laboratory test utilization.