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Related Experiment Videos

Many diagnostic tests may be unnecessary

P L Faulkner, R Nevick, S V Williams

    Hospitals
    |April 16, 1981
    PubMed
    Summary
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    Hospitals can now review diagnostic test orders concurrently. Physician consensus sets the judgment criteria for this new review system.

    Area of Science:

    • Medical informatics
    • Clinical decision support

    Background:

    • Diagnostic test ordering is a significant driver of healthcare costs.
    • Concurrent review of test orders can optimize resource utilization.

    Purpose of the Study:

    • To implement and evaluate a system for concurrent review of diagnostic test ordering.
    • To establish physician-driven consensus criteria for order review.

    Main Methods:

    • A system was installed in a hospital setting.
    • Judgment criteria for order review were established through physician consensus.
    • The system facilitated concurrent review of diagnostic test orders.

    Main Results:

    • The implemented system enabled real-time review of diagnostic test orders.

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  • Physician consensus was achieved in defining the criteria for order evaluation.

    • Conclusions:

    • Concurrent review of diagnostic test orders, guided by physician-defined criteria, is feasible.
    • This approach has the potential to improve the appropriateness of diagnostic testing.