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A feedback system for reducing excessive laboratory tests

J Studnicki1, D D Bradham, J Marshburn

  • 1Department of Health Policy and Management, College of Public Health, University of South Florida, Tampa 33612.

Archives of Pathology & Laboratory Medicine
|January 1, 1993
PubMed
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A hospital program reduced excessive laboratory testing by providing test frequency guidelines and physician feedback. This initiative successfully decreased the percentage of outlier tests, optimizing resource use.

Area of Science:

  • Healthcare Management
  • Clinical Pathology
  • Medical Economics

Background:

  • Excessive laboratory testing contributes to increased healthcare costs and potential patient harm.
  • Optimizing laboratory test utilization is a key goal in healthcare quality improvement initiatives.
  • Physician ordering patterns significantly influence laboratory test volumes.

Purpose of the Study:

  • To evaluate the effectiveness of a program designed to reduce potentially excessive laboratory testing.
  • To assess the impact of test frequency guidelines and physician feedback on laboratory utilization.
  • To improve the appropriate use of laboratory tests within a hospital setting.

Main Methods:

  • Implementation of analyte-specific test frequency guidelines differentiating between normal and abnormal values.

Related Experiment Videos

  • Establishment of a feedback system comparing resident physicians' test ordering patterns to guidelines.
  • Inclusion of systematic data reporting and educational counseling sessions for physicians.

    • Main Results:

    • A reduction in the percentage of laboratory tests identified as outliers (outside guidelines) was observed.
    • The program demonstrated a positive impact on physician adherence to test frequency guidelines.
    • Objective data feedback and educational interventions were key components of the successful implementation.

    Conclusions:

    • A multifaceted program incorporating guidelines and feedback effectively reduces excessive laboratory testing.
    • Physician education and performance monitoring are crucial for optimizing laboratory test ordering.
    • This approach offers a scalable model for improving laboratory test stewardship in healthcare settings.