Reducing Phlebotomy Utilization With Education and Changes to Computerized Provider Order Entry.
Publication/Presentation Date
1-1-2019
Abstract
INTRODUCTION: Daily phlebotomy is often a standard procedure in hospitalized patients. Recently, this practice has begun receiving attention as a potential target for efforts focused on eliminating overuse. Several organizations have published their efforts in this arena. Interventions have included education, feedback, and changes to computerized provider order entry (CPOE) but have yielded mixed results.
METHODS: A quality improvement initiative to reduce the utilization of daily phlebotomy was conducted at a 505-bed Academic Medical Center. This project involved a combination of educational interventions and changes to CPOE. The primary end point evaluated was the daily performance of complete blood counts (CBCs) and basic metabolic profiles (BMPs) on medical and surgery units relative to the corresponding hospital census.
RESULTS: Over the course of this project from August 1, 2013, to September 23, 2016, there was a 15.2% reduction in CBCs (p < .001 for linear trend) and 13.1% reduction in BMPs.
DISCUSSION: Our results suggest that layering multimodal interventions that involve both "hard-wired" changes to CPOE and education and performance feedback can result in decreased utilization of phlebotomy.
Volume
41
Issue
3
First Page
154
Last Page
159
ISSN
1945-1474
Published In/Presented At
Breen, C., Maguire, K., Bansal, A., Russin, S., West, S., Dayal, A., Berger, A., Olson, J., & Hohmuth, B. (2019). Reducing Phlebotomy Utilization With Education and Changes to Computerized Provider Order Entry. Journal for healthcare quality : official publication of the National Association for Healthcare Quality, 41(3), 154–159. https://doi.org/10.1097/JHQ.0000000000000150
Disciplines
Medicine and Health Sciences
PubMedID
31094948
Department(s)
Department of Pathology and Laboratory Medicine
Document Type
Article