Objectives Duplicate laboratory tests that are unwarranted increase unnecessary phlebotomy, which contributes to iatrogenic anemia, decreased patient satisfaction, and increased health care costs.
Materials and Methods We employed a clinical decision support tool (CDST) to block unnecessary duplicate test orders during the computerized physician order entry (CPOE) process. We assessed laboratory cost savings after 2 years and searched for untoward patient events associated with this intervention.
Results This CDST blocked 11,790 unnecessary duplicate test orders in these 2 years, which resulted in a cost savings of $183,586. There were no untoward effects reported associated with this intervention.
Conclusions The movement to CPOE affords real-time interaction between the laboratory and the physician through CDSTs that signal duplicate orders. These interactions save health care dollars and should also increase patient satisfaction and well-being.
Gary W.Procop, Lisa M.Yerian, RobertWyllie, A. MarcHarrison, KandiceKottke-MarchantAm J Clin Pathol(2014)141 (5):
718-723DOI: http://dx.doi.org/10.1309/AJCPOWHOIZBZ3FRWFirst published online: 1 May 2014 (6 pages)