Information sharing can reduce laboratory use by emergency physicians

The American Journal of Emergency Medicine
E A Ramoska

Abstract

This study analyzed the effect information sharing through physician profiling would have on emergency physician behavior. It is a before-and-after audit of laboratory use in a community hospital. A 9-month control period was followed by a 15-month period in which the physicians' laboratory use was presented and discussed at monthly meetings. The laboratory use decreased 17.8%, from a mean of 2.36 studies per patient during the control period to 1.94 during the final quarter of the study. The actual laboratory costs per month decreased 17.7%, from a mean of $32,415 per month to $26,687 per month. There was only one possible adverse outcome out of 34,320 patients seen. There were no adverse changes in other quality improvement indicators. Information sharing can result in a decrease in the number and cost of laboratories studies ordered by emergency physicians without an adverse change in routine quality improvement indicators.

References

Dec 1, 1990·Archives of Emergency Medicine·G A Jelinek, N D Banham
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May 24, 1990·The New England Journal of Medicine·W M TierneyC J McDonald
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Citations

Mar 22, 2001·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·A SacchettiM E Moakes
Aug 25, 2015·The American Journal of Emergency Medicine·R Le Grand RogersEdward R Melnick
Jul 18, 2000·The Joint Commission Journal on Quality Improvement·V Weber, M S Joshi

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