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A new interesting article has been published in Clin Chem. 2019 Jul 11. pii: clinchem.2018.300657. doi: 10.1373/clinchem.2018.300657. and titled:

Once-Per-Visit Alerts: A Means to Study Alert Compliance and Reduce Repeat Laboratory Testing.

Authors of this article are:

Szymanski JJ, Qavi AJ, Laux K, Jackups R Jr.

A summary of the article is shown below:

BACKGROUND: Clinical decision support alerts for laboratory testing have poor compliance. Once-per-visit alerts, triggered by reorder of a test within the same admission, are highly specific for unnecessary orders and provide a means to study alert compliance.METHODS: Once-per-visit alerts for 18 laboratory orderables were analyzed over a 60-month period from September 2012 to October 2016 at a 1200-bed academic medical center. To determine correlates of alert compliance, we compared alerts by test and provider characteristics.RESULTS: Overall alert compliance was 54.5%. In multi-variate regression, compliance correlated with length of stay at time of alert, provider type, previous alerts in a patient visit, test ordered, total alerts experienced by ordering provider, and previous order status.CONCLUSIONS: A diverse set of provider and test characteristics influences compliance with once-per-visit laboratory alerts. Future alerts should incorporate these characteristics into alert design to minimize alert overrides.© 2019 American Association for Clinical Chemistry.

Check out the article’s website on Pubmed for more information:

[link-preview url=https://www.ncbi.nlm.nih.gov/pubmed/31296551 forceshot=true]

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