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Validation and Implementation of an Ordering Alert to Improve the Efficiency of Monoclonal Gammopathy Evaluation

Authors :
Mandakolathur R. Murali
Daimon P. Simmons
Jason M. Baron
Anand S. Dighe
Sacha N. Uljon
Joseph W Rudolf
Dustin McEvoy
Sayon Dutta
Source :
American Journal of Clinical Pathology. 153:396-406
Publication Year :
2019
Publisher :
Oxford University Press (OUP), 2019.

Abstract

Objectives To evaluate the use of a provider ordering alert to improve laboratory efficiency and reduce costs. Methods We conducted a retrospective study to assess the use of an institutional reflex panel for monoclonal gammopathy evaluation. We then created a clinical decision support (CDS) alert to educate and encourage providers to change their less-efficient orders to the reflex panel. Results Our retrospective analysis demonstrated that an institutional reflex panel could be safely substituted for a less-efficient and higher-cost panel. The implemented CDS alert resulted in 79% of providers changing their high-cost order panel to an order panel based on the reflex algorithm. Conclusions The validated decision support alert demonstrated high levels of provider acceptance and directly led to operational and cost savings within the laboratory. Furthermore, these studies highlight the value of laboratory involvement with CDS efforts to provide agile and targeted provider ordering assistance.

Details

ISSN :
19437722 and 00029173
Volume :
153
Database :
OpenAIRE
Journal :
American Journal of Clinical Pathology
Accession number :
edsair.doi.dedup.....b5c778e07477e50c803dad3ebb0ebf2f
Full Text :
https://doi.org/10.1093/ajcp/aqz180