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Mindfulness-Based Laboratory Reduction: Reducing Utilization Through Trainee-Led Daily ‘Time Outs’
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- 자료유형학술지논문
- 저자명McDonald, Emily G.,Saleh, Ramy R.,Lee, Todd C.
- 학회/출판사/기관명Elsevier Science B.V., Amsterdam.
- 출판년도2017
- 언어영어
- 학술지명/학위논문주기The American journal of medicine
- 발행사항Vol.130No.6[2017]_x000D_
- ISBN/ISSN0002-9343
- 소개/요약Background: Overuse of laboratory investigations is widely prevalent in hospitalized patients, leads to discomfort, and increases direct and indirect costs. Objective: We implemented a simple, inexpensive, mindfulness strategy on our inpatient medical clinical teaching unit to reduce unnecessary laboratory orders through education, a forcing function, and daily structured laboratory "time outs." Methods: On a 26-bed unit in an academic hospital center, the per-period laboratory costs per patient were compared pre- and postintervention using segmented regression analysis of an interrupted time series. Results: The average cost per admitted patient decreased from $117 to $66, with an estimated savings of $50,657 over 985 admissions. After adjusting for fiscal period and the presence of our intervention, there was a significant reduction in the per-patient number of total tests, complete blood counts, and electrolyte panels performed (P <.001 for all level and time trend changes). Conclusion: This trainee-designed and -led intervention, centered around structured, mindfulness-based laboratory test ordering, was successful at decreasing the overuse of common daily blood work in hospitalized patients.
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