Pathology Trainees Gain Clinical Pathology Experience as Lab Consultants Through Auditing Myeloid Mutation Panel Send-Out Tests: Hitting Two Birds With One Stone?
Context.--: Inappropriate laboratory testing and the threat it poses to patient care and rising health care costs has become an important focus in the medical literature. Pathology residents, as physicians with an intimate knowledge of laboratory testing, may be uniquely equipped with the tools to i...
| Publicado en: | Archives of Pathology & Laboratory Medicine Vol. 146; no. 10; pp. 1286 - 1291 |
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| Autores principales: | , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
College of American Pathologists
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159479263&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159479263 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039985 1FS jtl: Archives of Pathology & Laboratory Medicine issn: 00039985 maglogo: N pubinfo: dt: Oct2022 vid: 146 iid: 10 pid: 2550 pub: College of American Pathologists place: Northfield, Illinois artinfo: ui: 159479263 159479263 159479263 10.5858/arpa.2021-0334-EP 159479263 ppf: 1286 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Pathology Trainees Gain Clinical Pathology Experience as Lab Consultants Through Auditing Myeloid Mutation Panel Send-Out Tests: Hitting Two Birds With One Stone? aug: au: Hardy, Naomi L. Jacobs, Jonathan Mullins, Kristin Christenson, Robert Cox, Thoko Murphy, Colin Koka, Rima affil: Department of Pathology, University of Maryland Medical Center, Baltimore sug: subj: Pathology, Clinical Education Education, Clinical Interns and Residents Unnecessary Procedures Myeloid Cells Analysis Mutation Evaluation Laboratory Test Panels Diagnosis, Laboratory Program Evaluation Human Academic Medical Centers Retrospective Design Record Review Audit Health Care Costs Cost Savings Descriptive Statistics Fisher's Exact Test ab: Context.--: Inappropriate laboratory testing and the threat it poses to patient care and rising health care costs has become an important focus in the medical literature. Pathology residents, as physicians with an intimate knowledge of laboratory testing, may be uniquely equipped with the tools to intervene in situations of inappropriate testing and also benefit from lab use experience as part of their clinical pathology training. Objective.--: To employ a resident-driven initiative aimed at incorporating pathology residents as consultants for appropriate ordering of high-volume, send-out myeloid mutation panel testing. Design.--: During a 6-month study period, all myeloid mutation panel send-out tests were screened by senior pathology residents on their clinical chemistry rotation prior to approval at an academic medical center. A retrospective review of myeloid mutation panels from the prior 6 months was conducted with the same criteria to determine effectiveness of the intervention. Results.--: Of the 234 tests ordered during the study period, screening resulted in cancellation of 17% (n = 39), with proportional cost savings. The number of inappropriate orders successfully cancelled was significant compared with the preintervention period (control, 0%; intervention, 76.5%; P < .001, Fisher exact test). There was no significant difference in the proportion of inappropriate tests before and after intervention. Conclusions.--: Although test ordering patterns did not substantially change during the intervention period, pathology residents effectively reduced inappropriate myeloid mutation panel testing through prospective send-out auditing, leading to significant cost savings. Moreover, assessment of test use and appropriateness provided critical clinical pathology training within the areas of hematology, molecular genetics, and laboratory management. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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