An Electronic Strategy for Eliminating Unnecessary Duplicate Genetic Testing
Abstract Objectives To determine the impact of an electronic intervention designed to block duplicate constitutional genetic tests. Methods We constructed, implemented, and studied an electronic intervention that stopped duplicate genetic tests. The activation frequency, types of tests affected, and...
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| Veröffentlicht in: | American journal of clinical pathology 2020-03, Vol.153 (3), p.328-332 |
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| container_title | American journal of clinical pathology |
| container_volume | 153 |
| creator | Riley, Jacquelyn D Stanley, Glenn Wyllie, Robert Burt, Holly L Horwitz, Sandra B Cooper, Donna D Procop, Gary W |
| description | Abstract
Objectives
To determine the impact of an electronic intervention designed to block duplicate constitutional genetic tests.
Methods
We constructed, implemented, and studied an electronic intervention that stopped duplicate genetic tests. The activation frequency, types of tests affected, and cost savings achieved with this intervention were determined. The frequency and justification of override requests were also studied.
Results
This intervention stopped 710 unnecessary duplicate genetic tests over a 3-year period and saved $98,596. The tests with the highest numbers of alerts were those used for screening presurgical or transplant patients and were commonly part of an order set or test panel. Most override requests were justified because of the lack of exclusion codes in the initial programming.
Conclusions
Electronic interventions that stop duplicate genetic testing, if properly constructed, can reduce waste, save health care dollars, and facilitate patient care by directing the provider to a test that has already been performed. |
| doi_str_mv | 10.1093/ajcp/aqz163 |
| format | Article |
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Objectives
To determine the impact of an electronic intervention designed to block duplicate constitutional genetic tests.
Methods
We constructed, implemented, and studied an electronic intervention that stopped duplicate genetic tests. The activation frequency, types of tests affected, and cost savings achieved with this intervention were determined. The frequency and justification of override requests were also studied.
Results
This intervention stopped 710 unnecessary duplicate genetic tests over a 3-year period and saved $98,596. The tests with the highest numbers of alerts were those used for screening presurgical or transplant patients and were commonly part of an order set or test panel. Most override requests were justified because of the lack of exclusion codes in the initial programming.
Conclusions
Electronic interventions that stop duplicate genetic testing, if properly constructed, can reduce waste, save health care dollars, and facilitate patient care by directing the provider to a test that has already been performed.</description><identifier>ISSN: 0002-9173</identifier><identifier>EISSN: 1943-7722</identifier><identifier>DOI: 10.1093/ajcp/aqz163</identifier><identifier>PMID: 31665226</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Cost Savings ; Decision Support Systems, Clinical ; Genetic screening ; Genetic testing ; Genetic Testing - economics ; Healthcare industry software ; Humans ; Intervention ; Methods ; Technology application ; Testing ; Unnecessary Procedures - economics</subject><ispartof>American journal of clinical pathology, 2020-03, Vol.153 (3), p.328-332</ispartof><rights>American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2019</rights><rights>American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>COPYRIGHT 2020 Oxford University Press</rights><rights>American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-addaf708698a6ecb0d9f9613e8a1b61b2d155aa5f66e0c99b3d65d2c5b3565993</citedby><cites>FETCH-LOGICAL-c452t-addaf708698a6ecb0d9f9613e8a1b61b2d155aa5f66e0c99b3d65d2c5b3565993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31665226$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Riley, Jacquelyn D</creatorcontrib><creatorcontrib>Stanley, Glenn</creatorcontrib><creatorcontrib>Wyllie, Robert</creatorcontrib><creatorcontrib>Burt, Holly L</creatorcontrib><creatorcontrib>Horwitz, Sandra B</creatorcontrib><creatorcontrib>Cooper, Donna D</creatorcontrib><creatorcontrib>Procop, Gary W</creatorcontrib><title>An Electronic Strategy for Eliminating Unnecessary Duplicate Genetic Testing</title><title>American journal of clinical pathology</title><addtitle>Am J Clin Pathol</addtitle><description>Abstract
Objectives
To determine the impact of an electronic intervention designed to block duplicate constitutional genetic tests.
Methods
We constructed, implemented, and studied an electronic intervention that stopped duplicate genetic tests. The activation frequency, types of tests affected, and cost savings achieved with this intervention were determined. The frequency and justification of override requests were also studied.
Results
This intervention stopped 710 unnecessary duplicate genetic tests over a 3-year period and saved $98,596. The tests with the highest numbers of alerts were those used for screening presurgical or transplant patients and were commonly part of an order set or test panel. Most override requests were justified because of the lack of exclusion codes in the initial programming.
Conclusions
Electronic interventions that stop duplicate genetic testing, if properly constructed, can reduce waste, save health care dollars, and facilitate patient care by directing the provider to a test that has already been performed.</description><subject>Cost Savings</subject><subject>Decision Support Systems, Clinical</subject><subject>Genetic screening</subject><subject>Genetic testing</subject><subject>Genetic Testing - economics</subject><subject>Healthcare industry software</subject><subject>Humans</subject><subject>Intervention</subject><subject>Methods</subject><subject>Technology application</subject><subject>Testing</subject><subject>Unnecessary Procedures - economics</subject><issn>0002-9173</issn><issn>1943-7722</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc1r3DAQxUVJaTZJT70XQ6AEghN9WGPruKRpUljooclZyPJ40WJLjmQf0r--WjZNaSllDgPD770Z5hHygdErRpW4Njs7XZunHwzEG7JiqhJlXXN-RFaUUl4qVotjcpLSjlLGG1q9I8eCAUjOYUU2a1_cDmjnGLyzxfc5mhm3z0UfYp670XkzO78tHr1HiymZ-Fx8XqbB2cwVd-hxzrIHTHvqjLztzZDw_Us_JY9fbh9u7svNt7uvN-tNaSvJ59J0nelr2oBqDKBtaad6BUxgY1gLrOUdk9IY2QMgtUq1ogPZcStbIUEqJU7JxcF3iuFpybv16JLFYTAew5I0F4zWDKSQGT3_C92FJfp8neYVlxKgovCb2poBtfN9yH-we1O9BlY3VCjGMnX1DypXh6OzwWPv8vwPweVBYGNIKWKvp-jG_ELNqN5np_fZ6UN2mf74curSjti9sr_CysCnAxCW6b9OPwF0WKCo</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Riley, Jacquelyn D</creator><creator>Stanley, Glenn</creator><creator>Wyllie, Robert</creator><creator>Burt, Holly L</creator><creator>Horwitz, Sandra B</creator><creator>Cooper, Donna D</creator><creator>Procop, Gary W</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20200301</creationdate><title>An Electronic Strategy for Eliminating Unnecessary Duplicate Genetic Testing</title><author>Riley, Jacquelyn D ; Stanley, Glenn ; Wyllie, Robert ; Burt, Holly L ; Horwitz, Sandra B ; Cooper, Donna D ; Procop, Gary W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-addaf708698a6ecb0d9f9613e8a1b61b2d155aa5f66e0c99b3d65d2c5b3565993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cost Savings</topic><topic>Decision Support Systems, Clinical</topic><topic>Genetic screening</topic><topic>Genetic testing</topic><topic>Genetic Testing - economics</topic><topic>Healthcare industry software</topic><topic>Humans</topic><topic>Intervention</topic><topic>Methods</topic><topic>Technology application</topic><topic>Testing</topic><topic>Unnecessary Procedures - economics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Riley, Jacquelyn D</creatorcontrib><creatorcontrib>Stanley, Glenn</creatorcontrib><creatorcontrib>Wyllie, Robert</creatorcontrib><creatorcontrib>Burt, Holly L</creatorcontrib><creatorcontrib>Horwitz, Sandra B</creatorcontrib><creatorcontrib>Cooper, Donna D</creatorcontrib><creatorcontrib>Procop, Gary W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of clinical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Riley, Jacquelyn D</au><au>Stanley, Glenn</au><au>Wyllie, Robert</au><au>Burt, Holly L</au><au>Horwitz, Sandra B</au><au>Cooper, Donna D</au><au>Procop, Gary W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Electronic Strategy for Eliminating Unnecessary Duplicate Genetic Testing</atitle><jtitle>American journal of clinical pathology</jtitle><addtitle>Am J Clin Pathol</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>153</volume><issue>3</issue><spage>328</spage><epage>332</epage><pages>328-332</pages><issn>0002-9173</issn><eissn>1943-7722</eissn><abstract>Abstract
Objectives
To determine the impact of an electronic intervention designed to block duplicate constitutional genetic tests.
Methods
We constructed, implemented, and studied an electronic intervention that stopped duplicate genetic tests. The activation frequency, types of tests affected, and cost savings achieved with this intervention were determined. The frequency and justification of override requests were also studied.
Results
This intervention stopped 710 unnecessary duplicate genetic tests over a 3-year period and saved $98,596. The tests with the highest numbers of alerts were those used for screening presurgical or transplant patients and were commonly part of an order set or test panel. Most override requests were justified because of the lack of exclusion codes in the initial programming.
Conclusions
Electronic interventions that stop duplicate genetic testing, if properly constructed, can reduce waste, save health care dollars, and facilitate patient care by directing the provider to a test that has already been performed.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>31665226</pmid><doi>10.1093/ajcp/aqz163</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of clinical pathology, 2020-03, Vol.153 (3), p.328-332 |
| issn | 0002-9173 1943-7722 |
| language | eng |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Cost Savings Decision Support Systems, Clinical Genetic screening Genetic testing Genetic Testing - economics Healthcare industry software Humans Intervention Methods Technology application Testing Unnecessary Procedures - economics |
| title | An Electronic Strategy for Eliminating Unnecessary Duplicate Genetic Testing |
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