The impact of selective laboratory evaluation on utilization of laboratory resources and patient care in a level-i trauma center*
References (17)
- et al.
Preoperative evaluation of the healthy patient
Med Clin N Am
(1979) - et al.
Preoperative and postoperative medical evaluation of surgical patients
Am J Surg
(1988) - et al.
Preoperative laboratory screening in healthy Mayo patients: cost-effective elimination of tests unchanged outcomes.
- et al.
Contribution of preoperative investigations to the anesthetic management of adult trauma patients.
Injury
(1993) Advanced trauma life support course
(1993)- et al.
Admissions screening: clinical benefits
Ann Intern Med
(1975) - Roizen M. Preoperative patient evaluation. Can J Anesth. 89;36(pt...
- et al.
The optimum use of laboratory tests in the surgical patient
NC Med J
(1991)
Cited by (37)
Anesthesia for the Pediatric Trauma Patient
2016, Smith's Anesthesia for Infants and Children, Ninth EditionA clinician's perspective on laboratory utilization management
2014, Clinica Chimica ActaCitation Excerpt :These authors estimate that selective lab ordering in trauma patients would save their institution over $1.5 million per year [16]. Other trauma studies have also shown that thoughtful and directed lab utilization can lead to significant savings without negatively affecting patient outcomes [13,17]. There are many factors which influence ordering behavior, including: ease of ordering, ignorance of test characteristics, peer- or supervisor-pressure to be extremely thorough, fear of litigation, impatience, desire for certainty of diagnosis, financial incentives, and patient demand [9].
Provider perceptions concerning use of chest x-ray studies in adult blunt trauma assessments
2012, Journal of Emergency MedicineCitation Excerpt :However, when providers estimated a < 10% likelihood of finding any significant injuries on CXR, 2.1% (95% CI 1.0–4.1%) of patients had SITI; when they predicted a 10–25% likelihood, 5.7% (95% CI 1.2–15.7%) of patients had SITI; and when they predicted a > 25% likelihood, 9.1% (95% CI 3.0–20.0%) had SITI. In several studies assessing the indiscriminate use of “routine trauma panels,” investigators have concluded that the use of such panels has low clinical yield and does not lead to better outcomes (9–12). Nonetheless, automatic ordering of certain tests in trauma evaluation and other settings continues.
Infants and Children as Accident Victims and Their Emergency Management
2012, Pediatric Surgery, 2-Volume Set: Expert Consult - Online and PrintInfants and Children as Accident Victims and Their Emergency Management
2012, Pediatric SurgeryBlunt Abdominal Trauma
2012, Emergency Medicine: Clinical Essentials, SECOND EDITION
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Presented at the 48th Annual Meeting of the Southwestern Surgical Congress, Scottsdale, Arizona, April 28–May 1, 1996.
- 1
Frederick W. Clevenger, MD, is deceased.