PMID- 6679239
OWN - NLM
STAT- MEDLINE
DCOM- 19841002
LR  - 20111117
IS  - 0003-9926 (Print)
IS  - 0003-9926 (Linking)
VI  - 143
IP  - 5
DP  - 1983 May
TI  - Effect of cost education, cost audits, and faculty chart review on the use of 
      laboratory services.
PG  - 942-4
AB  - A randomized controlled trial of several strategies designed to reduce the use of 
      laboratory tests by house staff was performed in two parts. Part 1 compared cost 
      education, cost audits, and both methods combined, all after a baseline 
      observation period. Significant reductions were achieved only in the combination 
      group for the categories of total tests (9.4%) and Sequential Multiple Analysis 
      (SMA)-12 (10.8%), but not for charges, SMA-6, or complete blood cell counts 
      (CBCs). Part 2 compared a group subjected to faculty chart review with a control 
      group. Significant reductions in total charges (9.8%), total tests (15.1%), 
      SMA-12s (20.6%), SMA-6s (12.5%), and CBCs (18.5%) were observed in the 
      intervention group, as compared with the control group. Among the methods 
      examined, faculty chart review seems to be the most effective method of reducing 
      the amount of laboratory testing performed by house staff.
FAU - Everett, G D
AU  - Everett GD
FAU - deBlois, C S
AU  - deBlois CS
FAU - Chang, P F
AU  - Chang PF
FAU - Holets, T
AU  - Holets T
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arch Intern Med
JT  - Archives of internal medicine
JID - 0372440
SB  - IM
MH  - Clinical Laboratory Techniques/*economics
MH  - *Cost Control
MH  - Faculty, Medical
MH  - Humans
MH  - Iowa
MH  - Medical Staff, Hospital
EDAT- 1983/05/01 00:00
MHDA- 1983/05/01 00:01
CRDT- 1983/05/01 00:00
PHST- 1983/05/01 00:00 [pubmed]
PHST- 1983/05/01 00:01 [medline]
PHST- 1983/05/01 00:00 [entrez]
PST - ppublish
SO  - Arch Intern Med. 1983 May;143(5):942-4.