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dc.contributor.author | Ricaldi, Jessica | |
dc.contributor.author | Racsa, Lori | |
dc.contributor.author | Pusch, Tobias | |
dc.contributor.author | Gander, Rita M. | |
dc.contributor.author | Southern, Paul | |
dc.contributor.author | Cavuoti, Dominick | |
dc.contributor.author | Byrd, Linda | |
dc.contributor.author | Alatoom, Adnan | |
dc.date.accessioned | 2020-06-10T18:11:34Z | |
dc.date.available | 2020-06-10T18:11:34Z | |
dc.date.issued | 2014 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12866/7993 | |
dc.description.abstract | Test utilization is an essential strategy in the clinical laboratory, especially with increasing numbers of tests and health care costs. We designed a triage system for molecular microbiology tests ordered from 2007 through 2010 to assess their appropriateness before they were sent out to a reference laboratory for testing. The number of tests ordered and approved and the number with positive results were calculated during the study period. Cost avoidance was subsequently calculated. A total of 13,839 tests were ordered, averaging 3,335 tests/year. The overall approval rate was 76%, ranging from 72% in 2007 to 81% in 2010. With the exception of cytomegalovirus (CMV) and BK virus PCR, the numbers of all tests decreased in 2010 compared to 2007. The total savings over 4 years was $374,791, with an average cost avoidance of $93,698/year. Pathologists and microbiologists should design a utilization system for laboratory testing to avoid unnecessary cost and improve patient care. | en_US |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofseries | Clinical Microbiology Newsletter | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.subject | Article | en_US |
dc.subject | BK virus | en_US |
dc.subject | clinical laboratory | en_US |
dc.subject | cost control | en_US |
dc.subject | Cytomegalovirus | en_US |
dc.subject | health care utilization | en_US |
dc.subject | laboratory diagnosis | en_US |
dc.subject | microbiological examination | en_US |
dc.subject | molecular diagnosis | en_US |
dc.subject | polymerase chain reaction | en_US |
dc.subject | unnecessary procedure | en_US |
dc.title | Cost avoidance and outcome improvement by implementing a test utilization strategy for molecular microbiology tests | en_US |
dc.type | info:eu-repo/semantics/article | |
dc.identifier.doi | https://doi.org/10.1016/j.clinmicnews.2014.11.004 | |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.03.08 | |
dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#1.06.01 | |
dc.relation.issn | 1873-4391 |
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