Duplicate laboratory orders

A College of American Pathologists Q- Probes study of thyrotropin requests in 502 institutions

Paul Valenstein, Ronald B Schifman

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective. - To examine the frequency and cause of duplicate thyrotropin (TSH) testing. Methods. - Five hundred two institutions, ranging in size from fewer than 100 to more than 600 beds, examined consecutively processed TSH assays to identify duplicate orders. Duplicates were defined as two or more TSH tests performed within 7 days. All together, participants submitted data on 221 476 TSH orders. Results. - The median institution reported that 1.5% of TSH tests duplicated a TSH order that had been received from the same patient within the previous 7 days. Ten percent of institutions reported that 4.5% or more of their TSH tests were duplicates. Institutions with higher duplicate rates tended to be larger (ie, they had a greater number of occupied beds) and to have duplicate tests that were more likely to be ordered by a physician other than the one who ordered the initial test. Participants reported that for 19% of duplicate orders, physicians were unaware that the first test had been ordered. Physicians also indicated that duplicate assays were ordered to see if a previous result had changed (15%) or to check on the accuracy of a previous result (13%). Participants reported that 11% of duplicate TSH assays that their laboratory performed had apparently never been ordered. Conclusions. - A large number of institutions are performing duplicate TSH tests that, in most cases, appear to be medically unnecessary. Institutions aiming to reduce the frequency of duplicate testing should consider policies that decrease the opportunity for different physicians to order tests on a single patient and should increase the accuracy with which physician orders are transmitted to the laboratory.

Original languageEnglish (US)
Pages (from-to)917-921
Number of pages5
JournalArchives of Pathology and Laboratory Medicine
Volume120
Issue number10
StatePublished - Oct 1996
Externally publishedYes

Fingerprint

Thyrotropin
Physicians
Pathologists

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

Cite this

@article{e690c3417ad04f02b10667a07d6118cc,
title = "Duplicate laboratory orders: A College of American Pathologists Q- Probes study of thyrotropin requests in 502 institutions",
abstract = "Objective. - To examine the frequency and cause of duplicate thyrotropin (TSH) testing. Methods. - Five hundred two institutions, ranging in size from fewer than 100 to more than 600 beds, examined consecutively processed TSH assays to identify duplicate orders. Duplicates were defined as two or more TSH tests performed within 7 days. All together, participants submitted data on 221 476 TSH orders. Results. - The median institution reported that 1.5{\%} of TSH tests duplicated a TSH order that had been received from the same patient within the previous 7 days. Ten percent of institutions reported that 4.5{\%} or more of their TSH tests were duplicates. Institutions with higher duplicate rates tended to be larger (ie, they had a greater number of occupied beds) and to have duplicate tests that were more likely to be ordered by a physician other than the one who ordered the initial test. Participants reported that for 19{\%} of duplicate orders, physicians were unaware that the first test had been ordered. Physicians also indicated that duplicate assays were ordered to see if a previous result had changed (15{\%}) or to check on the accuracy of a previous result (13{\%}). Participants reported that 11{\%} of duplicate TSH assays that their laboratory performed had apparently never been ordered. Conclusions. - A large number of institutions are performing duplicate TSH tests that, in most cases, appear to be medically unnecessary. Institutions aiming to reduce the frequency of duplicate testing should consider policies that decrease the opportunity for different physicians to order tests on a single patient and should increase the accuracy with which physician orders are transmitted to the laboratory.",
author = "Paul Valenstein and Schifman, {Ronald B}",
year = "1996",
month = "10",
language = "English (US)",
volume = "120",
pages = "917--921",
journal = "Archives of Pathology and Laboratory Medicine",
issn = "0003-9985",
publisher = "College of American Pathologists",
number = "10",

}

TY - JOUR

T1 - Duplicate laboratory orders

T2 - A College of American Pathologists Q- Probes study of thyrotropin requests in 502 institutions

AU - Valenstein, Paul

AU - Schifman, Ronald B

PY - 1996/10

Y1 - 1996/10

N2 - Objective. - To examine the frequency and cause of duplicate thyrotropin (TSH) testing. Methods. - Five hundred two institutions, ranging in size from fewer than 100 to more than 600 beds, examined consecutively processed TSH assays to identify duplicate orders. Duplicates were defined as two or more TSH tests performed within 7 days. All together, participants submitted data on 221 476 TSH orders. Results. - The median institution reported that 1.5% of TSH tests duplicated a TSH order that had been received from the same patient within the previous 7 days. Ten percent of institutions reported that 4.5% or more of their TSH tests were duplicates. Institutions with higher duplicate rates tended to be larger (ie, they had a greater number of occupied beds) and to have duplicate tests that were more likely to be ordered by a physician other than the one who ordered the initial test. Participants reported that for 19% of duplicate orders, physicians were unaware that the first test had been ordered. Physicians also indicated that duplicate assays were ordered to see if a previous result had changed (15%) or to check on the accuracy of a previous result (13%). Participants reported that 11% of duplicate TSH assays that their laboratory performed had apparently never been ordered. Conclusions. - A large number of institutions are performing duplicate TSH tests that, in most cases, appear to be medically unnecessary. Institutions aiming to reduce the frequency of duplicate testing should consider policies that decrease the opportunity for different physicians to order tests on a single patient and should increase the accuracy with which physician orders are transmitted to the laboratory.

AB - Objective. - To examine the frequency and cause of duplicate thyrotropin (TSH) testing. Methods. - Five hundred two institutions, ranging in size from fewer than 100 to more than 600 beds, examined consecutively processed TSH assays to identify duplicate orders. Duplicates were defined as two or more TSH tests performed within 7 days. All together, participants submitted data on 221 476 TSH orders. Results. - The median institution reported that 1.5% of TSH tests duplicated a TSH order that had been received from the same patient within the previous 7 days. Ten percent of institutions reported that 4.5% or more of their TSH tests were duplicates. Institutions with higher duplicate rates tended to be larger (ie, they had a greater number of occupied beds) and to have duplicate tests that were more likely to be ordered by a physician other than the one who ordered the initial test. Participants reported that for 19% of duplicate orders, physicians were unaware that the first test had been ordered. Physicians also indicated that duplicate assays were ordered to see if a previous result had changed (15%) or to check on the accuracy of a previous result (13%). Participants reported that 11% of duplicate TSH assays that their laboratory performed had apparently never been ordered. Conclusions. - A large number of institutions are performing duplicate TSH tests that, in most cases, appear to be medically unnecessary. Institutions aiming to reduce the frequency of duplicate testing should consider policies that decrease the opportunity for different physicians to order tests on a single patient and should increase the accuracy with which physician orders are transmitted to the laboratory.

UR - http://www.scopus.com/inward/record.url?scp=0029907290&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029907290&partnerID=8YFLogxK

M3 - Article

VL - 120

SP - 917

EP - 921

JO - Archives of Pathology and Laboratory Medicine

JF - Archives of Pathology and Laboratory Medicine

SN - 0003-9985

IS - 10

ER -