title: Reducing Unnecessary and Duplicate Ordering for Ovum and Parasite Examinations and Clostridium difficile PCR in Immunocompromised Patients by Using an Alert at the Time of Request in the Order Management System.
abstract: We implemented hospital information system (HIS) alerts to deter unnecessary test orders for ovum and parasite (O&P) exams and Clostridium difficile PCR. The HIS alerts decreased noncompliant O&P orders (orders after >72 h of hospitalization) from 49.8% to 30.9%, an overall decrease of 19%, and reduced noncompliant C. difficile PCR orders (orders <7 days after a previous positive result) from 30.6% to 19.2%, an overall decrease of 31.9%.
authors.affiliation: Clinical Microbiology Service, Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Caitlin C
authors.identifier: http://orcid.org/0000-0002-1894-2480
authors.initials: CC
authors.lastname: Otto
authors.affiliation: Clinical Microbiology Service, Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Shuptar
authors.affiliation: Patient Accounts, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Philippe
authors.initials: P
authors.lastname: Milord
authors.affiliation: Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Connor J
authors.initials: CJ
authors.lastname: Essick
authors.affiliation: Clinical Systems Administration, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Reshma
authors.initials: R
authors.lastname: Nevrekar
authors.affiliation: Department of Quality and Safety, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Svetlana L
authors.initials: SL
authors.lastname: Granovsky
authors.affiliation: Infectious Diseases Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Susan K
authors.initials: SK
authors.lastname: Seo
authors.affiliation: Clinical Microbiology Service, Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: N Esther
authors.identifier: http://orcid.org/0000-0003-4399-1249
authors.initials: NE
authors.lastname: Babady
authors.affiliation: Infectious Diseases Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Steven C
authors.initials: SC
authors.lastname: Martin
authors.affiliation: Clinical Microbiology Service, Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA tangy@mskcc.org.
authors.forename: Yi-Wei
authors.identifier: http://orcid.org/0000-0003-4888-6771
authors.initials: YW
authors.lastname: Tang
authors.affiliation: Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
authors.forename: Melissa S
authors.initials: MS
authors.lastname: Pessin
mesh_terms: D003015:Clostridium Infections / Q000175:diagnosis*; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D016867:Immunocompromised Host; D010270:Parasite Egg Count / Q000706:statistics & numerical data; D010272:Parasitic Diseases / Q000175:diagnosis*; D016133:Polymerase Chain Reaction / Q000706:statistics & numerical data