C M Bordogna, E V Albano
Theoretical description of teaching-learning processes: a multidisciplinary approach
Physical review letters
reducing unnecessary tests enhance quality promote healthcare value glycated hemoglobin a1c often ordered frequency exceeding recommendation every 3 months conducted quality improvement qi initiative aimed reduce unnecessary repeat testing 75 tertiary care academic hospital retrospective baseline analysis conducted laboratory data 2019 enumerated unnecessary a1c tests defined repeat tests ordered within 60 days multifaceted change intervention iterative plandostudyact cycles introduced march 2019 educate providers automatically cancel a1c tests requested within 60 days monthly totals a1c testing processed plotted statistical process control charts 2019 11 a1c tests ordered unnecessary march 2020 january 2021 11 tests n14247 tests unnecessary 84 cancelled intervention providers cardiology nephrology accounted half 55 unnecessary tests ordered 2pronged approach informed rootcause analysis comprised gatekeeping provider education effectively promote resource stewardship reducing unnecessary a1c testing