Re-Purposing the Ordering of 'Routine' Laboratory Tests in Hospitalized Medical Patients (RePORT Study)

Condition(s) studied

Investigational drug(s) / intervention(s)

Multimodal Intervention: Education: The multimodal intervention bundle consists of education, audit and feedback, patient engagement, and system changes.

Multimodal Intervention: Audit and Feedback: The multimodal intervention bundle consists of education, audit and feedback, patient engagement, and system changes.

Multimodal Intervention: Patient Engagement: The multimodal intervention bundle consists of education, audit and feedback, patient engagement, and system changes.

Multimodal Intervention: System Changes: The multimodal intervention bundle consists of education, audit and feedback, patient engagement, and system changes.

Study summary

Laboratory test overuse occurs when tests are ordered repetitively, without due consideration of impact on clinical status. Repetitive inpatient lab testing often provides limited value for patient outcomes while increasing healthcare costs, patient discomfort, and unnecessary transfusions and prolonging hospitalizations. The research study aims to reduce laboratory test overuse in hospitals through implementation of a comprehensive, multi-disciplinary, and multi-faceted intervention bundle that includes audit and feedback reports, clinician education, clinical decision support tool, and patient infographics across 14 hospitals in Alberta.

Eligibility

Primary outcome measure(s)

• Number of routine laboratory tests ordered per patient-day in the intervention versus control periods — 1 year 9 months
  Number of the six target laboratory tests (complete blood count, electrolytes, creatinine, urea, international normalized ratio and partial thromboplastin time) ordered per patient-day

Trial sites (1)

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