Financial impact of a targeted reduction in cardiac enzyme testing at a community hospital
| العنوان: | Financial impact of a targeted reduction in cardiac enzyme testing at a community hospital |
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| المؤلفون: | Sapna Kuehl, Sabreen Ahmed, Li Zhang, Maria del Pilar Morales, Ilene Young, Anne M. Sill |
| المصدر: | Journal of Community Hospital Internal Medicine Perspectives Journal of Community Hospital Internal Medicine Perspectives; Vol 6, No 5 (2016) Journal of Community Hospital Internal Medicine Perspectives, Vol 6, Iss 5, Pp 1-4 (2016) |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | lcsh:Internal medicine, medicine.medical_specialty, Acute coronary syndrome, quality improvement, cost reduction, CK-MB, myoglobin, troponin, acute coronary syndrome, 030204 cardiovascular system & hematology, Transaminase, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Computerized physician order entry, Internal Medicine, medicine, 030212 general & internal medicine, lcsh:RC31-1245, Intensive care medicine, biology, Financial impact, business.industry, medicine.disease, Troponin, Community hospital, Myoglobin, chemistry, Emergency medicine, Perspective, biology.protein, Creatine kinase, business |
| الوصف: | Objectives : Nearly one-third of healthcare costs are potentially avoidable and would not compromise medical care if eliminated. Therefore, we sought to evaluate the financial impact of reduction in use of creatinine kinase (CK)-MB and myoglobin tests after removing them from the cardiac enzyme order set at a community hospital. Methods : Grand rounds were held, and an email notification was sent to de-emphasize the use of CK, CK-MB, myoglobin, SGOT (glutamic-oxaloacetic transaminase), and SGPT (serum glutamic-pyruvic transaminase) in acute coronary syndrome (ACS) work up. The above tests were removed from the pre-checked cardiac enzyme order set in the computerized physician order entry on February 13, 2014. The tests continued to be available, but needed to be ordered individually. The mean monthly volume of cardiac enzyme tests for 12 months after this intervention was compared with the mean monthly volume of 12 months before the change. Total cost savings were calculated. Results : After the intervention, the number of CK, CK-MB, myoglobin, SGOT, and SGPT tests utilized for ACS workup decreased dramatically ( p |
| وصف الملف: | application/pdf; text/html; application/epub+zip; application/xml |
| تدمد: | 2000-9666 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e154778d2f0e44cf3437fde152af68a4 https://pubmed.ncbi.nlm.nih.gov/27802861 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e154778d2f0e44cf3437fde152af68a4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20009666 |
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