Surgical Vampires and Rising Health Care Expenditure: Reducing the Cost of Daily Phlebotomy | Surgery | JAMA Surgery | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 18.204.227.34. Please contact the publisher to request reinstatement.
1.
Kwok  JJones  B Unnecessary repeat requesting of tests: an audit in a government hospital immunology laboratory.  J Clin Pathol2005585457462PubMedGoogle Scholar
2.
May  TAClancy  MCritchfield  J  et al Reducing unnecessary inpatient laboratory testing in a teaching hospital.  Am J Clin Pathol20061262200206PubMedGoogle Scholar
3.
Bates  DWKuperman  GJRittenberg  E  et al A randomized trial of a computer-based intervention to reduce utilization of redundant laboratory tests.  Am J Med19991062144150PubMedGoogle Scholar
4.
Novich  MGillis  LTauber  AI The laboratory test justified: an effective means to reduce routine laboratory testing.  Am J Clin Pathol1985846756759PubMedGoogle Scholar
5.
Attali  MBarel  YSomin  M  et al A cost-effective method for reducing the volume of laboratory tests in a university-associated teaching hospital.  Mt Sinai J Med2006735787794PubMedGoogle Scholar
6.
Neilson  EGJohnson  KBRosenbloom  ST  et alResource Utilization Committee The impact of peer management on test-ordering behavior.  Ann Intern Med20041413196204PubMedGoogle Scholar
7.
Bates  DWKuperman  GJJha  A  et al Does the computerized display of charges affect inpatient ancillary test utilization?  Arch Intern Med19971572125012508PubMedGoogle Scholar
Paper
May 2011May 16, 2011

Surgical Vampires and Rising Health Care Expenditure: Reducing the Cost of Daily Phlebotomy

Author Affiliations

Author Affiliations: DeWitt Daughtry Family Department of Surgery, Miller School of Medicine, University of Miami, Miami, Florida (Dr Stuebing); and Department of Surgery, Alpert Medical School, Brown University, Providence, Rhode Island (Dr Miner).

Arch Surg. 2011;146(5):524-527. doi:10.1001/archsurg.2011.103
Abstract

Objective  To determine whether simply being made continually aware of the hospital costs of daily phlebotomy would reduce the amount of phlebotomy ordered for nonintensive care unit surgical patients.

Design  Prospective observational study.

Setting  Tertiary care hospital in an urban setting.

Participants  All nonintensive care unit patients on 3 general surgical services.

Intervention  A weekly announcement to surgical house staff and attending physicians of the dollar amount charged to nonintensive care unit patients for laboratory services during the previous week.

Main Outcome Measure  Dollars charged per patient per day for routine blood work.

Results  At baseline, the charges for daily phlebotomy were $147.73/patient/d. After 11 weeks of residents being made aware of the daily charges for phlebotomy, the charges dropped as low as $108.11/patient/d. This had a correlation coefficient of −0.76 and significance of P = .002. Over 11 weeks of intervention, the dollar amount saved was $54 967.

Conclusion  Health care providers being made aware of the cost of phlebotomy can decrease the amount of these tests ordered and result in significant savings for the hospital.

×