Unit culture, testing frequency, and simple interventions: more than meets the eye (test)
Recently, Benjamin Leis and colleagues removed TSH testing from standard admission order sets with the aim of reducing the number of unnecessary thyroid studies obtained. Often, altering an order set like this is the end of the story: an electronic health record (EHR) change is implemented, and the result eyeballed to check it seems to work. In this case, however, the authors performed a pre-/post-intervention time-matched analysis, and had a surprise.
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