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

Conditions

• Utilization, Health Care

Interventions

OTHER

Multimodal Intervention: Education

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

OTHER

Multimodal Intervention: Audit and Feedback

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

OTHER

Multimodal Intervention: Patient Engagement

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

OTHER

Multimodal Intervention: System Changes

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

Sponsors & Collaborators

• Alberta Health services

  collaborator OTHER

• University of British Columbia

  collaborator OTHER

• Canadian Institutes of Health Research (CIHR)

  collaborator OTHER_GOV

• University of Calgary

  lead OTHER

Principal Investigators

• Anshula Ambasta · University of Calgary

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

CROSSOVER

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2023-01-02

Primary Completion

2024-10-31

Completion

2025-10-31

Countries

• Canada

Study Locations