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NCPD Article
Quality & Safety

Duplicate Testing: Enhancing Transitions in Care Communication in the Infusion Center and Emergency Department Settings

Arlene Ortega
Taylor Goulding
CJON 2021, 25(2), 201-204 DOI: 10.1188/21.CJON.201-204

Two objectives of the American Board of Internal Medicine’s Choosing Wisely® initiative include avoiding duplicate testing and choosing care that is free from harm. Oncology nurses in an academic comprehensive cancer center observed a pattern of testing duplication and related dissatisfaction among providers and patients. A quality improvement project was initiated to quantify the problem and reduce duplication by implementing collaborative solutions to improve interdepartmental communication during handoffs. Postimplementation data revealed a 35% decrease of testing duplication in the patient population.

AT A GLANCE

  • Communication and collaboration between clinical settings can affect safe handoff in support of patients at risk of systemic inflammatory response syndrome or sepsis.
  • Duplication of laboratory tests can result in adverse outcomes for both patients and healthcare systems.
  • Innovation to create electronic solutions with practical applications may affect the quality of sepsis care and operational efficiency.

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