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Re-Purposing the Ordering of Routine Laboratory Tests in Hospitals in British Columbia
Sponsor: University of British Columbia
Summary
The goal of this stepped-wedge cluster randomized trial is to assess the impact of a laboratory test overuse intervention bundle on laboratory test utilization in 6 health authorities (16 hospitals) in British Columbia. The main question it aims to answer is if the intervention bundle, inclusive of healthcare provider and patient engagement tools, can be effectively implemented for hospitalized medical inpatients in 16 hospitals across BC and reduce laboratory test over-use. Researchers will compare hospital clusters that receive the intervention at different (sequential) time points to see if there are significant changes in the measured outcomes after the intervention.
Official title: Re-Purposing the Ordering of Routine Laboratory Testing in Hospitalized Medical Patients in British Columbia
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
700000
Start Date
2024-05-06
Completion Date
2026-11-16
Last Updated
2025-12-05
Healthy Volunteers
No
Conditions
Interventions
Laboratory test overuse (LTO) Bundle
Key Components of the LTO Bundle: Educational materials, including an online module, clinical decision support tool, provision of lab utilization (Audit and Feedback) reports for healthcare providers. Patient engagement tools, such as videos and educational infographics. System level implementation tools adapted to the local context, including EMR-based tools and order set changes, etc.
Locations (4)
University Hospital of Northern British Columbia
Prince George, British Columbia, Canada
Mount St. Joseph's Hospital
Vancouver, British Columbia, Canada
Vancouver General Hospital
Vancouver, British Columbia, Canada
St. Paul's Hospital
Vancouver, British Columbia, Canada