A recent request approved from change was the modification of the existing lab order, Culture Wound with Gram Stain. In order to avoid confusion and loss of charges, the request to add the word SWAB to the end of this order was approved and completed. It is now easier to differentiate from other culture orders, such as the tissue culture order.
CURRENT VIEW:
Within the Adult Discharge Plan there is now an order for Patient May Return to Work/School. If the order is selected there is a required field to indicate when the patient can return to work or school.
How to request new orders sets/PowerPlans in the future...
Duplicate C. difficile PCR orders: Auto Cancel
Due to overutilization of C. difficile PCR laboratory tests, UMC administration and the Clinical Decision Support Committee voted to implement a rule to auto-cancel duplicate C. difficile PCR tests.
Literature opposes repeat testing after a positive C. difficile PCR or testing for a cure. Furthermore, the C. difficile PCR has a high negative predictive value, so there is no indication to re-test a patient who has a negative result within the past 24 hours.
See link below for C. difficile Testing Guidance
The following interventions went into effect on April 11, 2016:
