TUESDAY, May 17 (HealthDay News) -- Reminding surgical staff
about the expense of taking daily blood samples (phlebotomy) from
patients for routine blood work appears to reduce the practice, a
new study finds.
"The use of laboratory tests has been rapidly increasing over the past few decades to the point where phlebotomy is a substantial proportion of hospital expenditure, and much of it is unwarranted," wrote Dr. Elizabeth A. Stuebing, of the University of Miami, and Dr. Thomas J. Miner, of Brown University in Providence, R.I.
They obtained data on daily phlebotomy and associated charges
for nonintensive care unit patients in three surgical services at
Rhode Island Hospital. They calculated the amount spent on taking
blood samples and laboratory tests per patient and for all
For 11 weeks, the researchers made weekly announcements to
surgical staff and attending physicians about total phlebotomy
costs and charges per patient per day averaged over the previous
At the start of the study, average per-patient daily costs were
about $148 and the overall weekly cost was $36,875. During the
study, the lowest per-patient phlebotomy charge was $108 (27
percent lower) and the lowest overall weekly cost was $25,311. By
the end of the 11-week study, about $55,000 had been saved,
according to the researchers.
They said the intervention was successful and the implementation
costs were negligible.
"We focused on simply providing the economic implications of wasteful ordering habits, specifically regarding phlebotomy," the researchers wrote. "This study successfully showed that even without technical and time-consuming interventions, test ordering behavior can be greatly reduced by making health care providers aware of costs."
The study appears in the May issue of the journal
Archives of Surgery.
The U.S. National Heart, Lung, and Blood Institute has more