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17 34 Introducing investigation requesting protocols can be useful in reducing investigations but arguably can lead to unnecessary testing in patients who clinically may not need them.
21 42 43 Similar to strategies employed in reducing investigations, the educational programmes required to implement these policies are labour intensive and time consuming with cost implications.
15 17 Almost all approaches are centred on reducing investigations whereas our study method is based on a change in consultant working pattern allowing senior clinical input and decision-making on a daily basis improving clinical diagnosis, which in turn has led to reduced investigations and reducing LoS.
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Although daily consultant ward rounds have been reported in the USA and Canada, our paper reports for the first time the impact of daily senior clinician input on increasing patient throughput while significantly reducing investigation and pharmacy costs.
Although various strategies used to reduce investigations and pharmacy costs demonstrated cost savings, 14 15 27–31 they either had cost implications of developing and providing ongoing education to staff, lacked sustainability because of the rapid junior doctor turn over or were even detrimental to clinical decision-making.
"The programme will reduce investigation costs and help us protect more vulnerable people as we come to understand the risks associated with some of this criminal behaviour.
Leniency regimes, which have been widely adopted around the world, aim not only to destabilise cartels, but also to reduce investigation and legal costs.
The last trial was used to rule out the possibility that reduced investigation was due to fatigue or habituation.
We performed a cost-benefit analysis to assess the net amount of money saved by reducing inappropriate investigations and pharmacy drug use following the intervention.
The annual mean net cost saving benefit from reducing the investigations and pharmacy cost was £336 528 per year and a total of £673 056 over the 2-year study period.
While CA-242 alone is not superior to CEA, their combined use (either abnormal) has a high sensitivity (88%), specificity (78%) and negative predictive value (97%); this may be useful in reducing unnecessary investigations in follow-up programmes and as a guide to the initiation of further treatment for recurrent disease.
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CEO of Professional Science Editing for Scientists @ prosciediting.com