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To the Editor We were very interested in the report by Jeffrey Warren1 outlining a comprehensive laboratory test utilization program in a large academic medical center. The report highlighted the implementation of an interdisciplinary committee to review utilization patterns, appropriateness, and new test requests in combination with significant information technology (IT) resources dedicated to computerized provider order entry decision tools. Over 5 years, they decreased send-out testing expenses normalized to clinical laboratory expenses.We implemented a similar laboratory test utilization program in a 250-bed pediatric hospital that processes approximately 1,000 requisitions daily. Send-out expenses are a proportionally large burden on clinical laboratory and hospital budgets.2 We developed a strategy to manage “flagged” test requests with minimal IT resources. Our utilization committee operates similarly to the committee …

Another Laboratory Test Utilization Program: Our Approach to Reducing Unnecessary 1,25-Dihydroxyvitamin D Orders With a Simple Intervention