id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-315077-i1xjcuae	Branda, John A.	Utilization management in microbiology	2014-01-01		.txt	text/plain	4117	200	35	The results of testing in the microbiology laboratory have significant effects on the cost of clinical care, especially costs related to antimicrobial agents and infection control practices. Consequently many of the successful utilization management interventions described in clinical microbiology have targeted not just the volume of tests performed in the laboratory, but also the downstream costs of care. In a number of cases, the initiative's success arose not only from a reduction in laboratory testing per se, but rather also from its impact in the clinical care arena (for example, a reduction in antibiotic use or hospital length of length-of-stay). Each day, a microbiology fellow and laboratory director review the clinical history, culture results and susceptibility test results for all patients newly started on a carbapenem, to determine appropriate versus inappropriate use of the drugs.	./cache/cord-315077-i1xjcuae.txt	./txt/cord-315077-i1xjcuae.txt