Stewardship of inpatient A1c testing: an electronic nudge to limit testing after red cell transfusion

A non-interruptive CDS intervention can significantly decrease the number of HgbA1c tests performed in hospitalized patients who received a red blood cell transfusion, a common cause of erroneous HgbA1c values. This approach reduced waste without restricting clinician autonomy or requiring interruptive alerts that generate alert fatigue.

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Publication Details

Journal
Applied Clinical Informatics
Published
2026-03-23
DOI
https://doi.org/10.1055/a-2838-8292
Primary Topic
Hyperglycemia and glycemic control in critically ill and hospitalized patients
Type
article
Field-Weighted Citation Impact
0.00
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article

Stewardship of inpatient A1c testing: an electronic nudge to limit testing after red cell transfusion

Brent E. Wisse, Andrew A White
Applied Clinical Informatics
Hyperglycemia and glycemic control in critically ill and hospitalized patients
article

Stewardship of inpatient A1c testing: an electronic nudge to limit testing after red cell transfusion

Brent E. Wisse, Andrew A White
article en

Abstract

A non-interruptive CDS intervention can significantly decrease the number of HgbA1c tests performed in hospitalized patients who received a red blood cell transfusion, a common cause of erroneous HgbA1c values. This approach reduced waste without restricting clinician autonomy or requiring interruptive alerts that generate alert fatigue.

Applied Clinical Informatics
University of Washington (US)
Peace, Justice and strong institutions
Openalex Percentile: Top 14%
Hyperglycemia and glycemic control in critically ill and hospitalized patients
DOISourceOpenAlex
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Stewardship of inpatient A1c testing: an electronic nudge to limit testing after red cell transfusion — Brent E. Wisse, Andrew A White · Applied Clinical Informatics (2026) | TGRS Research Map | TGRS