Don’t allow standing orders for repeat testing without a stop or review date.

Standing orders without an expiry or review date allow testing to be performed repetitively for extended periods of time. This type of testing is rarely clinically necessary without regularly reviewing the validity of the order. This contributes to overutilization of laboratory tests, and may exacerbate the development of iatrogenic anemia.
For more information:

Raad S, Elliot R, Dickerson E, Khan B, Diab K. Reduction of laboratory utilization in the intensive care unit. J Int Care Med 2017:32(8);500-7. PMID: 27251106.

Studnicki J, Bradham D, Marshburn J, Foulis P, Straumfjord J. Measuring the impact of standing orders on laboratory utilization. Lab Med 1992:23(1);24-8.

Wertheim B, Aguirre A, Bhattacharyya R, Chorba J, Jadhav A, Kerry V, et al. An educational and administrative intervention to promote rational laboratory test ordering on an academic general medicine service. Am J Med 2017:130(10);47-53. PMID: 27619354.

Iturrate E, Jubelt L, Volpicelli F, Hochman K. Optimize your electronic medical record to increase value: Reducing laboratory overutilization. Am J Med 2016;129(2):215-20. PMID: 26475957.