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Related Experiment Videos

Managing laboratory test use: principles and tools.

Brian R Jackson1

  • 1Department of Pathology, University of Utah, 15 North Medical Drive East, Salt Lake City, UT 84112, USA. brian.jackson@aruplab.com

Clinics in Laboratory Medicine
|October 24, 2007
PubMed
Summary
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Physicians struggle to stay updated on lab testing guidelines. Pathologists can improve care quality and reduce costs by using online tools and audits to guide test ordering.

Area of Science:

  • Clinical Pathology
  • Medical Laboratory Science
  • Healthcare Quality Improvement

Background:

  • Physicians face challenges keeping pace with scientific advancements and evolving practice guidelines for laboratory testing.
  • Inappropriate test ordering (over-, under-, or misordering) is prevalent and varies geographically.
  • Pathologists and laboratory scientists possess crucial expertise to enhance patient care and cost-effectiveness.

Purpose of the Study:

  • To explore strategies for leveraging laboratorian expertise to optimize physician laboratory test ordering.
  • To identify methods for improving the quality and cost-effectiveness of laboratory test utilization.

Main Methods:

  • Utilizing online test catalogs with hyperlinks to evidence-based resources (journal articles, clinical guidelines).

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  • Implementing retrospective audits of physician test ordering patterns.
  • Analyzing ordering data to identify specific educational needs within physician communities.

    • Main Results:

    • Online test catalogs can guide physicians toward appropriate test algorithms and evidence-based practices.
    • Retrospective audits effectively identify areas requiring targeted physician education.
    • Collaborative efforts between laboratorians and clinicians can improve test ordering.

    Conclusions:

    • Laboratorians can play a vital role in enhancing physician knowledge of laboratory testing.
    • Digital tools and data analysis are effective in promoting optimal test selection and interpretation.
    • Improving laboratory test ordering leads to higher quality, more cost-effective healthcare.