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Correction: Bukvić et al. Effects of High-Intensity Training on Complete Blood Count, Iron Metabolism, Lipid Profile, Liver, and Kidney Function Tests of Professional Water Polo Players. <i>Diagnostics</i> 2024, <i>14</i>, 2014.

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Managing inappropriate utilization of laboratory resources.

Janne Cadamuro1, Mercedes Ibarz2, Michael Cornes3

  • 1Department of Laboratory Medicine, Paracelsus Medical University, Müllner Hauptstr. 48, 5020 Salzburg, Austria, Phone: +43-57255-57263, Fax: +43-57255-23199.

Diagnosis (Berlin, Germany)
|August 11, 2018
PubMed
Summary

Inappropriate laboratory test use risks patient safety and medical errors. Demand management (DM) tools offer a strategy to improve test utilization and resource management when evidence-based and clinician-collaborative.

Keywords:
inappropriateness of laboratory utilizationoverutilizationpostanalyticspreanalyticstest demand management

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Area of Science:

  • Clinical Pathology
  • Healthcare Management
  • Medical Diagnostics

Background:

  • Inappropriate laboratory test utilization, including excessive or incorrect ordering, compromises patient safety and diagnostic accuracy.
  • An estimated 5-95% of laboratory tests are used inappropriately, contributing significantly to medical errors, a leading cause of death in the US.
  • This overuse or underuse of diagnostic tests strains healthcare resources and can lead to adverse patient outcomes.

Purpose of the Study:

  • To review the causes and consequences of inappropriate laboratory test utilization.
  • To introduce demand management (DM) tools as a solution for optimizing laboratory test ordering.
  • To discuss the benefits, challenges, and implementation requirements of DM strategies.

Main Methods:

  • This is a review article, synthesizing existing literature on laboratory test utilization and demand management.
  • Discussion includes analysis of medical and financial implications of inappropriate test use.
  • Examination of demand management tools and their practical application in clinical settings.

Main Results:

  • Inappropriate laboratory test use has significant medical and financial repercussions.
  • Demand management tools present a viable approach to mitigate over- and underuse of laboratory resources.
  • Successful implementation of DM requires evidence-based strategies, local adaptation, and strong clinical collaboration.

Conclusions:

  • Demand management, when implemented thoughtfully, can lead to better control over laboratory resource allocation.
  • Collaborative efforts between evidence-based guidelines and clinical practice are crucial for effective DM.
  • Optimizing laboratory test utilization through DM enhances patient care and healthcare efficiency.