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Clinical Decision Support for Laboratory Testing
Andrew E O Hughes1, Ronald Jackups1
1Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Clinical Chemistry
|December 6, 2021
Summary
Clinical decision support (CDS) tools can improve laboratory test utilization. Effective implementation requires careful design, maintenance, and quality improvement processes for healthcare systems.
Area of Science:
- Health Informatics
- Laboratory Medicine
- Clinical Pathology
Background:
- Increasingly complex laboratory tests pose utilization challenges in healthcare.
- Clinical decision support (CDS) tools offer potential solutions for optimizing test use.
- Despite benefits, CDS implementation faces significant hurdles and frequent failures.
Purpose of the Study:
- To review common classes of clinical decision support (CDS) tools for laboratory test utilization.
- To present a practical framework and recommendations for effective CDS implementation.
- To highlight the role of quality improvement and change management in successful CDS deployment.
Main Methods:
- Literature review of existing CDS tools.
- Analysis of institutional experiences with CDS implementation.
- Development of a practical framework for CDS deployment.
Main Results:
- CDS tools show promise in improving laboratory test utilization.
- Effective CDS deployment hinges on thoughtful design and ongoing maintenance.
- Structured quality improvement and change management are crucial for success.
Conclusions:
- Clinical decision support offers significant potential to enhance laboratory testing.
- Successful CDS implementation demands meticulous planning, maintenance, and process management.
- Focusing on quality improvement and change management is key to realizing CDS benefits.
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