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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.

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Summary
This summary is machine-generated.

Clinical decision support (CDS) tools can improve laboratory test utilization. Effective implementation requires careful design, maintenance, and quality improvement processes for healthcare systems.

Keywords:
clinical decision supportquality improvementtest utilization

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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.