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What Is Diagnostic Stewardship?

Kimberly C Claeys1, K C Coffey2,3, Daniel J Morgan2,3

  • 1Infectious Diseases, University of Maryland School of Pharmacy, Baltimore, MD, United States.

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|January 3, 2025
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Summary
This summary is machine-generated.

Diagnostic stewardship improves patient care by optimizing test ordering and reducing harm from misdiagnosis. It extends laboratory stewardship by focusing on clinician decision-making and evidence-based practices for better outcomes.

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Area of Science:

  • Clinical Pathology
  • Healthcare Management
  • Patient Safety

Background:

  • Diagnostic stewardship involves clinical changes to testing processes to enhance patient outcomes.
  • It aims to decrease inappropriate testing and mitigate harm from diagnostic errors.
  • It shares principles with laboratory stewardship but has distinct features.

Purpose of the Study:

  • To differentiate diagnostic stewardship from laboratory stewardship.
  • To highlight the clinician-led, patient-centered approach of diagnostic stewardship.
  • To emphasize the integration of clinical decision support and behavioral economics.

Main Methods:

  • Comparative analysis of diagnostic and laboratory stewardship principles.
  • Focus on clinician interaction with ordering systems.
  • Application of evidence-based best practices beyond laboratory results.

Main Results:

  • Diagnostic stewardship is clinician-led, using clinician-focused language.
  • It incorporates decision support and behavioral economics for behavior change.
  • It extends laboratory stewardship by influencing clinical thinking pre-ordering.

Conclusions:

  • Laboratory and diagnostic stewardship share complementary principles.
  • Collaboration between these stewardship programs enhances overall patient care quality.
  • Diagnostic stewardship extends laboratory stewardship into clinical practice for improved outcomes.