[实验室测试在医院环境中的使用:相关性和临床影响]
Michèle Lucas1, Amélie Mach1, Jonathan Bloch2
1Service de médecine interne et des soins intensifs, Hôpital de Nyon, Groupement hospitalier de l'Ouest lémanique, 1260 Nyon.
Revue medicale suisse
|September 12, 2025
概括
许多生物测试在没有明确的临床需要的情况下被处方,造成患者伤害并增加医疗保健成本. 实施基于证据的指导方针和临床医生教育可以促进更合理的测试利用,以改善患者护理.
科学领域:
- 临床病理学 临床病理学
- 实验室医学 实验室医学
- 医疗保健管理的管理
背景情况:
- 生物测试对于诊断和监测住院患者至关重要.
- 然而,过度处方是常见的,导致患者不适,阳效应和成本增加.
- 这种过度使用归因于缺乏指导方针,根深蒂固的习惯,以及对测试限制的认识有限.
研究的目的:
- 突出在临床实践中过度处方生物测试的问题.
- 确定不必要使用实验室调查背后的原因.
- 提出优化诊断测试利用的战略.
主要方法:
- 关于生物测试处方的当前临床实践的审查.
- 分析导致实验室研究过度使用的因素.
- 确定现有和潜在的合理测试订单策略.
主要成果:
- 有相当数量的生物测试是在没有明确的临床适应症的情况下进行的.
- 导致过度使用的因素包括缺乏基于证据的指导方针,根深蒂固的习惯和对分析局限性的有限认识.
- 机构协议,算法和数字工具等策略可以改善测试利用率.
结论:
- 理性地使用生物测试对于高质量,高效和以患者为中心的医学至关重要.
- 提高临床医生对测试限制和临床背景的认识至关重要.
- 实施结构化方法可以减轻测试过度处方的负面后果.
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