一个病理学实习生对病理学实习生的影响评价在一个大型学术中心进行参考测试的手动审查过程
Carly Maucione1, Christopher W Farnsworth1, Mark A Zaydman1
1Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, United States.
The journal of applied laboratory medicine
|March 9, 2026
概括
实验室管理计划对于管理不断上升的测试成本至关重要. 一个由实习生领导的审查过程通过取消35%的测试节省了超过108,000美元,突出了教育效益和需要改进的领域.
科学领域:
- 临床化学 临床化学
- 医学微生物学 医学微生物学
- 实验室医学 实验室医学
背景情况:
- 实验室测试的复杂性和成本不断增加,需要实验室管理.
- 测试订单的未来手动审查可能具有成本效益,但缺乏广泛的文献支持.
- 确保适当的测试订单对于医疗保健经济至关重要.
研究的目的:
- 评估病理学实习生驱动的实验室测试手动审查过程的成本效益和教育价值.
- 识别高或低取消率的特定测试,以告知管理策略.
主要方法:
- 一年来,病理学学员手动审查了444项化学和微生物学试验.
- 从内部数据分析测试量,取消率和直接成本节省.
- 统计建模 (超几何分布) 以确定异常取消率.
- 匿名调查以收集实习生对该过程的观点.
主要成果:
- 1597个测试请求中有35%被取消,因此直接节省了108812美元 (23.6%).
- 确定了异常测试,例如自身免疫脑病症测试的低取消率和乙型肝炎抗体测试的高取消率.
- 实习生报告了教育上的好处,但也指出了诸如重复性和每次请求的过度时间等效率低下.
结论:
- 培训人员驱动的手动审查过程实现了显著的成本节约和教育效益.
- 这个过程是劳动密集型的,并且可能是低效的,这表明需要使用替代的管理工具.
- 建议定期审查取消数据和定时分析,以改善流程.
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