Dickerson Jane A, Fletcher Andrew H, Procop Gary, Keren David F, Singh Ila R, Garcia Joaquin J, Carpenter Robert B, Miles Joe, Jackson Brian, Astion Michael L
Department of Laboratories, Seattle Children's Hospital, Seattle, WA.
Department of Laboratory Medicine, University of Washington, Seattle, WA.
J Appl Lab Med. 2017 Sep 1;2(2):259-268. doi: 10.1373/jalm.2017.023606.
Appropriate utilization of clinical laboratory services is important for patient care and requires institutional stewardship. Clinical laboratory stewardship programs are dedicated to improving the ordering, retrieval, and interpretation of appropriate laboratory tests. In addition, these programs focus on developing, maintaining, and improving systems to provide proper financial coverage for medically necessary testing. Overall, clinical laboratory stewardship programs help clinicians improve the quality of patient care while reducing costs to patients, hospitals, and health systems. This document, which was created by a new multiinstitutional committee interested in promoting and formalizing laboratory stewardship, summarizes core elements of successful hospital-based clinical laboratory stewardship programs. The core elements will also be helpful for independent commercial clinical laboratories.
合理利用临床检验服务对患者护理至关重要，且需要机构管理。临床检验管理项目致力于改善适当检验项目的医嘱开具、结果获取及解读。此外，这些项目专注于开发、维护和改进系统，以为必要的医学检验提供适当的费用支付。总体而言，临床检验管理项目有助于临床医生提高患者护理质量，同时降低患者、医院和医疗系统的成本。本文由一个致力于推广和规范检验管理的新的多机构委员会撰写，总结了成功的医院临床检验管理项目的核心要素。这些核心要素对独立的商业临床检验实验室也会有所帮助。
