Hueth Kyle D, Prinzi Andrea M, Timbrook Tristan T
BioMérieux, Salt Lake City, UT 84104, USA.
College of Pharmacy, University of Utah, Salt Lake City, UT 84112, USA.
Antibiotics (Basel). 2022 Feb 15;11(2):250. doi: 10.3390/antibiotics11020250.
Diagnostic stewardship aims to deliver the right test to the right patient at the right time and is optimally combined with antimicrobial stewardship to allow for the right interpretation to translate into the right antimicrobial at the right time. Laboratorians, physicians, pharmacists, and other healthcare providers have an opportunity to improve the effectiveness of diagnostics through collaborative activities around pre-analytical and post-analytical periods of diagnostic testing. Additionally, special considerations should be given to measuring the effectiveness of diagnostics over time. Herein, we perform a narrative review of the literature on these potential optimization opportunities and the temporal factors that can yield changes in diagnostic effectiveness. Our objective is to inform on these considerations to ensure enhanced value through improved implementation and measurement of effectiveness for local stakeholder metrics and/or clinical outcomes research.
诊断管理旨在在正确的时间为正确的患者提供正确的检测，并与抗菌药物管理进行最佳结合，以便将正确的解读及时转化为正确的抗菌药物使用。实验室人员、医生、药剂师和其他医疗服务提供者有机会通过围绕诊断检测的分析前和分析后阶段开展协作活动来提高诊断的有效性。此外，应特别考虑长期衡量诊断的有效性。在此，我们对有关这些潜在优化机会以及可能导致诊断有效性变化的时间因素的文献进行叙述性综述。我们的目标是介绍这些注意事项，以确保通过改进本地利益相关方指标和/或临床结果研究的有效性实施和衡量来提高价值。
