Department of Pathology, Virginia Commonwealth University Health System, 403 North 13th Street, Richmond, VA 23298, USA.
Department of Pathology, Virginia Commonwealth University Health System, 403 North 13th Street, Richmond, VA 23298, USA.
Clin Lab Med. 2024 Mar;44(1):1-12. doi: 10.1016/j.cll.2023.10.004. Epub 2023 Nov 8.
This article will discuss diagnostic stewardship from the perspective of those who are just starting, or have recently started, a diagnostic stewardship effort. This document will provide guidance on how to identify opportunities for intervention and tools that can be used to affect change. Specifically, we will discuss key components of a diagnostic stewardship committee, referral laboratory testing, prior authorization, miscellaneous test orders, establishing a laboratory test formulary, and conclude with some specific examples of interventions that can be considered.
本文将从刚刚开始或最近开始进行诊断管理工作的角度来讨论诊断管理。本文档将提供有关如何确定干预机会和可用于影响变革的工具的指导。具体来说,我们将讨论诊断管理委员会、转科实验室检测、事先授权、各种检测医嘱、建立实验室检测清单的关键组成部分,并以可考虑的一些具体干预措施为例进行总结。