Zubanov Pavel S, Tregub Pavel P, Goldberg Arkady S, Godkov Mikhail A, Akimkin Vasily G
Central Research Institute of Epidemiology, Moscow, Russia.
Department of Pathophysiology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Clin Chem Lab Med. 2025 May 5. doi: 10.1515/cclm-2025-0323.
Laboratory diagnostics play a crucial role in modern medicine and healthcare economics. The effective management of a medical laboratory is based on reliable assessment of indicators characterizing quality of testing, productivity, velocity (speed) and cost-effectiveness. The usual concepts of laboratory management focus on one or two groups of these indicators and exclude a comprehensive assessment of the effectiveness of a medical laboratory. Various guidelines and concepts (ISO, Lean, Six Sigma, etc.) often provide similar approaches but use different terms. This review discusses common options for performance indicators in medical laboratories, as well as practical experience in using these indicators to assess the overall effectiveness of the laboratory and improve medical care for patients. All indicators were divided into four broad groups: quality, economy, velocity, and productivity. Based on these four groups, we describe the new" four-dimensional model" for assessment of medical laboratory performance based on different combinations of indicator groups for different types of laboratories.
实验室诊断在现代医学和医疗保健经济学中发挥着至关重要的作用。医学实验室的有效管理基于对表征检测质量、生产率、速度和成本效益的指标进行可靠评估。实验室管理的通常概念侧重于这些指标中的一两组，而排除了对医学实验室有效性的全面评估。各种指南和概念（ISO、精益、六西格玛等）通常提供类似的方法，但使用不同的术语。本综述讨论了医学实验室性能指标的常见选项，以及使用这些指标评估实验室整体有效性和改善患者医疗护理的实践经验。所有指标分为四大类：质量、经济性、速度和生产率。基于这四类，我们描述了一种新的“四维模型”，用于根据不同类型实验室指标组的不同组合来评估医学实验室性能。
