Managing inappropriate utilization of laboratory resources

Background: The inappropriate use of laboratory resources, due to excessive number of tests not really necessary for patient care or by failure to order the appropriate diagnostic test, may lead to wrong, missed or delayed diagnosis, thus potentially jeopardizing patient safety. It is estimated that 5–95% of tests are currently used inappropriately, depending on the appropriateness criteria, thus significantly contributing to the potential of generating medical errors, the third leading cause of death in the US. Content: In this review, we discuss the reasons as well as the medical and financial consequences of inappropriate utilization of laboratory tests. We then provide demand management (DM) tools as a means for overcoming this issue and also discuss their benefits, challenges, limitations and requirements for successful implementation. Summary and outlook: When based on current evidence, adapted to local conditions and developed in close collaboration with clinicians, DM is a reasonable strategy for progressing toward better management of over- and underuse of laboratory resources.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Managing inappropriate utilization of laboratory resources ; volume:6 ; number:1 ; year:2019 ; pages:5-13 ; extent:9
Diagnosis ; 6, Heft 1 (2019), 5-13 (gesamt 9)

Urheber
Cadamuro, Janne
Ibarz, Mercedes
Cornes, Michael
Nybo, Mads
Haschke-Becher, Elisabeth
von Meyer, Alexander
Lippi, Giuseppe
Simundic, Ana-Maria

DOI
10.1515/dx-2018-0029
URN
urn:nbn:de:101:1-2412011659575.773227249239
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:34 MESZ

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Beteiligte

  • Cadamuro, Janne
  • Ibarz, Mercedes
  • Cornes, Michael
  • Nybo, Mads
  • Haschke-Becher, Elisabeth
  • von Meyer, Alexander
  • Lippi, Giuseppe
  • Simundic, Ana-Maria

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