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laboratory stewardship
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Journal Articles
Arch Pathol Lab Med (2022) 147 (8): 957–963.
Published: 26 October 2022
... use of laboratory testing increases patient discomfort via unnecessary phlebotomy, contributes to iatrogenic anemia, increases risk of bloodstream infections, and increases the cost of care. Objective.— To address these concerns, we implemented a multilevel laboratory stewardship intervention...
Includes: Supplementary data
Journal Articles
Arch Pathol Lab Med (2021) 145 (7): 821–824.
Published: 25 March 2021
... or eliminated care may place patients at risk for adverse outcomes. Objective.— To identify opportunities for laboratory test stewardship to close potential gaps in care created by the COVID-19 pandemic. Design.— The study was a retrospective time series design examining laboratory services received before...
Journal Articles
Arch Pathol Lab Med (2019) 144 (7): 883–887.
Published: 11 December 2019
... physicians. Pathology-Teaches is an educational intervention designed to teach laboratory stewardship early in clinical training, at the level of the medical student in their core clinical clerkships. Objective.— To assess the pilot implementation of case-based educational modules in 5 required core...
Journal Articles
Arch Pathol Lab Med (2024)
Published: 28 November 2024
.... For quality and cost reasons, many laboratories have elevated the priority of test stewardship activities, identifying gaps in their testing practices and then targeting these gaps for improvement. One reason health care organizations struggle to evaluate test utilization practices is the lack of standardized...
Includes: Supplementary data
Journal Articles
Arch Pathol Lab Med (2021) 146 (1): 107–111.
Published: 09 April 2021
... misinterpretation of laboratory test results is the second largest source of laboratory-related litigation in the ambulatory setting in the United States. 9 For these reasons, it is important that institutions establish clear guidelines for when ES may be valuable to help support appropriate stewardship...
Journal Articles
Arch Pathol Lab Med (2012) 137 (9): 1247–1254.
Published: 06 December 2012
.... Objective .—To determine whether mass spectrometry technology coupled with antimicrobial stewardship provides a substantially improved alternative to conventional laboratory methods. Design .—An evidence-based intervention that integrated matrix-assisted laser desorption and ionization time-of-flight mass...
Journal Articles
Arch Pathol Lab Med (2016) 140 (3): 267–275.
Published: 01 March 2016
... the microbiology laboratory and the antimicrobial stewardship team is reported to be imperative for significant improvements in patient management and outcome. 21 , 22 Perez et al 21 reported a 31-hour decrease to time of therapy optimization when an infectious-disease pharmacist was involved. Our study used...
Journal Articles
Arch Pathol Lab Med (2017) 142 (2): 243–247.
Published: 05 October 2017
... providers. Our laboratory is part of an active laboratory utilization management program, which works to implement best practice testing guidelines. We have a full-time laboratory-based genetic counselor who performs daily genetic test review, and a Laboratory Stewardship Committee that recommends...
Journal Articles
Arch Pathol Lab Med (2024)
Published: 06 June 2024
..., encouraging utilization management or stewardship programs. However, outpatient procedures, reimbursed on a fee-for-service basis, lack incentives for hospitals, laboratories, and providers to reduce testing frequency. Laboratories could enhance their systems to facilitate the identi cation and ordering...
Journal Articles
Arch Pathol Lab Med (2024)
Published: 05 August 2024
...Kaede V. Sullivan, MD, MBA; Rhona J. Souers, MS; Erica Hillesland, BS, MLS(ASCP)SM; Dylan Pillai, MD, PhD; Daniel D. Rhoads, MD; Robin Rolf, BS MT, MT(ASCP); Patricia J. Simner, PhD; Christina M. Wojewoda, MD; Carol A. Rauch, MD, PhD Context.— Laboratory testing practices for diagnosis...
Includes: Supplementary data
Journal Articles
Arch Pathol Lab Med (2023) 148 (4): e69–e74.
Published: 18 October 2023
... Bard J.
Point-counterpoint: reflex cultures reduce laboratory workload and improve antimicrobial stewardship in patients suspected of having urinary tract infections .
J Clin Microbiol . 2016 ; 54 ( 2 ): 254 – 258 . 10.
Misra S,
Oliver NS
. Utility of ketone...
Journal Articles
Arch Pathol Lab Med (2014) 139 (2): 194–198.
Published: 23 April 2014
...Scott W. Aesif, MD, PhD; David M. Parenti, MD; Linda Lesky, MD; John F. Keiser, MD, PhD Context Use of reference laboratories for selected laboratory testing (send-out tests) represents a significant source of laboratory costs. As the use of more complex molecular analyses becomes common...
Journal Articles
Arch Pathol Lab Med (2014) 139 (2): 199–203.
Published: 07 May 2014
... of clinicians, is a critical function of the clinical microbiology laboratory. Analysis of processing time in our laboratory revealed opportunities to enhance workflow efficiency. We found that the average time from positive blood culture result to removal of the bottle for processing (positive-to-removal [PR...
Images
in Integrating Rapid Pathogen Identification and Antimicrobial Stewardship Significantly Decreases Hospital Costs
> Archives of Pathology & Laboratory Medicine
Published: 06 December 2012
Figure 3. Impact of combining matrix-assisted laser desorption and ionization time-of-flight mass spectrometry with antimicrobial stewardship on hospital length of stay after bloodstream infection onset. Kaplan-Meier curves compare time to hospital discharge between preintervention and intervent... More about this image found in Impact of combining matrix-assisted laser desorption and ionization time-of...
Journal Articles
Arch Pathol Lab Med (2021) 146 (2): 194–200.
Published: 04 June 2021
... per admission per patient was included. Additionally, the number of CSF culture samples per person per admission was extracted from the CUIMC laboratory database in order to estimate a denominator for diagnostic performance statistics for bacterial targets only. Electronic medical records were...
Includes: Supplementary data
Journal Articles
Arch Pathol Lab Med (1999) 123 (4): 296–300.
Published: 01 April 1999
... of patient tissues and consider it their duty to protect the best interests of both the individual patient and the public. The stewardship of slides, blocks, and other materials includes providing, under appropriate circumstances, patient materials for research, education, and quality control. The decision...
Journal Articles
Arch Pathol Lab Med (2019) 144 (1): 29–33.
Published: 26 September 2019
... situation and guide proper treatment. Several factors play a critical role in guaranteeing the accuracy of the culture results, including adequate specimen collection by the surgeon, proper labeling, and timely transport to the laboratory. Objective.— To educate pathologists, surgeons, and other medical...
Journal Articles
Arch Pathol Lab Med (2013) 137 (8): 1103–1105.
Published: 01 August 2013
... no relevant financial interest in the products or companies described in this article. Reprints: Kaede V. Sullivan, MD, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Main Building, Room 5112A, 34th Street & Civic Center Blvd, Philadelphia, PA 19104 (e...
Journal Articles
Arch Pathol Lab Med (2024)
Published: 20 September 2024
...Brian R. Jackson, MD, MS; Hooman H. Rashidi, MD, MS; Jochen K. Lennerz, MD, PhD; M. E. de Baca, MD Context.— Technology companies and research groups are increasingly exploring applications of generative artificial intelligence (GenAI) in pathology and laboratory medicine. Although GenAI holds...
Journal Articles
Arch Pathol Lab Med (2013) 137 (12): 1845–1881.
Published: 01 December 2013
... Allen TC: Targeted molecular therapy for lung cancer: exuberance reestablished, 747 (Je) Allen TC: US Food and Drug Administration–approved laboratory tests after Caronia, 1543 (No) Allen TC see Cagle PT; Grilley-Olson JE; Hernandez JS; Tochigi N Alley CL, Wang E, Dunphy CH...
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