Optimal Utilization of Laboratory Testing
Hints on Improving Lab Utilization (2)

November 2011
Here's some other hints on improving lab utilization which is to generate data and be available to answer questions. In this situation, I would suggest you invite criticism and critique of your suggestions. For example, we just changed from BNP to NT ProBNP and we presented it to the key users of the BNP and invited criticism of our proposal. We would like to continuously give feedback to the medical staff and I continually asked our medical staff how is this change going? Next, we'd like to scrutinize our standing orders and I’m sure you’d like to do the same thing. Scrutinize your standing orders and your order sets. There may be some things like ova and parasites, other things that are built into your order sets and your standing orders that may no longer be clinically indicated. Remember, the laboratory is no longer a revenue center, in many ways it's a cost center, so you have to work with your physicians to make sure you’re ordering the right test on the right patient at the right time and for the right indication. You'd like to also scrutinize your send-out reference tests for tests that may not add value.
Hints on Improving Lab Utilization (2) |
Jump to section:
- Introduction
- Objectives
- Assumptions to Forego
- Roger's Adopter Categories Based on Degree of Innovativeness1
- Changes to Manual Requisitions2,7
- Is This Test Misused?
- Overused/Misused Tests: Good Literature Support
- Bleeding Time3
- Anti–Single–Stranded DNA: Another Misused Test4,5,6
- Use of Algorithms
- Laboratory Test Utilization
- Thyroid Testing Guidelines
- Thyroid Function Ordering Algorithm
- Pernicious Anemia Testing Guidelines
- Pernicious Anemia Testing Cascade
- Diarrhea Work Up Guidelines
- Parasitic Investigation of Stool Specimens Algorithm
- Obsolete Tests: Laboratory Directors' Opinions7
- Overused/Misused Tests — Opinion
- Frequency of Testing
- Newer Tests and Panels on the Horizon
- Hints on Improving Lab Utilization
- Hints on Improving Lab Utilization (2)
- Interventions to Improve Lab Utilization7
- Algorithm for Assessing Send–out Tests
- Improved Test Utilization: Assistance from Clinical Practice Committee
- Other Benefits of Clinical Practice Committee
- Summary
- References
- I Welcome Your Questions
- Questions?


