Clinicians’ and laboratory medicine specialists’ views on laboratory demand management: a survey in nine European countries
-
Mercedes Ibarz
,
Janne Cadamuro
,
Zorica Sumarac
Abstract
Background
Laboratory tests are an essential aspect of current medical practice and their use has grown exponentially. Several studies however have demonstrated inappropriate use of laboratory testing. This inappropriateness can lead to delayed or wrong diagnosis, negatively impacting patient safety and an increase in health care expenditure. The aim of the present small-scale survey was to obtain information on the current status of demand management in European laboratories, as well as the opinions of laboratory and clinical professionals in this regard.
Methods
Two surveys were developed, one for laboratory specialists and one for clinicians, covering information on current use, knowledge and opinions on the possible impact of different demand management strategies on patient outcome and health care costs. Additionally, we asked for the current state and willingness on collaboration of laboratory specialists and clinicians.
Results
One hundred and fifty responses, 72 laboratory specialists and 78 clinicians, from nine countries were received. Developing local ordering protocols/profiles in collaboration with clinicians was the most used strategy (80.3% of laboratories). Of clinicians, 85.6% considered measures to ensure appropriate use of tests necessary and 100% were interested in advice/information about their indication. Of the laboratory specialists 97.2% were either already participating or willing to participate in multidisciplinary groups on the appropriateness of test demand as were 60.3% of clinicians, and 85.9% of clinicians were interested in attending activities about laboratory test demand management.
Conclusions
The results of our survey show that tools to improve the appropriate use of laboratory tests are already regularly used today. Laboratory medicine specialists as well as clinicians are willing to undertake additional shared activities aimed at improving patient-centered laboratory diagnostic workup.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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Supplementary Material
The online version of this article offers supplementary material (https://doi.org/10.1515/dx-2019-0081).
©2020 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
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- Making sense of rapid antigen testing in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diagnostics
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- Operational measurement of diagnostic safety: state of the science
- Original Articles
- Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”
- Pyoderma gangrenosum underrepresentation in non-dermatological literature
- Assessing the utility of a differential diagnostic generator in UK general practice: a feasibility study
- Assessing physical examination skills using direct observation and volunteer patients
- Clinicians’ and laboratory medicine specialists’ views on laboratory demand management: a survey in nine European countries
- Letters to the Editor
- Frequency of repetitive laboratory testing in patients transferred from the Emergency Department to hospital wards: a 3-month observational study
- Letter in response to Vanstone paper on diagnostic intuition
- Corrigenda
- Corrigendum to: Serious misdiagnosis-related harms in malpractice claims: The “Big Three” – vascular events, infections, and cancers
- Clinical problem solving and social determinants of health: a descriptive study using unannounced standardized patients to directly observe how resident physicians respond to social determinants of health
- Acknowledgment
- Acknowledgment
Artikel in diesem Heft
- Frontmatter
- Editorial
- Driving on a highway to hell I found the stairway to heaven. A mentorship lecture intermixed with rock music and a quiz
- Review
- Updated overview on the interplay between obesity and COVID-19
- Mini Review
- Challenges and opportunities for integrating genetic testing into a diagnostic workflow: heritable long QT syndrome as a model
- Opinion Papers
- Making sense of rapid antigen testing in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diagnostics
- Interpreting clinical and laboratory tests: importance and implications of context
- Predicting mortality with cardiac troponins: recent insights from meta-analyses
- Guidelines and Recommendations
- Operational measurement of diagnostic safety: state of the science
- Original Articles
- Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”
- Pyoderma gangrenosum underrepresentation in non-dermatological literature
- Assessing the utility of a differential diagnostic generator in UK general practice: a feasibility study
- Assessing physical examination skills using direct observation and volunteer patients
- Clinicians’ and laboratory medicine specialists’ views on laboratory demand management: a survey in nine European countries
- Letters to the Editor
- Frequency of repetitive laboratory testing in patients transferred from the Emergency Department to hospital wards: a 3-month observational study
- Letter in response to Vanstone paper on diagnostic intuition
- Corrigenda
- Corrigendum to: Serious misdiagnosis-related harms in malpractice claims: The “Big Three” – vascular events, infections, and cancers
- Clinical problem solving and social determinants of health: a descriptive study using unannounced standardized patients to directly observe how resident physicians respond to social determinants of health
- Acknowledgment
- Acknowledgment
