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J Appl Lab Med. 2017 Sep 01;2(2):259-268. doi: 10.1373/jalm.2017.023606.

Transforming Laboratory Utilization Review into Laboratory Stewardship: Guidelines by the PLUGS National Committee for Laboratory Stewardship.

The journal of applied laboratory medicine

Jane A Dickerson, Andrew H Fletcher, Gary Procop, David F Keren, Ila R Singh, Joaquin J Garcia, Robert B Carpenter, Joe Miles, Brian Jackson, Michael L Astion

Affiliations

  1. Department of Laboratories, Seattle Children's Hospital, Seattle, WA.
  2. Department of Laboratory Medicine, University of Washington, Seattle, WA.
  3. ARUP Laboratories, Salt Lake City, UT.
  4. Department of Pathology, Cleveland Clinic, Cleveland, OH.
  5. Department of Pathology, University of Michigan, Ann Arbor, MI.
  6. Department of Pathology, Texas Children's Hospital, Houston, TX.
  7. Department of Laboratories, Mayo Clinic, Rochester, MN.

PMID: 32630981 DOI: 10.1373/jalm.2017.023606

Abstract

Appropriate utilization of clinical laboratory services is important for patient care and requires institutional stewardship. Clinical laboratory stewardship programs are dedicated to improving the ordering, retrieval, and interpretation of appropriate laboratory tests. In addition, these programs focus on developing, maintaining, and improving systems to provide proper financial coverage for medically necessary testing. Overall, clinical laboratory stewardship programs help clinicians improve the quality of patient care while reducing costs to patients, hospitals, and health systems. This document, which was created by a new multiinstitutional committee interested in promoting and formalizing laboratory stewardship, summarizes core elements of successful hospital-based clinical laboratory stewardship programs. The core elements will also be helpful for independent commercial clinical laboratories.

© 2017 American Association for Clinical Chemistry.

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