Effectiveness of practices to support appropriate laboratory test utilization: a laboratory medicine best practices systematic review and meta-analysis

M Rubinstein, R Hirsch… - American journal of …, 2018 - academic.oup.com
Objectives To evaluate the effectiveness of practices used to support appropriate clinical
laboratory test utilization. Methods This review followed the Centers for Disease Control and …

Interventions to improve appropriateness of laboratory testing in the intensive care unit: a narrative review

L Devis, E Catry, PM Honore, A Mansour, G Lippi… - Annals of intensive …, 2024 - Springer
Healthcare expenses are increasing, as is the utilization of laboratory resources. Despite
this, between 20% and 40% of requested tests are deemed inappropriate. Improper use of …

Using machine learning to predict laboratory test results

Y Luo, P Szolovits, AS Dighe… - American journal of …, 2016 - academic.oup.com
Objectives While clinical laboratories report most test results as individual numbers, findings,
or observations, clinical diagnosis usually relies on the results of multiple tests. Clinical …

Clinical laboratories: production industry or medical services?

M Plebani - Clinical Chemistry and Laboratory Medicine (CCLM), 2015 - degruyter.com
The current failure to evidence any link between laboratory tests, clinical decision-making
and patient outcomes, and the scarcity of financial resources affecting healthcare systems …

Promoting improved utilization of laboratory testing through changes in an electronic medical record: experience at an academic medical center

MD Krasowski, D Chudzik, A Dolezal, B Steussy… - BMC medical informatics …, 2015 - Springer
This case study over time describes five years of experience with interventions to improve
laboratory test utilization at an academic medical center. The high-frequency laboratory tests …

Reduction in unnecessary clinical laboratory testing through utilization management at a US government veterans affairs hospital

RL Konger, P Ndekwe, G Jones… - American journal of …, 2016 - academic.oup.com
Objectives: To implement an electronic laboratory utilization management system
(laboratory expert system LES) to provide safe and effective reductions in unnecessary …

The value proposition for pathologists: a population health approach

BS Ducatman, AM Ducatman… - Academic …, 2020 - journals.sagepub.com
The transition to a value-based payment system offers pathologists the opportunity to play
an increased role in population health by improving outcomes and safety as well as …

Deep reinforcement learning for cost-effective medical diagnosis

Z Yu, Y Li, J Kim, K Huang, Y Luo, M Wang - arXiv preprint arXiv …, 2023 - arxiv.org
Dynamic diagnosis is desirable when medical tests are costly or time-consuming. In this
work, we use reinforcement learning (RL) to find a dynamic policy that selects lab test panels …

Use of machine learning to predict clinical decision support compliance, reduce alert burden, and evaluate duplicate laboratory test ordering alerts

JM Baron, R Huang, D McEvoy, AS Dighe - JAMIA open, 2021 - academic.oup.com
Objectives While well-designed clinical decision support (CDS) alerts can improve patient
care, utilization management, and population health, excessive alerting may be …

Targeting repetitive laboratory testing with electronic health records-embedded predictive decision support: A pre-implementation study

N Rabbani, SP Ma, RC Li, M Winget, S Weber… - Clinical …, 2023 - Elsevier
Introduction Unnecessary laboratory testing contributes to patient morbidity and healthcare
waste. Despite prior attempts at curbing such overutilization, there remains opportunity for …