Utilization management in the routine hematology laboratory

Joseph Rudolf, Kent Lewandrowski

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The modern hematology laboratory is a highly automated operation, performing a variety of tests including blood and fluid cell counts, routine coagulation tests, and in many cases urinalysis. Despite its automated nature, the hematology laboratory also performs labor-intensive testing including microscopic review of blood and urine samples. Effective utilization management in the hematology laboratory involves initiatives to improve appropriate test ordering (reducing routine daily orders, discouraging preoperative orders in healthy patients, banning obsolete tests) and within laboratory strategies to reduce the volume of manual testing (validated instrument flagging rules). There are also new automated morphological technologies that are improving hematology workflow and efficiency. Successful implantation of these initiatives and technologies involves collaboration with clinicians on the test menu, physician education, and the implementation of decision support tools.

Original languageEnglish (US)
Title of host publicationUtilization Management in the Clinical Laboratory and Other Ancillary Services
PublisherSpringer International Publishing
Pages95-104
Number of pages10
ISBN (Electronic)9783319341996
ISBN (Print)9783319341972
DOIs
StatePublished - Jan 1 2017

Keywords

  • Daily lab orders
  • Hematology
  • Preoperative testing
  • Urinalysis
  • Utilization management

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