检验项目的选择和优化

Test utilization and optimization

在当前医疗环境下,临床检验项目在疾病诊疗中的重要性日益凸显,而各种负面因素均可造成检验项目的过度使用,这势必浪费宝贵的医疗资源。通常理想化的项目使用模式以科学合理、高品质、高性价比的诊疗服务为目标,以最终提高临床医疗服务质量和效益为目的。首先,检验项目优化使用的关键在于检验医师和临床医生相互合作,及建立合理的检验项目使用模式;其次,检验科需发挥积极的精准检验作用;最后,临床医生和检验医师需通过合作制定检验项目诊断指南和流程,并通过对计算机医嘱录入系统进行特殊设置,实现对检验项目指南应用的科学管理,以避免重复检查或减少不必要的检测项目。

Under the current health care environment, clinicians are increasingly dependent on test results, often causing the over use of tests and wasting valuable medical resourses. Ideal diagnostic path is targeted to patient care with high quality and cost-effective tests, and ultimately raise health care＇s quality and efficiency. The crucial point is for test optimal utilization to cooperate between clinicians and technicians and establish rational utilization patterns. Firstly, the laboratory needs to play an active role. Secondly, the clinicians and technicians must discuss together to establish tests. Finally, it is necessary to apply scientific management for the application of diagnostic guidelines. By the computerized provider order entrysystem special settings, they can avoid repeating checks or limit the unnecessary tests.