Laboratory reflex testing strategy for the early identification of primary care patients with multiple myeloma

Salinas, Maria; Flores, Emilio; Blasco, Alvaro; Lopez-Garrigós, Maite; Torreblanca, Ruth; Leiva-Salinas, María; Gutierrez, Irene; Leiva-Salinas, Carlos

doi:10.1016/j.clinbiochem.2024.110730

Clinical Biochemistry

2024

DOI: 10.1016/j.clinbiochem.2024.110730

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Laboratory reflex testing strategy for the early identification of primary care patients with multiple myeloma

Maria Salinas,

Emilio Flores,

Alvaro Blasco

et al.

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2024

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Cited by 2 publications

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La gestión de la demanda de las pruebas: un reto en el nuevo modelo de Medicina de Laboratorio

Salinas,

Torreblanca,

Sanchez

et al. 2024

Advances in Laboratory Medicine / Avances en Medicina De Laboratorio

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Resumen Introducción En las últimas décadas está evolucionando el posicionamiento de la Medicina de Laboratorio en el proceso médico asistencial de atención al paciente y también el modelo de laboratorio; de un modelo tradicional, con solo intervención, a un modelo líder, que además de intervenir condiciona la decisión clínica. La mejora en tecnología y automatización ha permitido también al profesional de laboratorio centrarse en la primera y última fase del ciclo de laboratorio, la solicitud de pruebas, y la acción tras su resultado, las etapas con más errores, y donde principalmente se debe actuar para conseguir una mejora en la calidad asistencial del paciente. Contenido Se muestra el diseño y la implantación de intervenciones de gestión de la demanda de pruebas de laboratorio, logrando el diagnóstico de la enfermedad oculta, y mejorando la adherencia a las guías clínicas y la seguridad del paciente. Resumen Se expondrán los puntos clave en el proceso de gestión de la demanda, tanto de exceso como de defecto. Perspectivas El objetivo de la revisión es lograr que el profesional del laboratorio se involucre en el diseño e implantación de intervenciones de gestión de la demanda y en la creación de ese nuevo modelo de Laboratorio Líder.

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La gestión de la demanda de las pruebas: un reto en el nuevo modelo de Medicina de Laboratorio

Salinas,

Torreblanca,

Sanchez

et al. 2024

Advances in Laboratory Medicine / Avances en Medicina De Laboratorio

View full text Add to dashboard Cite

show abstract

Managing laboratory test ordering: a challenge in the new laboratory medicine model

Salinas,

Torreblanca,

Sanchez

et al. 2024

Advances in Laboratory Medicine / Avances en Medicina De Laboratorio

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Introduction The role of Laboratory Medicine in patient care has evolved in the last decades. The same has occurred to the laboratory model, which has evolved from a traditional model where the laboratory is merely involved in clinical decision-making to a leading model where the laboratory is not only involved but also determines decision-making. The advent of new technologies and automation of processes have enabled laboratory professionals to focus on the first and last phase of the analytical process namely, test ordering and decision-making based on laboratory results. These phases are more error-prone than the analytical phase, and where action must be taken to improve the quality of patient care. Content We share our experience in the design and establishment of laboratory test demand management interventions that facilitated diagnosis of occult disease, improved adherence to clinical guidelines, and optimized patient safety. Summary A description is provided of key points in the management of laboratory test over/underutilization. Outlook The objective of this review is to promote the involvement of laboratory professionals in the design and implementation of demand management interventions and in the development of the new Leader Laboratory model.

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Laboratory reflex testing strategy for the early identification of primary care patients with multiple myeloma

Cited by 2 publications

References 17 publications

La gestión de la demanda de las pruebas: un reto en el nuevo modelo de Medicina de Laboratorio

La gestión de la demanda de las pruebas: un reto en el nuevo modelo de Medicina de Laboratorio

Managing laboratory test ordering: a challenge in the new laboratory medicine model

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