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PubMed · 8045018

Data utilization, not data acquisition, is the main problem.

Abstract

Previous studies focusing on the value of laboratory testing have sometimes been flawed because they had not always determined whether the data generated had been appropriately used by clinicians. It has been well documented that neither clinicians nor administrators always use objective data effectively. When data are not used appropriately by clinicians, not only are morbidity and mortality increased, but also care costs are higher. Failures by administrators result in lost opportunities to identify and correct system deficiencies. To provide information support to assure good data utilization, a prototype desktop workstation has been developed and partially implemented. Experience with such a system suggests that not only may it help provide better care more economically, but it can also aid in implementation of Practice Guidelines (Agency for Health Care Policy and Research) and Clinical Indicator (Joint Commission on Accreditation of Healthcare Organizations) programs. Laboratorians can be influential in this effort and promote the use of new knowledge in patient care in a timely and responsible manner.

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BibTeXRIS

C H Altshuler. 1994. Data utilization, not data acquisition, is the main problem.. https://pubmed.ncbi.nlm.nih.gov/8045018/

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[Inappropriate use of diagnostic laboratory tests--a perspective from decision making analysis].

BACKGROUND: The increasing use of diagnostic tests is probably not only a consequence of increased morbidity. It has been speculated whether some of the increase may be due to inappropriate use of diagnostic tests. MATERIAL AND METHODS: The PubMed database was searched for literature relating to inappropriate use of laboratory tests. Bayes' theorem was used to explain the context dependence of results obtained from diagnostic tests and to calculate predictive values. RESULTS: A theoretical discussion of tests and their use in diagnostic contexts is given, and a method for evaluating the appropriateness of testing is proposed. By calculating predictive values for positive and negative test results, the use of tests can be evaluated in a common probabilistic currency. Inappropriate usage can be defined as testing that does not give probabilistically useful information. INTERPRETATION: The method will be useful for practising physicians as a basis for improving test usage.

Chemistry, Clinical↗