Do we now know what inappropriate laboratory utilization is? An expanded systematic review of laboratory clinical audits.

Abstract:

OBJECTIVES:Many nonpathologists and some pathologists consider utilization review essential to laboratory quality improvement, but (1) confusion surrounding the definition of "appropriate" laboratory utilization, (2) the reliance on manual chart review, and (3) a lack of leadership have contributed to its unstandardized implementation. How the solutions to these barriers have evolved since the 1950s is described. METHODS:A systematic literature review is used. RESULTS:Current literature largely defines inappropriate laboratory utilization as any test order in violation of a guideline produced by a government or professional society. Audits performed without manual chart review (ie, database query) have dramatically increased since the mid-1990s. Most utilization audits do not involve any author with a pathology or laboratory medicine affiliation. CONCLUSIONS:Literature consensus defining "inappropriate" utilization combined with the adoption of database technology has removed key obstacles to utilization reviews. Leadership is needed to unify and benchmark laboratory utilization.

journal_name

Am J Clin Pathol

authors

Hauser RG,Shirts BH

doi

10.1309/AJCPX1HIEM4KLGNU

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

774-83

issue

6

eissn

0002-9173

issn

1943-7722

pii

AJCPX1HIEM4KLGNU

journal_volume

141

pub_type

杂志文章,评审
  • HER2 Gene Protein Assay Is Useful to Determine HER2 Status and Evaluate HER2 Heterogeneity in HER2 Equivocal Breast Cancer.

    abstract:Objectives:Approximately 15% of breast cancers show equivocal human epidermal growth factor receptor 2 (HER2) results on HER2 immunohistochemistry (IHC) and are reflexed for fluorescence in situ hybridization (FISH). However, some cases remain equivocal. In this study, we evaluated these double-equivocal cases by using...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/aqw211

    authors: Hou Y,Nitta H,Li Z

    更新日期:2017-01-01 00:00:00

  • Usefulness of DNA ploidy measurement on liquid-based smears showing conflicting results between cytology and high-risk human papillomavirus typing.

    abstract::To improve the positive predictive value (PPV) for high-risk human papillomavirus (HR-HPV) in primary screening, DNA ploidy was measured on the same liquid-based sample by image cytometry in 984 cases showing discrepancies between cytology and HR-HPV testing. Of the conflicting results, 14.5% corresponded to a cytolog...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/6NXC-V9XD-YM87-8FAE

    authors: Lorenzato M,Bory JP,Cucherousset J,Nou JM,Bouttens D,Thil C,Dez F,Evrard G,Quereux C,Birembaut P,Clavel C

    更新日期:2002-11-01 00:00:00

  • Differential MUC 1 expression in normal and neoplastic human pancreatic tissue. An immunohistochemical study of 60 samples.

    abstract::Neoplastic transformation of epithelial cell sis commonly associated with altered synthesis of mucin glycoproteins. Few studies have been performed on the correlation between MUC 1 expression and pancreatic carcinoma using immunohistochemical methods. We compared the patterns of MUC 1 expression in normal pancreatic t...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/112.5.635

    authors: Monges GM,Mathoulin-Portier MP,Acres RB,Houvenaeghel GF,Giovannini MF,Seitz JF,Bardou VJ,Payan MJ,Olive D

    更新日期:1999-11-01 00:00:00

  • Mucosa-associated lymphoid tissue of the thymus hyperplasia vs lymphoma.

    abstract::In the thymus, the relationship between lymphofollicular hyperplasia and mucosa-associated lymphoid tissue (MALT)-type lymphoma is uncertain. We analyzed 14 cases with a diagnosis of thymic follicular hyperplasia in patients with connective tissue disease (n = 2), myasthenia gravis (n = 11), or both (n = 1). In 11 cas...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/G3AC-P7K8-2JNK-8C3U

    authors: Parrens M,Dubus P,Danjoux M,Jougon J,Brousset P,Velly JF,de Mascarel A,Merlio JP

    更新日期:2002-01-01 00:00:00

  • Lesions indefinite for intraepithelial neoplasia and OLGA staging for gastric atrophy.

    abstract::Gastric intraepithelial neoplasia (IEN; formerly dysplasia) is an advanced precancerous lesion. Lesions indefinite for IEN mimic the IEN phenotype but lack some morphologic attributes of IEN. Indefinite for IEN lesions may arise in native foveolae (atypical foveolar hyperproliferation [aFH]) or intestinalized glands (...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/AJCPEU41HTGXSJDQ

    authors: Fassan M,Pizzi M,Farinati F,Nitti D,Zagonel V,Genta RM,Rugge M

    更新日期:2012-05-01 00:00:00

  • Surfactant protein A expression in human normal and neoplastic breast epithelium.

    abstract::We studied the presence of surfactant protein A (Sp-A) immunoreactivity and messenger RNA in 62 normal and abnormal breast samples. Sections were immunostained with polyclonal anti-Sp-A antibody. The association between Sp-A immunoreactivity and histologic grade of 32 invasive ductal carcinomas was assessed by 3 patho...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/DU7F-XYP8-1DF6-WM9E

    authors: Braidotti P,Cigala C,Graziani D,Del Curto B,Dessy E,Coggi G,Bosari S,Pietra GG

    更新日期:2001-11-01 00:00:00

  • Primary osteosarcoma of bone. Clinicopathologic investigation of 243 cases, with necropsy studies in 54.

    abstract::Two hundred forty-three patients who had pathologically verified primary osteosarcomas of bone, treated at The University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute over a 24-year period, form the basis of this study. These cases provide a basis for comparison of those patients currentl...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/67.5.427

    authors: Uribe-Botero G,Russell WO,Sutow WW,Martin RG

    更新日期:1977-05-01 00:00:00

  • The clinical significance of eosinophiluria.

    abstract::Eosinophils are normally absent from the urine. Their presence has been associated with a variety of clinical conditions affecting the kidney or urinary tract. The authors examined the clinical significance and eosinophils, in particular, for acute interstitial nephritis. ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/88.4.520

    authors: Corwin HL,Haber MH

    更新日期:1987-10-01 00:00:00

  • Proposed Terminology for Anal Squamous Lesions: Its Application and Interobserver Agreement Among Pathologists in Academic and Community Hospitals.

    abstract:Objectives:To analyze interobserver reproducibility and compare practice patterns between academic and community settings of Lower Anogenital Squamous Terminology (LAST). Methods:In total, 132 anal biopsy slides were revised as well as p16 immunostains. Results:LAST was used in 49% of cases (academic center, 68%; sat...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/aqx044

    authors: Roma AA,Liu X,Patil DT,Xie H,Allende D

    更新日期:2017-07-01 00:00:00

  • Effects of drugs on glucose measurements with handheld glucose meters and a portable glucose analyzer.

    abstract::Thirty drugs used primarily in critical care and hospital settings were tested in vitro to observe interference on glucose measurements with 6 hand-held glucose meters and a portable glucose analyzer. Paired differences of glucose measurements between drug-spiked samples and unspiked control samples were calculated to...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/QAW1-X5XW-BVRQ-5LKQ

    authors: Tang Z,Du X,Louie RF,Kost GJ

    更新日期:2000-01-01 00:00:00

  • Spurious elevation of the electronically determined mean corpuscular volume and hematocrit caused by hyperglycemia.

    abstract::Following normalization of blood glucose levels, a marked change in the MCV and in the calculated hematocrit was observed in five patients with transient severe hyperglycemia. The addition of varied concentrations of glucose to blood samples from healthy volunteers and from patients with microcytic, macrocytic, and no...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/77.5.561

    authors: Holt JT,DeWandler MJ,Arvan DA

    更新日期:1982-05-01 00:00:00

  • B-Lymphoblastic Leukemia in Patients With Chronic Lymphocytic Leukemia: A Report of Four Cases.

    abstract:OBJECTIVES:B-lymphoblastic leukemia (B-LBL) arising in patients with chronic lymphocytic leukemia (CLL) is exceedingly rare and poorly characterized. METHODS:We describe four patients with CLL and concurrent or subsequent B-LBL diagnosed by morphologic, immunophenotypic, cytogenetic, and molecular analysis and reviewe...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/AJCPXE5VMONMVLZ0

    authors: Chakhachiro Z,Yin CC,Abruzzo LV,Aladily TN,Barron LL,Banks HE,Thomas DA,Keating M,Medeiros LJ,Huh YO

    更新日期:2015-08-01 00:00:00

  • Calretinin as a marker for cardiac myxoma. Diagnostic and histogenetic considerations.

    abstract::To study the usefulness of calretinin as an immunohistochemistry marker in the diagnosis of cardiac myxoma (CM) and the origin of myxoma cells, we examined 24 CMs and 9 fetal hearts with immunohistochemical methods on formalin-fixed paraffin-embedded tissues. We compared 24 CMs with 10 mural thrombi, 6 jaw myxomas, an...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/NR6G-T872-F090-LBRW

    authors: Terracciano LM,Mhawech P,Suess K,D'Armiento M,Lehmann FS,Jundt G,Moch H,Sauter G,Mihatsch MJ

    更新日期:2000-11-01 00:00:00

  • Pre-instrumental variables in coagulation testing.

    abstract::A number of variables thought to affect measurement of prothrombin time (PT) and partial thromboplastin time (PTT) were examined in an effort to determine more precisely their effects on these measurements. On the basis of these studies, it is proposed that blood specimens be anticoagulated with one part 3.8% (w./v.) ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/64.5.591

    authors: Koepke JA,Rodgers JL,Ollivier MJ

    更新日期:1975-11-01 00:00:00

  • Factor VIII-related antigen staining by immunoperoxidase technic in smaller laboratories: a potential problem.

    abstract::A case of metastatic squamous cell carcinoma to bone was studied using immunoperoxidase methods for Factor VIII-related antigen, producing positive staining in the tumor cells. Electron microscopy proved the squamous nature of the tumor, and, subsequently, a pulmonary primary tumor was found. Testing of additional tum...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/81.1.117

    authors: Wilson AJ

    更新日期:1984-01-01 00:00:00

  • Mimics of cutaneous lymphoma: report of the 2011 Society for Hematopathology/European Association for Haematopathology workshop.

    abstract::The Society for Hematopathology and European Association for Haematopathology workshop, from October 27 to 29, 2011, in Los Angeles, CA, exhibited many exemplary skin biopsy specimens with interesting inflammatory changes mimicking features of cutaneous lymphoma. This article reviews features observed in cutaneous lym...

    journal_title:American journal of clinical pathology

    pub_type: 共识发展会议,杂志文章

    doi:10.1309/AJCPX4BXTP2QBRKO

    authors: Sarantopoulos GP,Palla B,Said J,Kinney MC,Swerdlow SM,Willemze R,Binder SW

    更新日期:2013-04-01 00:00:00

  • Monoclonal antibody, Mab 12C3, is a sensitive immunohistochemical marker of early malignant change in epithelial ovarian tumors.

    abstract::A murine monoclonal antibody (MAb 12C3) that is specific to human ovarian carcinomas was generated by immunizing mice with a human ovarian germinoma cell line (JOHYC-2). The antigen distribution that was defined by MAb 12C3 in normal and malignant human tissues was analyzed by immunohistochemistry on paraffin-embedded...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/103.3.288

    authors: Yamada K,Ohkawa K,Joh K

    更新日期:1995-03-01 00:00:00

  • Evaluation of HPV-16 and HPV-18 genotyping for the triage of women with high-risk HPV+ cytology-negative results.

    abstract::The ATHENA (Addressing THE Need for Advanced HPV Diagnostics) HPV study evaluated the clinical usefulness of the cobas HPV Test (Roche Molecular Systems, Pleasanton, CA) for high-risk human papillomavirus (HR-HPV) testing (14 HR types) and individual HPV-16/HPV-18 genotyping in women undergoing routine cervical cytolo...

    journal_title:American journal of clinical pathology

    pub_type: 临床试验,杂志文章

    doi:10.1309/AJCPTUS5EXAS6DKZ

    authors: Wright TC Jr,Stoler MH,Sharma A,Zhang G,Behrens C,Wright TL,ATHENA (Addressing THE Need for Advanced HPV Diagnostics) Study Group.

    更新日期:2011-10-01 00:00:00

  • Steroid hormone receptor and COX-2 expression in chordoma.

    abstract::Reports of sex steroid receptor expression in chordoma suggest that these tumors may be responsive to hormone manipulation therapy. Immunohistochemical stains for estrogen receptor (ER)-alpha, ER-beta, progesterone receptor (PR), androgen receptor (AR), and cyclooxygenase 2 (COX-2), were performed on a tissue microarr...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/8T2NPHLK5X5WQ3E7

    authors: Fasig JH,Dupont WD,Olson SJ,Lafleur BJ,Cates JM

    更新日期:2007-09-01 00:00:00

  • Determination of the oxygen dissociation curve and P50 of whole blood. An evaluation of the Hem-O-Scan and instrumentation of laboratory systems.

    abstract::The Travenol Hem-O-Scan and the Instrumentation Laboratory (IL) system for determination of the oxygen dissociation curve and P50 values have been evaluated. Using the Hem-O-Scan, an oxygen dissociation curve and P50 value may be obtained on 2 microliter of blood in 40 min, though the pH is not measured. In the IL sys...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/75.3.395

    authors: Nelson MG,Savage GA,Cooke PJ,Lappin TR

    更新日期:1981-03-01 00:00:00

  • Extensively keratinized squamous intraepithelial lesions of the cervix are difficult to grade.

    abstract::We tested the hypothesis that extensively keratinized squamous intraepithelial lesions (SILs) are difficult to grade precisely by identifying 100 Papanicolaou smears with a keratinizing SIL that had been originally judged difficult to grade. Of these, 65 were confirmed as low-grade SIL (LSIL) or high-grade SIL (HSIL) ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/RQBN-Y51J-CJTK-P9H5

    authors: Faquin WC,Brown FM,Krane JF,Renshaw AA,Cibas ES

    更新日期:2001-01-01 00:00:00

  • An Audit of Repeat Testing at an Academic Medical Center: Consistency of Order Patterns With Recommendations and Potential Cost Savings.

    abstract:Objectives:To evaluate the prevalence of potentially unnecessary repeat testing (PURT) and the associated economic burden for an inpatient population at a large academic medical facility. Methods:We evaluated all inpatient test orders during 2016 for PURT by comparing the intertest times to published recommendations. ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/aqy020

    authors: Hueth KD,Jackson BR,Schmidt RL

    更新日期:2018-05-31 00:00:00

  • Erosive gastritis as a manifestation of secondary syphilis.

    abstract::In a case of secondary syphilis with gastric involvement, the clinical history and roentgenographic and gastroscopic examiniations initially suggested an infiltrative malignant neoplasm. However, macroscopic and histologic examination of the partial gastrectomy specimen demonstrated an erosive, inflammatory lesion. Su...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/63.6.895

    authors: Butz WC,Watts JC,Rosales-Wuintana S,Hicklin MD

    更新日期:1975-06-01 00:00:00

  • The diagnostic role of claudins in serous effusions.

    abstract::We analyzed the diagnostic role of claudins in effusion cytology in 325 effusions, including 218 ovarian, 49 breast, 15 cervical or endometrial, 10 gastrointestinal, and 8 lung adenocarcinomas and 25 malignant mesotheliomas (MMs). Specimens were analyzed for claudin-1 and claudin-3 expression using immunohistochemical...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/V025QRN3R9CJGNPX

    authors: Kleinberg L,Holth A,Fridman E,Schwartz I,Shih IeM,Davidson B

    更新日期:2007-06-01 00:00:00

  • Influence of blood collection systems on the prothrombin time and international sensitivity index determined with human and rabbit thromboplastin reagents.

    abstract::Three brands of blood collection tubes were studied for their influence on the prothrombin time (PT) and international sensitivity index (ISI) for 5 commercial thromboplastin reagents. With all reagents, PTs were shorter in Vacutainer (Becton Dickinson Vacutainer Systems, Plymouth, England) samples than in S-Monovette...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/NW194EAMD4WMEHJD

    authors: van den Besselaar AM,Hoekstra MM,Witteveen E,Didden JH,van der Meer FJ

    更新日期:2007-05-01 00:00:00

  • Non-Hodgkin's lymphoma following Hodgkin's disease. A case report and immunohistochemical corroboration.

    abstract::Two non-Hodgkin's lymphomas, one a follicular mixed cell type and the other a diffuse large cell type (Working Formulation), appeared 7 and 12 years, respectively, after the initial histopathologic diagnosis of Hodgkin's disease (nodular sclerosis) in an elderly male. The clinicopathologic implications of non-Hodgkin'...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/86.3.370

    authors: Shimizu K,Hara K,Kunii A

    更新日期:1986-09-01 00:00:00

  • Multifocal Extraprostatic Extension of Prostate Cancer.

    abstract:OBJECTIVES:To investigate the prognostic utility of multifocal extraprostatic extension (EPE) on biochemical recurrence after radical prostatectomy. METHODS:We conducted retrospective analysis of biochemical recurrence and prognostic pathologic variables in 673 men with stage pT3a/pT3b prostate cancer from 2000 to 201...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/aqz193

    authors: Farchoukh L,Laframboise WA,Nelson JB,Bastacky S,Parwani AV,Dhir R

    更新日期:2020-03-09 00:00:00

  • Lupus anticoagulant associated with specific inhibition of factor VII in a patient with AIDS.

    abstract::A 37-year-old intravenous drug abuser with acquired immune deficiency syndrome showed elevated activated partial thromboplastin time (APTT) and prothrombin time, normal thrombin time and fibrinogen, and borderline low platelet counts. The patient subsequently had a fracture of the left zygomatic arch, which did not pr...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/91.4.491

    authors: Ndimbie OK,Raman BK,Saeed SM

    更新日期:1989-04-01 00:00:00

  • A Venn diagram model that allows triple-label immunophenotypic analysis of cells based upon double-label measurements.

    abstract::Using Venn diagrams derived from set theory, a mathematic model is presented that allows triple-label immunophenotypic analysis of cells based upon double-label measurements. Practical applications of this method are illustrated and discussed. Using this model, triple-label data concerning Leu-8 and Leu-9 (CD7) antige...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/92.1.73

    authors: Wood GS

    更新日期:1989-07-01 00:00:00

  • Acute Myeloid Leukemia With Myelodysplasia-Related Changes.

    abstract:OBJECTIVES:Acute myeloid leukemia with myelodysplasia-related changes (AML-MRC) is a heterogeneous disorder defined by morphologic, genetic, or clinical features. Genetic abnormalities associated with AML-MRC are often associated with adverse prognostic features, and many cases are preceded by a myelodysplastic syndrom...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章,评审

    doi:10.1309/AJCP58RSMFRHLHHH

    authors: Vardiman J,Reichard K

    更新日期:2015-07-01 00:00:00