Systematic Review of Non-ASCP Choosing Wisely Recommendations Relevant to Pathology and Laboratory Medicine.

Abstract:

Objectives:To determine non-American Society for Clinical Pathology pathology- and laboratory-related Choosing Wisely recommendations that drive effective test utilization in the laboratory. Methods:Data were collected via a two-part web-based survey distributed to a broad sample of pathologists and laboratory professionals from a variety of institutions. Results:Pathologists' most relevant recommendation: "Do not transfuse more units of blood than absolutely necessary"; highest priority: "Do not transfuse more than the minimum number of RBC units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7-8 g/dL in stable, noncardiac inpatients)." Laboratory professionals' most relevant recommendation: "Avoid testing for a Clostridium difficile infection in the absence of diarrhea"; highest priority: "Do not routinely transfuse stable, asymptomatic hospitalized patients with a hemoglobin level greater than 7 to 8 g/dL." Conclusions:Most of the highest priority, most relevant recommendations among those surveyed concerned utilization of blood products and transfusion management.

journal_name

Am J Clin Pathol

authors

Waibel E,Garcia E,Kelly M,Soles R,Hilborne L

doi

10.1093/ajcp/aqx159

subject

Has Abstract

pub_date

2018-02-17 00:00:00

pages

267-274

issue

3

eissn

0002-9173

issn

1943-7722

pii

4841631

journal_volume

149

pub_type

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