Skip to main content
Erschienen in: Internal and Emergency Medicine 3/2019

19.02.2019 | IM - Point of view

Driving the route of laboratory medicine: a manifesto for the future

verfasst von: Mario Plebani, Michael Laposata, Giuseppe Lippi

Erschienen in: Internal and Emergency Medicine | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

The role of laboratory medicine is essential in healthcare, since in vitro diagnostic testing represents now an unavoidable part of reasoning and clinical decision making. Laboratory tests are an essential part of most care pathways, aimed at optimizing resource utilization and improving patient outcome. The activity of laboratory professionals is interconnected with all medical disciplines, and provides a crucial support for ordering the right test, for the right patient and at the right time, but also helps interpreting and using laboratory data. Although recent advancement in laboratory medicine, catalyzed by technical innovations and development of innovative tests, have promoted a substantial revolution in the organization of clinical laboratories, the future of this profession seems still ambiguous. We have hence developed a “manifesto” of laboratory medicine, meant to promote an innovative prospect of our discipline and encouraging the establishment of a new generation of laboratory professionals and managers.
Literatur
1.
Zurück zum Zitat Plebani M, Lippi G (2016) Improving diagnosis and reducing diagnostic errors: the next frontier of laboratory medicine. Clin Chem Lab Med 54:1117–1118PubMed Plebani M, Lippi G (2016) Improving diagnosis and reducing diagnostic errors: the next frontier of laboratory medicine. Clin Chem Lab Med 54:1117–1118PubMed
3.
Zurück zum Zitat Wilson ML, Fleming KA, Kuti MA et al (2018) Access to pathology and laboratory medicine services: a crucial gap. Lancet 391:1927–1938CrossRefPubMed Wilson ML, Fleming KA, Kuti MA et al (2018) Access to pathology and laboratory medicine services: a crucial gap. Lancet 391:1927–1938CrossRefPubMed
4.
Zurück zum Zitat Jani IV, Peter TF (2013) How point-of-care testing could drive innovation in global health. N Engl J Med 368:2319–2324CrossRefPubMed Jani IV, Peter TF (2013) How point-of-care testing could drive innovation in global health. N Engl J Med 368:2319–2324CrossRefPubMed
5.
Zurück zum Zitat Morgan DJ, Malani P, Diekema DJ (2017) Diagnostic stewardship-leveraging the laboratory to improve antimicrobial use. JAMA 318:607–608CrossRefPubMed Morgan DJ, Malani P, Diekema DJ (2017) Diagnostic stewardship-leveraging the laboratory to improve antimicrobial use. JAMA 318:607–608CrossRefPubMed
6.
Zurück zum Zitat Plebani M (2018) Quality and future of clinical laboratories: the Vico's whole cyclical theory of the recurring cycles. Clin Chem Lab Med 56:901–908CrossRefPubMed Plebani M (2018) Quality and future of clinical laboratories: the Vico's whole cyclical theory of the recurring cycles. Clin Chem Lab Med 56:901–908CrossRefPubMed
7.
Zurück zum Zitat Misialek MJ (2014) Valuing value. The changing role of pathologists. Am J Clin Pathol 142:584–585CrossRefPubMed Misialek MJ (2014) Valuing value. The changing role of pathologists. Am J Clin Pathol 142:584–585CrossRefPubMed
8.
Zurück zum Zitat Plebani M (2014) Laboratory-associated and diagnostic errors: a neglected link. Diagnosis (Berl) 1:89–94CrossRef Plebani M (2014) Laboratory-associated and diagnostic errors: a neglected link. Diagnosis (Berl) 1:89–94CrossRef
9.
Zurück zum Zitat D’Angelo R, Mejabi O (2016) Getting it right for patient safety: specimen collection process improvement from operating room to pathology. Am J Clin Pathol 146:8–17CrossRefPubMed D’Angelo R, Mejabi O (2016) Getting it right for patient safety: specimen collection process improvement from operating room to pathology. Am J Clin Pathol 146:8–17CrossRefPubMed
10.
Zurück zum Zitat Valenstein PN, Raab SS, Walsh MK (2006) Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. Arch Pathol Lab Med 130:1106–1113PubMed Valenstein PN, Raab SS, Walsh MK (2006) Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. Arch Pathol Lab Med 130:1106–1113PubMed
11.
Zurück zum Zitat Plebani M (2018) System-related and cognitive errors in laboratory medicine. Diagnosis (Berl) 5:191–196CrossRef Plebani M (2018) System-related and cognitive errors in laboratory medicine. Diagnosis (Berl) 5:191–196CrossRef
12.
Zurück zum Zitat Price CP, John AS, Christenson R et al (2016) Leveraging the real value of laboratory medicine with the value proposition. Clin Chim Acta 462:183–186CrossRefPubMed Price CP, John AS, Christenson R et al (2016) Leveraging the real value of laboratory medicine with the value proposition. Clin Chim Acta 462:183–186CrossRefPubMed
13.
Zurück zum Zitat Marques MB, Anastasi J, Ashwood E et al (2011) The clinical pathologist as consultant. Am J Clin Pathol 135:11–12CrossRefPubMed Marques MB, Anastasi J, Ashwood E et al (2011) The clinical pathologist as consultant. Am J Clin Pathol 135:11–12CrossRefPubMed
14.
Zurück zum Zitat National Academies of Sciences, Engineering, and Medicine (2015) Improving diagnosis in health care. The National Academies Press, Washington, DC https://doi.org/10.17226/21794 National Academies of Sciences, Engineering, and Medicine (2015) Improving diagnosis in health care. The National Academies Press, Washington, DC https://doi.org/10.17226/21794
15.
Zurück zum Zitat Manrai AK, Patel CJ, Ioannidis JPA (2018) In the era of precision medicine and big data, who is normal? JAMA 319:1981–1982CrossRefPubMed Manrai AK, Patel CJ, Ioannidis JPA (2018) In the era of precision medicine and big data, who is normal? JAMA 319:1981–1982CrossRefPubMed
16.
Zurück zum Zitat Plebani M (2002) Charting the course of medical laboratories in a changing environment. Clin Chim Acta 319:87–100CrossRefPubMed Plebani M (2002) Charting the course of medical laboratories in a changing environment. Clin Chim Acta 319:87–100CrossRefPubMed
17.
Zurück zum Zitat Srinivasan D, Desai NR (2017) The impact of the transition from value to value on heart failure care: implications of novel payment models and quality improvement initiatives. J Cardiac Fail 23:615–620CrossRef Srinivasan D, Desai NR (2017) The impact of the transition from value to value on heart failure care: implications of novel payment models and quality improvement initiatives. J Cardiac Fail 23:615–620CrossRef
18.
Zurück zum Zitat Plebani M (2015) Clinical laboratories: production industry or medical services? Clin Chem Lab Med 53:995–1004PubMed Plebani M (2015) Clinical laboratories: production industry or medical services? Clin Chem Lab Med 53:995–1004PubMed
19.
Zurück zum Zitat Branda JA, Dighe AS, Dzik W et al (2014) The practice of clinical pathology: a quantitative description of laboratory director activities at a large academic medical center. Am J Clin Pathol 142:144–149CrossRefPubMed Branda JA, Dighe AS, Dzik W et al (2014) The practice of clinical pathology: a quantitative description of laboratory director activities at a large academic medical center. Am J Clin Pathol 142:144–149CrossRefPubMed
20.
Zurück zum Zitat Plebani M, Laposata M, Lippi G (2019) A manifesto for the future of laboratory medicine professionals. Clin Chim Acta 489:49–52CrossRefPubMed Plebani M, Laposata M, Lippi G (2019) A manifesto for the future of laboratory medicine professionals. Clin Chim Acta 489:49–52CrossRefPubMed
Metadaten
Titel
Driving the route of laboratory medicine: a manifesto for the future
verfasst von
Mario Plebani
Michael Laposata
Giuseppe Lippi
Publikationsdatum
19.02.2019
Verlag
Springer International Publishing
Erschienen in
Internal and Emergency Medicine / Ausgabe 3/2019
Print ISSN: 1828-0447
Elektronische ISSN: 1970-9366
DOI
https://doi.org/10.1007/s11739-019-02053-z

Weitere Artikel der Ausgabe 3/2019

Internal and Emergency Medicine 3/2019 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.