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Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics
Journal article   Open access   Peer reviewed

Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics

Harjot K Singh, Kimberly C Claeys, Sonali D Advani, Yolanda J Ballam, Jessica Penney, Kirsten M Schutte, Christopher Baliga, Aaron M Milstone, Mary K Hayden, Daniel J Morgan, …
Infection control and hospital epidemiology, Vol.45(4), pp.405-411
04/2024
DOI: 10.1017/ice.2023.284
PMCID: PMC11007360
PMID: 38204365
url
https://doi.org/10.1017/ice.2023.284View
Published (Version of record) Open Access

Abstract

Diagnostic stewardship seeks to improve ordering, collection, performance, and reporting of tests. Test results play an important role in reportable HAIs. The inclusion of HAIs in public reporting and pay for performance programs has highlighted the value of diagnostic stewardship as part of infection prevention initiatives. Inappropriate testing should be discouraged, and approaches that seek to alter testing solely to impact a reportable metric should be avoided. HAI definitions should be further adapted to new testing technologies, with focus on actionable and clinically relevant test results that will improve patient care.

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