Principles of diagnostic stewardship: A practical guide from the Society for Healthcare Epidemiology of America Diagnostic Stewardship Task Force. (February 2023)

• Record Type: Journal Article
• Authors: Fabre, Valeria; Davis, Angelina; Diekema, Daniel J.; Granwehr, Bruno; Hayden, Mary K.; Lowe, Christopher F.; Pfeiffer, Christopher D.; Sick-Samuels, Anna C.; Sullivan, Kaede V.; Van Schooneveld, Trevor C.; Morgan, Daniel J.
• Is Part Of: Infection control and hospital epidemiology. Volume 44:Number 2(2023)
• Page Start: 178
• Page End: 185
• Publication Date: 2023-02
• Subjects: Nosocomial infections -- Epidemiology -- Periodicals; Health facilities -- Sanitation -- Periodicals; Hospital buildings -- Sanitation -- Periodicals; Cross Infection -- Periodicals; Epidemiology -- Periodicals; Hospitals -- Periodicals; Infection Control -- Periodicals; 614.44
• DOI: 10.1017/ice.2023.5
• Languages: English
• ISSNs: 0899-823X

Abstract

Executive summary: We provide an overview of diagnostic stewardship with key concepts that include the diagnostic pathway and the multiple points where interventions can be implemented, strategies for interventions, the importance of multidisciplinary collaboration, and key microbiologic diagnostic tests that should be considered for diagnostic stewardship. The document focuses on microbiologic laboratory testing for adult and pediatric patients and is intended for a target audience of healthcare workers involved in diagnostic stewardship interventions and all workers affected by any step of the diagnostic pathway (ie, ordering, collecting, processing, reporting, and interpreting results of a diagnostic test). This document was developed by the Society for Healthcare Epidemiology of America Diagnostic Stewardship Taskforce.