How do I … implement diagnostic management teams in transfusion medicine?

Diagnostic management teams (DMTs) were conceptualized approximately twenty years ago in response to increasing subspecialization in medicine. DMTs are a collaboration between diagnostic experts and clinicians that aim to improve accurate and timely diagnosis and treatment of disease. Diagnostic exp...

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Published inTransfusion (Philadelphia, Pa.) Vol. 60; no. 2; pp. 237 - 244
Main Authors Wade, Jenna, Dean, Christina L., Krummey, Scott M., Roback, John D., Sullivan, Harold C.
Format Journal Article
LanguageEnglish
Published Hoboken, USA John Wiley & Sons, Inc 01.02.2020
Wiley Subscription Services, Inc
Subjects
Algorithms
Blood Platelets - physiology
Diagnostic systems
Electronic Health Records
Electronic medical records
Humans
Laboratories
Laboratory tests
Management
Medical treatment
Medicine
Patients
Platelets
Transfusion
Transfusion Medicine - methods
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Summary:Diagnostic management teams (DMTs) were conceptualized approximately twenty years ago in response to increasing subspecialization in medicine. DMTs are a collaboration between diagnostic experts and clinicians that aim to improve accurate and timely diagnosis and treatment of disease. Diagnostic experts provide their expertise in the increasingly complex realm of laboratory testing and interpretation of those test results to guide appropriate test utilization for individual patients. Not only can this approach improve patient care and safety, but DMTs also decrease healthcare costs by reducing unnecessary testing and potential diagnostic errors. Following the DMT construct and principles along with the 2015 National Academy of Medicine recommendations, our transfusion medicine (TM) service streamlined the workup and management of platelet refractory (PR) patients by developing and implementing a formal PR laboratory consult. The goals of this DMT and consult are to improve diagnostic management of PR patients and to decrease delays in providing these patients with appropriate and compatible platelet units. A comprehensive interpretation of test results is directly uploaded to the patient's electronic medical record (EMR), which is associated with a CPT code allowing for compensation for the PR evaluation. Herein we describe the development of and experience with the DMT since its implementation.
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AUTHORSHIP
J.W. worked on data acquisition, analysis, and drafting of the manuscript. C.L.D, J.D.R., and H.C.S. developed and implemented the DMT into the transfusion practice as well as guided the project and final manuscript. S.M.K. worked on the design of the manuscript and drafting and revision of the manuscript. All authors approved of the final submitted manuscript.
ISSN:0041-1132
1537-2995
DOI:10.1111/trf.15618