Clinical Laboratory Medicine
反思性检测
Reflective TestingReflective testing describes the discretionary addition of laboratory tests on existing patient samples after the initial result review, performed by clinical laboratory clinicians to improve diagnostic timeliness and patient care. / 反思性检测是指在初步结果审查后，临床实验室医生根据临床判断，对现有患者样本进行额外检测的实践。
- Knowledge type
- 实际应用
- First proposed or discovered
- Proposer
- Turkey Farm member
- Creator
- 农场主
- Last updated
- 2026-11-12 20:06:11
Sub-knowledge points
Diagnostic Timeliness: Reflective testing improves the speed of diagnosis.Reduced Phlebotomy: The practice minimizes the need for additional blood draws.Patient Management: It enhances overall patient care management.
Higher-order knowledge points
Clinical BiochemistryHematopathologyClinical Laboratory Medicine
Main parameters and performance indicators
Initial Result Review: The prerequisite step for initiating reflective testing.Discretionary Addition: The practice is based on the clinical judgment of the hematopathologist.Consent: Ethical considerations regarding implied consent for the added tests.Cost: Controversy regarding the financial implications of the practice.
Open problems
Institutional Guidance: Only 30% of hematopathologists have institutional guidance for reflective testing.Consent Clarity: 27% of respondents felt that consenting to initial testing implies consent for reflective testing, while 61% indicated this depends on the type of test added.Communication: Routine prior notification of the initial ordering clinician (IOC) and/or patient was reported by only 24%.Medicolegal Responsibility: 21% of hematopathologists had encountered a complaint or legal concern related to the practice.
Related literature
ranked by community starsAdding‐On Wisely: Hematopathology Reflective Testing in CanadaOpen source
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Creation and modification trail
1 recordsRecord title: Reflective Testing.
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