Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 May 5;63(10):1928-1940.
doi: 10.1515/cclm-2025-0323. Print 2025 Sep 25.

Comprehensive assessment of medical laboratory performance: a 4D model of quality, economics, velocity, and productivity indicators

Pavel S Zubanov  1 , Pavel P Tregub  1   2   3 , Arkady S Goldberg  4 , Mikhail A Godkov  4   5 , Vasily G Akimkin  1
Affiliations
Review

Comprehensive assessment of medical laboratory performance: a 4D model of quality, economics, velocity, and productivity indicators

Pavel S Zubanov et al. Clin Chem Lab Med. .

Abstract

Laboratory diagnostics play a crucial role in modern medicine and healthcare economics. The effective management of a medical laboratory is based on reliable assessment of indicators characterizing quality of testing, productivity, velocity (speed) and cost-effectiveness. The usual concepts of laboratory management focus on one or two groups of these indicators and exclude a comprehensive assessment of the effectiveness of a medical laboratory. Various guidelines and concepts (ISO, Lean, Six Sigma, etc.) often provide similar approaches but use different terms. This review discusses common options for performance indicators in medical laboratories, as well as practical experience in using these indicators to assess the overall effectiveness of the laboratory and improve medical care for patients. All indicators were divided into four broad groups: quality, economy, velocity, and productivity. Based on these four groups, we describe the new" four-dimensional model" for assessment of medical laboratory performance based on different combinations of indicator groups for different types of laboratories.

Keywords: IVD management; efficiency indicators; healthcare; medical laboratories; quality indicators.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. Plebani, M. The CCLM contribution to improvements in quality and patient safety. Clin Chem Lab Med 2013;51:39–46. https://doi.org/10.1515/cclm-2012-0094 . - DOI
    1. Yu, S, Jeon, BR, Liu, C, Kim, D, Park, HI, Park, HD, et al.. Laboratory preparation for digital medicine in healthcare 4.0: an investigation into the awareness and applications of big data and artificial intelligence. Ann Lab Med 2024;44:562–71. https://doi.org/10.3343/alm.2024.0111 . - DOI
    1. Klatt, EC. Cognitive factors impacting patient understanding of laboratory test information. J Pathol Inf 2023;15:100349. https://doi.org/10.1016/j.jpi.2023.100349 . - DOI
    1. Leonard, A, Boran, G, Kane, A, Cornes, M. Monitoring and capturing patient identification errors in laboratory medicine. Ann Clin Biochem 2020;57:266–70. https://doi.org/10.1177/0004563220903076 . - DOI
    1. Siham, K, Ikhlas, M, Raihane, B, Zineb, ASA, Hicham, Y, Mustapha, AA, et al.. Pre-analytical phase in hemostasis: the main anomalies and means to correct them. Am J Lab Med 2019;4:105–10. https://doi.org/10.11648/j.ajlm.20190406.14 . - DOI

LinkOut - more resources