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The elimination of outdated, redundant, and unnecessary work is important because it can significantly improve standards in work, which is necessary.1 Although important steps in demand management have been taken in other aspects of laboratory medicine,2 there has been little coordinated effort to reduce redundancy in surgical pathology.3 We have developed a model for demand management, which has been highly successful in controlling requests for sputum cytology and is potentially widely applicable. The key features, described in more detail below, are accurately targeting redundant work, gathering local evidence to support the claim of redundancy, implementing change sensitively with the help of key user groups, and instituting ongoing feedback.
We tested our model in the context of sputum cytology. In recent years, cytological examination of sputum has …