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Benchmarking is a systematic and continuous process used to compare products, services, and processes – as regards quantitative and qualitative aspects. Benchmarking in laboratory medicine departments of hospitals is a frequently used but only poorly standardized system. Sophisticated procedures for data collection are necessary due to the large heterogeneity and complexity of activities performed in laboratory medicine with regard to the type of testing, response times, availability and amount of different resources needed for single analysis and reporting. These prerequisites are difficult to fulfill. In internal benchmarking projects – i.e., monitoring of productivity, costs, and revenues within one laboratory over an extended period of time – the current tools for data collection are generally fit for purpose. In external benchmarking, however, several pitfalls may obscure the results. In broad terms, external benchmarking projects compare only partial processes with sufficient validity. Differences in benchmarking have to be controlled for improvements of data collection and for changes in surrounding conditions outside the laboratory. This review lists different approaches for benchmarking projects in laboratory medicine departments and describes their strengths and weaknesses.

Key figures and benchmarking in the hospital laboratory 1)