Laboratory test panels serves as an important auxiliary tool for clinical practice by helping clinicians select test items efficiently. Under the new circumstances, test panels should followed the principle of being "lean and precise", a goal that has become both a focal point and a significant challenge for medical institutions. To address this issue, this article analyzes the limitations of existing test panels in clinical applications, such as being overly broad or failing to meet clinical needs and elaborates on how to optimize these panels in order to achieve precise adaptation to clinical needs.

Standards serve as the cornerstone for establishing a national technical support system for clinical laboratory quality and provide the foundation for guiding quality improvements in clinical laboratory medicine. This article introduces the National Health Commission Clinical Laboratory Standardization Committee (Standards Committee) and its primary responsibilities. It reviews the significant achievements made by the Standards Committee in standards formulation and revision, promotion, implementation, and international cooperation and exchange over the past six years. The current framework of the clinical laboratory standard system is presented, and the major types of currently effective health industry standards are outlined, covering reference intervals, basic technical standards, performance verification, quality control and evaluation, pre-examination processes, and mutual recognition of test results; clarifies the critical role of health industry standards in ensuring the accuracy and comparability of test results, supporting the construction of laboratory management systems, promoting the mutual recognition of test results, facilitating medical laboratory accreditation, and supporting medical insurance supervision. Examples are provided to illustrate how health industry standards drive the high-quality development of clinical laboratory medicine. Finally, the article future priorities for the Standards Committee in standards formulation and revision, standard promotion, and international exchange, aiming to further advancing the high-quality development of clinical laboratory medicine in China.

As a core element of the national quality infrastructure, accreditation plays a vital role in promoting the high-quality development of medical laboratories in China. By establishing and implementing a quality management system that meets international standards, medical laboratories obtain accreditation, which enhances their technical capabilities, ensures the accuracy of test results, and supports scientific clinical decision-making. This paper systematically reviews the major progress in the accreditation of medical laboratories in China, including the number, types and scope of accredited laboratories, the status of assessment against to ISO 15189:2022, and the current acceptance of accreditation outcomes. It also analyzes key challenges facing current accreditation effort, including the in-depth interpretation and implementation of ISO 15189:2022, the accreditation of point-of-care testing (POCT) and emerging technologies or methodologies, and the insufficient endogenous motivation for continuous improvement in some laboratories. Finally, targeted countermeasure suggestions are proposed, aiming to provide a reference for improving the accreditation system of medical laboratories and promoting the high-quality development of the industry in China.