This point was made regarding the growth of POCT as
well. The majority of tests are requested by junior
medical staff, and now with the increased nursing
role, nurses too. Most of this work is,probably,
generated by using protocols produced by ward and
medical staff without consultation of lab staff.
Clinical biochemists at all levels ought to be
reviewing these protocols and assess their validity as
far as test requesting is concerned. Many repeats are
due to patient movement , between specialities
(haven't the time to look for the previous ones), use
of "holding" wards (where "admission profiles" are
requested and the patient moved to another ward before
the results are available), transfer of patients from
a satellite hospital to the acute DGH. and very often
patients are moved to a ward before casualty has
"received the results".
David Brown
> The relentless rise in workload generates a
> phenomenal
> 2 million tests per year in a DGH biochemistry
> laboratory alone. This relentless rise in workload
> is
> seen across the board by all pathology specialities.
> The crucial question is: has this resulted in
> improved
> patient’s outcome? Are there any studies that can
> provide evidence for this? Is anybody/organisation
> (NICE-like) is looking at this phenomenon? Are we
> adequately resourced to provide such huge number of
> tests? Who is going to put a halt on this unhealthy
> phenomenon that is draining our manpower/financial
> resources?
> Open for debate please.
>
> Mohammad
>
>
> =====
> Dr. M A Al-Jubouri
> Consultant Chemical Pathologist
>
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http://uk.my.yahoo.com
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
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