I would also be interested if there were any final
conclusions from the Australian studies (I think it was
Southern Cross Pathology, Monash University, Victoria),
where they implemented quite strict time limits for repeat
tests. I haven't seen any publications and wondered if
this was just my bad search technique or a lack of
effectiveness so not worth communicating. Could any
Antipodean colleagues advise what happened?
Trevor
Dr. T.A. Gray
Consultant Chemical Pathologist
Northern General Hospital
Sheffield S5 7AU
On Fri, 15 Aug 2008 12:29:50 +0100
Jonathan Kay <[log in to unmask]> wrote:
> How would you define success?
>
> How important are:
> * Reducing the laboratory's analytical workload
> * Increasing the laboratory's analytical workload?
> * Making work easier for the clinicians
> * Making work easier for the laboratory
> * Maximising clinical outcomes
> * Maximising clinical cost-effectiveness
> * Improving the patient journey
>
> I think the gains from inhibiting repeated testing using
>time windows as the main input are very small, and they
>can be estimated by analysing the current patterns.
>
> Now if we could implement rule-base requesting based on
>well- formulated clinical questions rather than time
>windows...
>
> Would any members like to bring us up to date with the
>experiences in the Netherlands and Belgium?
>
> Good luck
>
> Jonathan
>
> PS: http://www.bmj.com/cgi/content/full/337/aug14_2/a939
>
> On 15 Aug 2008, at 10:45, Philip Hyde wrote:
>
>> Dear colleagues,
>>
>> We have had limited electronic biochemistry requesting
>>in part of
>> our primary care area for a year or so now and are
>>looking to
>> refine and extend this. We would like to insert some
>>advisory
>> software advice/rules for GP's, advising them when any
>>particular
>> test or profile was requested so that they can consider
>>whether a
>> repeat is needed ("Lipid profile last done on 010808,
>>repeat
>> needed?" etc). I presume some of you must have already
>>set up a
>> similar. Would anyone be willing to share their
>>experiences with me
>> and advise which "advice / rules" you have found to be
>>of
>> practical use ?
>>
>> Regards,
>>
>>
>> Philip Hyde,
>> Consultant Clinical Biochemist,
>> Dept Clinical Chemistry,
>> Pilgrim Hospital,
>> Boston PE21 9QS
>>
>> Direct dial 01205-446339; internal 6339
>>
>>
>> ------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.
>> ACB Web Site http://www.acb.org.uk List Archives http://
>> www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List
>>Instructions
>> (How to leave etc.) http://www.jiscmail.ac.uk/
>
>
> ------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.
> ACB Web Site
> http://www.acb.org.uk
> List Archives
> http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
> List Instructions (How to leave etc.)
> http://www.jiscmail.ac.uk/
------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.
ACB Web Site
http://www.acb.org.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
|