Hi
When we get significant bands, we pass a copy of the report to our Clinical Haematology colleagues who follow them up.
Mike
Mike Howell
Clinical Biochemistry
The Hillingdon Hospital
Pield Heath Road
Uxbridge
Middx
UB8 3NN
Tel 01895 279225
>>> Jonathan Kay <[log in to unmask]> 30/09/2009 09:49 >>>
I would advise anyone whose reports are being sent to computerised
records system to check how they appear. It's worth paying particular
attention to:
* Comments
* Units
* Reference intervals.
Gifford's working on how to improve current practice and assure that
information doesn't get lost. I represent the ACB on his group.
We'd like to hear of both good practice and problematic examples.
Jonathan
On 30 Sep 2009, at 09:40, Mainwaring-Burton Richard (South London
Healthcare NHS Trust) wrote:
> How indeed do we ensure that our reports and comments are read,
> never mind acted upon ?
>
> I have a similar anecdote where a significant band was reported to
> the requesting Gastroenterology team who did not respond to a
> "SUGGEST HAEMATOLOGIST OPINION" comment (in capitals) on the report
> which appeared as a later supplementary, even though the report in
> the notes (paper) bore the consultant's initials. The Gastro team
> had not requested the protein electrophoresis which was computer
> triggered, and probably irrelevant to the original presentation.
>
> Alas the patient presented 6 yrs later with back pain etc. etc.
>
> I believe (in hope) that computerised patient records should permit
> labs to add significant comments demanding acknowledgement in e-mail
> style and not simply present the data, since these days, there is a
> strong chance that the result-receiving doctor is different from the
> requesting doctor.
>
>
> with best wishes
> Richard
> Richard Mainwaring-Burton
> Consultant Biochemist
> Queen Mary's Hospital
> Sidcup, Kent
> 020-8308-3084
> Please note new e-mail address :
> [log in to unmask]
>
> ________________________________
> From: Clinical biochemistry discussion list [mailto:[log in to unmask]
> ] On Behalf Of Cowen Rebecca (Mid Essex Hospital Services NHS Trust)
> Sent: 29 September 2009 12:24
> To: [log in to unmask]
> Subject: Serum Protein Electrophoresis Reporting
>
> We have recently carried out an audit into the reporting of serum
> protein electrophoresis when the presence of bands is equivocal. We
> currently put a comment on these results to suggest that the
> presence of bands is unclear and a repeat should be carried out
> within 3-6 months. The results of the audit show a large number of
> these requests go without follow-up. How do other labs report these
> results and ensure the follow-up of these "equivocal" bands?
>
> Many thanks,
>
> Rebecca Cowen
>
>
> Rebecca Cowen
> Trainee Clinical Biochemist
> Mid Essex NHS Trust
> Broomfield Hospital
> Chelmsford
> CM1 7ET
>
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