We do many of the micro's tests but have not integrated the serology due to the effect it will have on the throughput of our Modular and some legal issues around HIV. Apart from seriously decreasing throughput unless we get another E (and we have a small lab) the main problems are retaining an aliquot for storage and reflex testing which is required of many samples. We would always use a separate tube or we would find ourselves running short of sample too frequently. All this to say even if I integrated it I would be wary of using the same tube as chemistry/endo/special chemistry. I see no reason not to allow Microbiologists to control final verification of the serology test results (as they do now) if that is what they want. It is a good form if quality control as they are big users and should pick up problems early.
When I designed the LIS I put in place a system for all tubes from a single phlebotomy having the same number with a suffix denoting the work station. The numbering system should make sense for work flow regardless. Is there a reason why they feel attached to having their own number. I am sure we are missing something.
Elizabeth Mac Namara
On 2011-08-23, at 6:45 AM, "COLLINS MICHAEL (RM1) Norfolk and Norwich University Hospital"<[log in to unmask]> wrote:
> I have some experience of this doing syphilis testing in biochemistry. Eventually microbiology got its own analyser and the test was repatriated. Storage times for serology samples are much longer than for biochemistry. This makes integration more difficult. Small batches of tests are also common with reagents returned to storage after use. I think that integration will only be only of benefit if the workflow is designed correctly. Performing the tests together effectively is no problem but efficiency is harder to achieve.
>
> Mike Collins
> BMS3
> Biochemistry Automation
> Norfolk & Norwich University Hospital
> England
> [log in to unmask]
> http://www.nnuh.nhs.uk/
>
>
> -----Original Message-----
> From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of David Burgess
> Sent: 23 August 2011 11:08
> To: [log in to unmask]
> Subject: Integrating Infectious Serology with Biochemistry
>
> Dear Subscribers,
> I would like to know if you have Integrated Infectious Serology / Biochemistry in an automated lab solution. If so, do you perform the serology tests out of the same tube as e.g. biochemistry, B12&Folate, haematinics. Do you use separate lab nos. for your serology? It seems to me that to maximise the productivity and efficiency gains of consolidation this is the path to follow. Our micro colleagues want to maintain a separation and simply use the analytical capacity of the analysers.
> Thoughts?
> Best Regards, David
>
> ------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
> Green Laboratories Work
> http://www.laboratorymedicine.nhs.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/
> This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom
> they are addressed.
> If you have received this email in error please notify the originator of the message. This footer also confirms that this
> email message has been scanned for the presence of computer viruses but this should not be relied upon as a guarantee that the contents are virus free.
>
> Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority,
> states them to be the views of the Norfolk and Norwich University Hospitals NHS Foundation Trust. The information contained in this e-mail may be subject to public disclosure
> under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed
>
> ------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
> Green Laboratories Work
> http://www.laboratorymedicine.nhs.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
Green Laboratories Work
http://www.laboratorymedicine.nhs.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/
|