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have a look at http://www.scpath.com.au/scplet12.htm and http://www.scpath.com.au/scplet13.htm We have adopted similar policiesan find it saves some repeats With best wishes Richard Biochemistry Department Queen Mary's Hospital Sidcup, Kent DA14 6LT -----Original Message----- From: dr. C.H.H. Schoenmakers [mailto:[log in to unmask]] Sent: Friday, January 31, 2003 14:34 To: [log in to unmask] Subject: request restrictions for tumor markers Dear colleague, With this e-mail I would like to ask if somebody has information on what restrictions can be made on repeated testing for tumor markers, without affecting the quality of healthcare. I would like to establish tumor marker specific periods in which the test can normally not be ordered again. For many test we have implemented these so called "repeat- periods". If a test is re-ordered within the repeat-period, a warning message is displayed automatically to the technician entering the request. At this point the technician denies the request, unless specific action not to do so has been taken by the doctor or ward. This mechanism has proven to be useful in preventing the waste of time and money (about 7000 euro in 2002 on a test-volume of 1 million tests). Therefore, we plan to expand the repeat-periods to tumor marker tests. In literature information on this aspect is rare. My best ques until now is: HCG: 1 week; AFP: 1 week; PSA: 1 month; rest: 3 months. Any information, comments or ideas are greatly appreciated. Best regards, Christian dr. C.H.H. Schoenmakers, European Clinical Chemist Department of Clinical Chemistry, Elkerliek Hospital P.O. box 98, 5700 AB Helmond The Netherlands (+)31-492-595555 (tel), (+)31-492-595691 (fax) [log in to unmask] ------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/