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I share your concerns also and have mainly used clinical details in the authorisation zone, but feel that returning what we have received (perceived) on the request forms maybe relrvant to the doctor's understanding of our comments. It is evident that there are two major uses we could make of clinical details - retrospective audit and test request control. Both depend on the details being correct and recognisable by the system. Alas this is not always possible, since details may be manipulated to 'justify' requests rather than inform the laboratory computer. I currently use clinical details to spot LMP requirement for gonadotrophins etc. as part of rule bases at requesting. While recognising the failings, I feel strongly that we should persevere, since when we are all linked bi-directionally with our customers within and without the hospital, we will be ready to receive the data for both clinical details (justification) and working diagnosis, and then we will have everything we need to do massive accurate and informed data analysis, evidence base development and request control, as well as counting clouds, cuckoos and flying pigs! With best wishes Richard Biochemistry Department Queen Mary's Hospital Sidcup, Kent DA14 6LT -----Original Message----- From: Jonathan Kay [mailto:[log in to unmask]] Sent: Monday, March 10, 2003 12:33 To: [log in to unmask] Subject: Re: clinical details on reports We don't put them on printed reports because we share your concerns about data quality. We get rare requests to do so. A lot of those requests are related to the great "fasting blood glucose" question. We do display them on the intranet reports, and I have mixed feelings about that. (That mediums is the standard one for secondary care, and is also available across primary care. About half the `GPs use it. And yes, they do have messaging as well.) Jonathan On Monday, March 10, 2003, at 12:03 PM, Paulette Cusick wrote: > In an ideal world the biochemistry reports leaving the laboratory > should > contain the clinical details provided on the request form. With high > turnover of the staff group inputting request forms into the lab > computer > and a growing workload, the quality of the clinical details input by > them > has deteriorated to the point at which I feel the errors outweigh the > usefulness of reporting this information back to users. We do not have > electronic requesting or form scanning in place yet and I am not > convinced > that training the inputters in medical terminology will provide a > practical > and lasting solution (because of the high staff turnover). > I am keen to know how many labs print clinical details received with > the > request on their reports. Specifically, has anyone stopped this > practice > and had negative feedback from their users? Did the level of clinical > details provided by your users then fall off as a consequence? At the > moment, my colleagues and I are divided on the way forward! > > Paulette Cusick > Consultant Biochemist > Partnership Pathology Services > Frimley Park Hospital > > ------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/