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Similar situation at Monklands. Autovalidation of "normal" results 24/7 - electronic report to SCI allowing GP access to the results for their patients Duty Biochemist/BMS validation & comment of rest 9am to 5pm 5pm to 9am BMS validate to "ghost" queue which allows hospital staff to get results via web-browser and duty biochemist to review following working day. 5pm to 9pm - a lot of GP specimens are run - the BMS staff keep the relevant request forms (which will have been rapid requested but not PIDed) in a pile beside the specimens so that abnormal results can be associated with the appropriate patient and phoned to emergency medical services if necessary. Elliott -----Original Message----- From: Ball, Graham [mailto:[log in to unmask]] Sent: 05 October 2004 09:15 To: [log in to unmask] Subject: Re: Adding value Jonathan During the day the "duty biochemist" validates. At night the BMS validates with results being reviewed in the morning. The aim is to introduce minimal delays but to pick up results requiring further action. Graham Ball -----Original Message----- From: Jonathan Kay [mailto:[log in to unmask]] Sent: 04 October 2004 21:09 To: [log in to unmask] Subject: Adding value Could others comment on whether they validate/ comment/ whatever in series or in parallel with making the report available to the clinician. And why... Jonathan PS: Parallel: trying to add some value but desperate not to delay On 4 Oct 2004, at 18:32, gordon.challand wrote: Dear Tim I must admit that at times your logic is beyond me, and I fail to see the relevance of you carrying out lipid clinics to the utility or otherwise of clinical validation. Have you ever thought of asking the clinicians (particularly those in Primary Care) who send samples to your Department whether they would appreciate some assistance in the interpretation of the results they receive? Gordon Challand ----- Original Message ----- From: Reynolds Tim To: [log in to unmask] Sent: Monday, October 04, 2004 4:14 PM Subject: Re: Abnormal results out of hours Now we have IT networks that deliver results rapidly and immediately, It is a good question whether there is any benefit of clinical validation. Given the number of lipid clinics I do any rota in which I would be involved would cause massive delays in returning the important results to clinicians. Thus the main function of clinical validation in that design is a chicane on the information superhighway. However, this does not mean that clinicians have no function: It IS reasonable to have a parallel system so that significantly abnormal results are released to the wide world immediately they are technically validated, but are also presented to a 'duty biochemist' for clinical comment if appropriate. TIM ***************** > -----Original Message----- > From: Clinical biochemistry discussion list > [mailto:[log in to unmask]]On Behalf Of IAN WATSON > Sent: 01 October 2004 18:03 > To: [log in to unmask] > Subject: Re: Abnormal results out of hours > > > To pick up on this: we have no problems if we are aware of an > abnormality, the GP cover services are pretty good. We have > had problems at weekends though where patients have > deteriorated from when the sample was taken on the Friday and > the result not being looked at by the GP, they don't work > Saturdays now. > This leads to my question: How many labs clinically validate > over the weekend [either by modem or from the lab] and how > are they alerted to 'significant results'? > > Dr I D Watson > Consultant Biochemist > Univ Hosp Aintree > > ------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. 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