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Prof. Tim Reynolds,
Clinical Chemistry Department,
Queens Hospital,
Belvedere Rd.,
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STAFFORDSHIRE,
DE13 0RB,
UK.
tel: 01283 511511 ext. 4035
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email: [log in to unmask]
alternative email for the all too frequent occasions when the NHS email connection doesn't work:
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-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]]On Behalf Of AVADES Tony
Sent: 28 April 2005 20:03
To: [log in to unmask]
Subject: Demand management

Dear Colleagues,

 

As part of our approach to manage the demand, we are introducing several measures; one of them is to cut down on the number of inappropriately and frequently requested tests. In accord with others, we have shown by local audits that tests like TFT, HbA1c, Vit B12 and folate are requested more frequently than they should.

 

Does anyone have experience of devising lab systems that could block frequent requesting?

 

I understand that with some LIS like Pathnet, you could set certain roles to block requests, but I am not aware of this approach with other LIS such as Telepath.

 

Furthermore is this approach ethically accepted, and would blood sample that was taken from a patient and later refused to be analysed by the lab, considered to be a clinical incident.

 

I would be grateful if colleagues could share their experience and I am willing to share our approaches and plans here in Cardiff to manage the demand.

 

With best wishes

Tony

 

Dr Tony Avades

Consultant in Medical Biochemistry

Dept of Medical Biochemistry & Immunology

University Hospital of Wales

Cardiff CF14 4XW

 

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