In message <[log in to unmask]>, Eric Kilpatrick
<[log in to unmask]> writes
> Following the recent article in the BMJ highlighting the tardiness in
> clinicians accessing urgent results via ward terminals I have been asked
> by a few colleagues how common a practice ward terminal access is in
> the UK since the Keele benchmarking is not very explicit on this. Could I
> take a straw poll asking
>
> a) What is your computer system?
Telepath (Isoft) MUMPS interfaced to Hospital computer. Paperless Ward
requesting and result reporting electronically.
>
> b) Does your hospital/trust have no/limited/all wards connected to
> terminal access?
Little terminal access - all wards have direct access to hospital
computer system which has patient record with chemistry results directly
inserted.
>
> c) If so, when implemented did you continue phoning all previously
> phoned results/no results/only urgently requested results/only results lying
> outside critical limits, to areas supplied by a terminal?
Continued to phone results to certain areas and those outside critical
limits. After agreement with clinicians (and risk committee), now
limited to results outside critical limits only.
> d) Do you have a system by which users are alerted that results need
> looking at (this may also include ward printers)?
>
Use critical limits for telephoning reports as well as direct phoning of
clinically important results by senior lab. staff (medics and
biochemists) from authorisation queue. After hours results are directly
copied from authorisation queue to wards and senior staff authorise from
home.
>
Trevor
--
Trevor Gray
Dept. of Clinical Chemistry,
Northern General Hospital,
Sheffield S5 7AU
0114 271 4309
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