Horses for courses here in Hull. Most 'routine' biochemistry (U&E, LFT etc)
goes straight out after technical validation 24/7, but logic rules have a
certain proportion going on to a list to be telephoned. Results from that
same list are printed out so that they can be subsequently reviewed by a
biochemist/chem path person.
For other tests I think we can add sufficient value by reporting serially to
easily outweigh the delay introduced. These include abnormal (as defined
using logic rules) thyroids, other endos, drug screens, tumour markers and
so on. It also means I can often fulfill my reporting rota committment even
if I have been in clinic in the morning.
Eric
Dr. Eric S. Kilpatrick
Consultant in Chemical Pathology
Department of Clinical Biochemistry
Hull Royal Infirmary
Anlaby Road
Hull HU3 2JZ
Tel 01482-607708
Fax 01482-607752
>From: Jonathan Kay <[log in to unmask]>
>Reply-To: Jonathan Kay <[log in to unmask]>
>To: [log in to unmask]
>Subject: Adding value
>Date: Mon, 4 Oct 2004 21:08:37 +0100
>
>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
>> >
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>------ACB discussion List Information--------
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>Please note, archived messages are public and can be viewed
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Please note, archived messages are public and can be viewed
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