Parallel (even if contact is later) for most routine tests, as follows.
24 hours a day:-
- routine validation procedures followed with minimum delay to results
- results outside agreed limits are telephoned (note added to report)
- standard comments added to certain results (cf Helen Verrill's post)
- validated results transmitted to hospital units & GP computers, etc
"9 to 5":-
- lab "duty doctor" review of results, contact made as appropriate, etc
For some more complex tests, in-series commenting + validation is arranged
so as to minimise delays in reporting.
NB don't forget that our "customers" are experienced intelligent doctors who
are willing to advise us whether they are happy with our reporting speeds,
comments, phone calls, etc.
Best wishes,
Les
> From: Jonathan Kay <[log in to unmask]>
> Reply-To: Jonathan Kay <[log in to unmask]>
> Date: Mon, 4 Oct 2004 21:08:37 +0100
> 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
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