Is part of the problem that we are all trying to make allowance for poor IT
systems? Looking at results gives different information, which if one had a
more useful user friendly IT system might be made a lot easier by allowing
us to choose what should be looked at. Ward ordering is supposed to be the
way forward, so why are summarised clinical details not downloaded with the
request?
All analytes are not the same. For example, I would suggest that for core
Biochemistry adding interpretive comments is a waste of time, unless you are
looking to see which team seem to be overordering, sending you aged samples,
requesting unusual combinations - many of which would alert one to talk to
the team, but would not justify delaying the reporting of the U/E etc.
However, adding comments to endocrinology, toxicology and tumour markers can
be worthwhile. How else would we pick up trends of inappropriate requesting,
treatment reflecting misinterpretation of results etc. However, again a good
IT sytem is required which shows the interretive comment, in a way that is
easy to enter and to read. I never thought I would be saying that Labstar
was superior to APEX (the newer system) for this.I believe if General
Practitioners and others will give the clinical details, if they know
someone is reading them, and who will comment on the report or phone them.
Likewise it is only by looking at Troponin results that you identify the
teams who take samples at the time of chest pain only.
____________________________________________________________
Dr. Helen Grimes, Dept. of Clinical Biochemistry, UCH, Galway, Ireland
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