We also request a pre-visit to either GP or hospital phlebotomy service with
a pro-forma PAS letter which serves as a clinic reminder with a tear-off
"lab request form" for renal, lipid, glycHb and urine alb:creat.
This is not so good for the non-ambulants, so we have a Primus PDQ analyser
in the Diabetes Unit maintained by the lab, but run by the trained DU staff
with results recorded and reported back to our lab LIS. This picks up the
stragglers and is also used for finger/ear-prick samples from kids in the
paediatric clinic.
The lab system is also PDQ but with barcode reading autosampler.
Feedback from DU is "large majority of patients have results available and
patients mostly satisfied"
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
DA14 6LT
020-8308-3084
-----Original Message-----
From: Jonathan Kay [mailto:[log in to unmask]]
Sent: 26 May 2004 09:59
To: [log in to unmask]
Subject: Assays for patients with diabetes
Here's the problem:
1 We want very high consistency in glycated haemoglobin analysis across
the patch: primary, secondary and tertiary care.
2 We are considering assaying glycated haemoglobin, total and HDL
cholesterol, triglycerides and creatinine during the clinic visit for
patients with diabetes. This could be at three sites,
3 Capital and revenue costs need to be as low as possible
4 Relentless increase in requests for glycated haemoglobin analysis
from primary care
Because of 1 my first thought was "laboratory-type" analysers for
glycated haemoglobin on trolleys which could be used in the laboratory
and wheeled down and used PoCT in the clinics. This would give high
consistency and low cost but won't give the extended repertoire.
Air tubes + in-laboratory analysis alone won't solve the problem
because one site doesn't have an on-site laboratory and another doesn't
have enough air tubes.
Will we inevitably end up with different methods used in the laboratory
and clinic?
I have a feeling we are not alone in having this problem. Does any one
have good solutions they could share?
Thanks
Jonathan
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------ACB discussion List Information--------
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community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
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