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Computers in the Clinical Laboratory: Title and subTitle BreakNew Problems and New Solutions FREE

Arthur F. Krieg, MD
JAMA. 1981;245(21):2242-2244. doi:10.1001/jama.1981.03310460090044
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The Physician-Laboratory-Physician Communication Loop  During the past few years, we have seen steady progress toward improved accuracy and precision in the clinical laboratory. New methods, new instruments, and new quality-control systems have decreased the frequency of laboratory error due to improper analysis. Improved analytic performance means that an increasing percentage of laboratory problems are now related to communication and interpretation of results.1-3 Some common problems include (1) requests that never reach the laboratory; (2) reports that never reach the patient chart; (3) unreasonable delays in the cycle of request-analysis-report; and (4) "data overload"—as the volume of laboratory data increases, interpretation becomes increasingly difficult.In some settings, more than 10% of requests never reach the laboratory; more than 10% of reports never reach the patient chart; more than 10% of results do not reach the attending physician while still relevant; and other results have little or no value in terms

REFERENCES

Conn RB:  Optimal utilization of the laboratory in making clinical decisions . Hum Pathol 1980;;11:407-412.
Benson ES:  Initiatives toward effective decision making and laboratory use . Hum Pathol 1980;;11:440-448.
Beeler MF, Catrou PG, Grogan JE, et al:  Reasonableness of use of the serum isoenzymes creatine kinase and lactate dehydrogenase for the diagnosis of myocardial infarction at a medical center . Am J Clin Pathol 1980;;74:202-204.
Dove HG, Gifford R, Schneider KC:  The trips of slips: Time delays in laboratory and x-ray data for outpatients in a teaching hospital . JAMA 1980;;243:537-539.
Lincoln TL, Korpman RA:  Computers, health care, and medical information sciences . Science 1980;;210:257-263.
Rice L:  Serum hepatoglobin in hemolytic disease . JAMA 1980;; 244:2607-2608.
Reichertz PL:  Medical informatics—fiction or reality? Method Inf Med 1980;;19:11-15.
Cole GW: How Can Appropriate Utilization of Laboratory Data Be Assured? Quality Assurance in Health Care, Washington, DC, American Association for Clinical Chemistry, 1980;.
Watson RA, Tang DB:  The predictive value of prostatic acid phosphatase as a screening test for prostatic cancer . N Engl J Med 1980;;303:497-503.
Weinstein M, Feinberg HV: Clinical Decision Analysis . Philadelphia, WB Saunders Co, 1980;.
Bull BS, Korpman RA:  The clinical laboratory computer system — who is it for? Arch Pathol Lab Med 1980;;104:449-451.
Heffernan HG:  Unlearned lessons of the '70s , in Proceedings of the Fourth Annual Symposium on Computer Applications in Medical Care . Long Beach, Calif, IEEE Computer Society, 1980;, vol 1.

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Conn RB:  Optimal utilization of the laboratory in making clinical decisions . Hum Pathol 1980;;11:407-412.
Benson ES:  Initiatives toward effective decision making and laboratory use . Hum Pathol 1980;;11:440-448.
Beeler MF, Catrou PG, Grogan JE, et al:  Reasonableness of use of the serum isoenzymes creatine kinase and lactate dehydrogenase for the diagnosis of myocardial infarction at a medical center . Am J Clin Pathol 1980;;74:202-204.
Dove HG, Gifford R, Schneider KC:  The trips of slips: Time delays in laboratory and x-ray data for outpatients in a teaching hospital . JAMA 1980;;243:537-539.
Lincoln TL, Korpman RA:  Computers, health care, and medical information sciences . Science 1980;;210:257-263.
Rice L:  Serum hepatoglobin in hemolytic disease . JAMA 1980;; 244:2607-2608.
Reichertz PL:  Medical informatics—fiction or reality? Method Inf Med 1980;;19:11-15.
Cole GW: How Can Appropriate Utilization of Laboratory Data Be Assured? Quality Assurance in Health Care, Washington, DC, American Association for Clinical Chemistry, 1980;.
Watson RA, Tang DB:  The predictive value of prostatic acid phosphatase as a screening test for prostatic cancer . N Engl J Med 1980;;303:497-503.
Weinstein M, Feinberg HV: Clinical Decision Analysis . Philadelphia, WB Saunders Co, 1980;.
Bull BS, Korpman RA:  The clinical laboratory computer system — who is it for? Arch Pathol Lab Med 1980;;104:449-451.
Heffernan HG:  Unlearned lessons of the '70s , in Proceedings of the Fourth Annual Symposium on Computer Applications in Medical Care . Long Beach, Calif, IEEE Computer Society, 1980;, vol 1.
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