A national survey of interpretative reporting in the UK

Freedman, Danielle B

doi:10.1258/acb.2011.011026

Cited by 27 publications

(15 citation statements)

References 11 publications

(15 reference statements)

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“…In countries where the addition of interpretative comments by laboratory staff is prevalent, there is good evidence that the advice is valued by those receiving the reports [15]. For example, in a survey in the UK, 88% of primary care doctors and nurse practitioners found interpretative comments on thyroid, gonadotropin, and glucose tolerance test reports to be helpful [10].…”

Section: Interpretative Comments Have Clinical Valuementioning

confidence: 99%

Assuring the quality of interpretative comments in clinical chemistry

Vasikaran¹,

Sikaris

Kilpatrick

et al. 2016

Clinical Chemistry and Laboratory Medicine (CCLM)

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Abstract:The provision of interpretative advice on laboratory results is a post-analytic activity and an integral part of clinical laboratory services. It is valued by healthcare workers and has the potential to prevent or reduce errors and improve patient outcomes. It is important to ensure that interpretative comments provided by laboratory personnel are of high quality: comments should be patientfocused and answer the implicit or explicit question raised by the requesting clinician. Comment providers need to be adequately trained and qualified and be able to demonstrate their proficiency to provide advice on laboratory reports. External quality assessment (EQA) schemes can play a part in assessing and demonstrating the competence of such laboratory staff and have an important role in their education and continuing professional development. A standard structure is proposed for EQA schemes for interpretative comments in clinical chemistry, which addresses the scope and method of assessment including nomenclature and marking scales. There is a need for evidence that participation in an EQA program for interpretative commenting facilitates improved quality of comments. It is proposed that standardizing goals and methods of assessment as well as nomenclature and marking scales may help accumulate evidence to demonstrate the impact of participation in EQA for interpretative commenting on patient outcome.

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Section: Interpretative Comments Have Clinical Valuementioning

confidence: 99%

Assuring the quality of interpretative comments in clinical chemistry

Vasikaran¹,

Sikaris

Kilpatrick

et al. 2016

Clinical Chemistry and Laboratory Medicine (CCLM)

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“…For instance, provision of interpretative comments on test reports is not only welcomed by users but has been suggested to influence requesting behaviour and, indeed, patient outcome 70 71. Vasikaran72 stated ‘Interpretative commenting should go hand in hand with regular contact with clinicians to develop a dialogue about appropriate testing…’.…”

Section: Demand Management Toolsmentioning

confidence: 99%

Managing demand for laboratory tests: a laboratory toolkit

2012

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Healthcare budgets worldwide are facing increasing pressure to reduce costs and improve efficiency, while maintaining quality. Laboratory testing has not escaped this pressure, particularly since pathology investigations cost the National Health Service £2.5 billion per year. Indeed, the Carter Review, a UK Department of Healthcommissioned review of pathology services in England, estimated that 20% of this could be saved by improving pathology services, despite an average annual increase of 8%-10% in workload. One area of increasing importance is managing the demands for pathology tests and reducing inappropriate requesting. The Carter Review estimated that 25% of pathology tests were unnecessary, representing a huge potential waste. Certainly, the large variability in levels of requesting between general practitioners suggests that inappropriate requesting is widespread. Unlocking the key to this variation and implementing measures to reduce inappropriate requesting would have major implications for patients and healthcare resources alike. This article reviews the approaches to demand management. Specifically, it aims to (a) define demand management and inappropriate requesting, (b) assess the drivers for demand management, (c) examine the various approaches used, illustrating the potential of electronic requesting and (d) provide a wider context. It will cover issues, such as educational approaches, information technology opportunities and challenges, vetting, duplicate request identification and management, the role of key performance indicators, profile composition and assessment of downstream impact of inappropriate requesting. Currently, many laboratories are exploring demand management using a plethora of disparate approaches. Hence, this review seeks to provide a 'toolkit' with the view to allowing laboratories to develop a standardised demand management strategy.

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“…The CDC-sponsored Laboratory Medicine Best Practices Initiative has described the methodology for identifying effective practices associated with improved healthcare quality outcomes (72 ), focusing on the preand postanalytical aspects of the TTP, where most errors occur. Such studies should include assessment of the effect on patient outcomes of consultative roles (38 ), the use of decision-support algorithms, the value of interpretative comments (73 ), and other practices to improve the overall efficiency of the TTP. Changes in laboratory practice, however well intentioned, also need to be investigated for potential effects on patient outcome.…”

Section: Designing Better Evaluationsmentioning

confidence: 99%

Current Evidence and Future Perspectives on the Effective Practice of Patient-Centered Laboratory Medicine

Hallworth

Epner²,

Ebert

et al. 2015

Clinical Chemistry

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BACKGROUND: Systematic evidence of the contribution made by laboratory medicine to patient outcomes and the overall process of healthcare is difficult to find. An understanding of the value of laboratory medicine, how it can be determined, and the various factors that influence it is vital to ensuring that the service is provided and used optimally.CONTENT: This review summarizes existing evidence supporting the impact of laboratory medicine in healthcare and indicates the gaps in our understanding. It also identifies deficiencies in current utilization, suggests potential solutions, and offers a vision of a future in which laboratory medicine is used optimally to support patient care.

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A national survey of interpretative reporting in the UK

Cited by 27 publications

References 11 publications

Assuring the quality of interpretative comments in clinical chemistry

Assuring the quality of interpretative comments in clinical chemistry

Managing demand for laboratory tests: a laboratory toolkit

Current Evidence and Future Perspectives on the Effective Practice of Patient-Centered Laboratory Medicine

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