Abstract
Context. - Complex coagulation test panels ordered by clinicians are typically reported to clinicians without a patient-specific interpretive paragraph. Objectives. - To survey clinicians regarding pathologist-generated interpretations of complex laboratory testing panels and to assess the ability of the interpretations to educate test orderers. Design. - Surveys were conducted of physicians ordering complex coagulation laboratory testing that included narrative interpretation. Evaluation of order requisitions was performed to assess the interpretation's influence on ordering practices. Setting. - Physicians ordering coagulation testing at a large academic medical center hospital in Boston, Mass, large academic medical center as a reference laboratory for coagulation testing. Outcome Measures. - Physician surveys and evaluation of laboratory requisition slips. Results. - In nearly 80% of responses, the ordering clinicians perceived that the interpretive comments saved them time and improved the diagnostic process. Moreover, the interpretations were perceived by ordering clinicians to help prevent a misdiagnosis or otherwise impact the differential diagnosis in approximately 70% of responses. In addition, interpretations appeared to be able to train the ordering clinicians as to the standard ordering practices. Conclusions. - The results demonstrate physician satisfaction with an innovative information delivery approach that provides laboratory diagnostic interpretation and test-ordering education to clinicians in the context of their daily workflow.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1424-1427 |
| Number of pages | 4 |
| Journal | Archives of Pathology and Laboratory Medicine |
| Volume | 128 |
| Issue number | 12 |
| State | Published - Dec 2004 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Pathology and Forensic Medicine
- Medical Laboratory Technology
Cite this
Physician survey of a laboratory medicine interpretive service and evaluation of the influence of interpretations on laboratory test ordering. / Laposata, Martha E.; Laposata, Michael; Van Cott, Elizabeth M.; Buchner, Dion S.; Kashalo, Mohammed S.; Dighe, Anand S.
In: Archives of Pathology and Laboratory Medicine, Vol. 128, No. 12, 12.2004, p. 1424-1427.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Physician survey of a laboratory medicine interpretive service and evaluation of the influence of interpretations on laboratory test ordering
AU - Laposata, Martha E.
AU - Laposata, Michael
AU - Van Cott, Elizabeth M.
AU - Buchner, Dion S.
AU - Kashalo, Mohammed S.
AU - Dighe, Anand S.
PY - 2004/12
Y1 - 2004/12
N2 - Context. - Complex coagulation test panels ordered by clinicians are typically reported to clinicians without a patient-specific interpretive paragraph. Objectives. - To survey clinicians regarding pathologist-generated interpretations of complex laboratory testing panels and to assess the ability of the interpretations to educate test orderers. Design. - Surveys were conducted of physicians ordering complex coagulation laboratory testing that included narrative interpretation. Evaluation of order requisitions was performed to assess the interpretation's influence on ordering practices. Setting. - Physicians ordering coagulation testing at a large academic medical center hospital in Boston, Mass, large academic medical center as a reference laboratory for coagulation testing. Outcome Measures. - Physician surveys and evaluation of laboratory requisition slips. Results. - In nearly 80% of responses, the ordering clinicians perceived that the interpretive comments saved them time and improved the diagnostic process. Moreover, the interpretations were perceived by ordering clinicians to help prevent a misdiagnosis or otherwise impact the differential diagnosis in approximately 70% of responses. In addition, interpretations appeared to be able to train the ordering clinicians as to the standard ordering practices. Conclusions. - The results demonstrate physician satisfaction with an innovative information delivery approach that provides laboratory diagnostic interpretation and test-ordering education to clinicians in the context of their daily workflow.
AB - Context. - Complex coagulation test panels ordered by clinicians are typically reported to clinicians without a patient-specific interpretive paragraph. Objectives. - To survey clinicians regarding pathologist-generated interpretations of complex laboratory testing panels and to assess the ability of the interpretations to educate test orderers. Design. - Surveys were conducted of physicians ordering complex coagulation laboratory testing that included narrative interpretation. Evaluation of order requisitions was performed to assess the interpretation's influence on ordering practices. Setting. - Physicians ordering coagulation testing at a large academic medical center hospital in Boston, Mass, large academic medical center as a reference laboratory for coagulation testing. Outcome Measures. - Physician surveys and evaluation of laboratory requisition slips. Results. - In nearly 80% of responses, the ordering clinicians perceived that the interpretive comments saved them time and improved the diagnostic process. Moreover, the interpretations were perceived by ordering clinicians to help prevent a misdiagnosis or otherwise impact the differential diagnosis in approximately 70% of responses. In addition, interpretations appeared to be able to train the ordering clinicians as to the standard ordering practices. Conclusions. - The results demonstrate physician satisfaction with an innovative information delivery approach that provides laboratory diagnostic interpretation and test-ordering education to clinicians in the context of their daily workflow.
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M3 - Article
VL - 128
SP - 1424
EP - 1427
JO - Archives of Pathology and Laboratory Medicine
JF - Archives of Pathology and Laboratory Medicine
SN - 0003-9985
IS - 12
ER -