Physician survey of a laboratory medicine interpretive service and evaluation of the influence of interpretations on laboratory test ordering

Martha E. Laposata, Michael Laposata, Elizabeth M. Van Cott, Dion S. Buchner, Mohammed S. Kashalo, Anand S. Dighe

Research output: Contribution to journalReview article

83 Scopus citations

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 languageEnglish (US)
Pages (from-to)1424-1427
Number of pages4
JournalArchives of Pathology and Laboratory Medicine
Volume128
Issue number12
StatePublished - Dec 1 2004
Externally publishedYes

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

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