The brain-to-brain loop concept for laboratory testing 40 years after its introduction

Mario Plebani, Michael Laposata, George D. Lundberg

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

Forty years ago, Lundberg introduced the concept of the brain-to-brain loop for laboratory testing. In this concept, in the brain of the physician caring for the patient, the first step involves the selection of laboratory tests and the final step is the transmission of the test result to the ordering physician. There are many intermediary steps, some of which are preanalytic, ie, before performance of the test; some are analytic and relate to the actual performance of the test; and others are postanalytic and involve transmission of test results into the medical record. The introduction of this concept led to a system to identify and classify errors associated with laboratory test performance. Errors have since been considered as preanalytic, analytic, and postanalytic. During the past 4 decades, changes in medical practice have significantly altered the brain-to-brain loop for laboratory testing. This review describes the changes and their implications for analysis of errors associated with laboratory testing.

Original languageEnglish (US)
Pages (from-to)829-833
Number of pages5
JournalAmerican Journal of Clinical Pathology
Volume136
Issue number6
DOIs
StatePublished - Dec 2011
Externally publishedYes

Fingerprint

Brain
Physicians
Exercise Test
Medical Records

Keywords

  • Brain-to-brain loop
  • Decision making
  • Error analysis
  • Error reduction
  • Laboratory error
  • Laboratory test selection

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

The brain-to-brain loop concept for laboratory testing 40 years after its introduction. / Plebani, Mario; Laposata, Michael; Lundberg, George D.

In: American Journal of Clinical Pathology, Vol. 136, No. 6, 12.2011, p. 829-833.

Research output: Contribution to journalArticle

@article{bfa8b412a18e46a18b5e44c6ceacec2e,
title = "The brain-to-brain loop concept for laboratory testing 40 years after its introduction",
abstract = "Forty years ago, Lundberg introduced the concept of the brain-to-brain loop for laboratory testing. In this concept, in the brain of the physician caring for the patient, the first step involves the selection of laboratory tests and the final step is the transmission of the test result to the ordering physician. There are many intermediary steps, some of which are preanalytic, ie, before performance of the test; some are analytic and relate to the actual performance of the test; and others are postanalytic and involve transmission of test results into the medical record. The introduction of this concept led to a system to identify and classify errors associated with laboratory test performance. Errors have since been considered as preanalytic, analytic, and postanalytic. During the past 4 decades, changes in medical practice have significantly altered the brain-to-brain loop for laboratory testing. This review describes the changes and their implications for analysis of errors associated with laboratory testing.",
keywords = "Brain-to-brain loop, Decision making, Error analysis, Error reduction, Laboratory error, Laboratory test selection",
author = "Mario Plebani and Michael Laposata and Lundberg, {George D.}",
year = "2011",
month = "12",
doi = "10.1309/AJCPR28HWHSSDNON",
language = "English (US)",
volume = "136",
pages = "829--833",
journal = "American Journal of Clinical Pathology",
issn = "0002-9173",
publisher = "American Society of Clinical Pathologists",
number = "6",

}

TY - JOUR

T1 - The brain-to-brain loop concept for laboratory testing 40 years after its introduction

AU - Plebani, Mario

AU - Laposata, Michael

AU - Lundberg, George D.

PY - 2011/12

Y1 - 2011/12

N2 - Forty years ago, Lundberg introduced the concept of the brain-to-brain loop for laboratory testing. In this concept, in the brain of the physician caring for the patient, the first step involves the selection of laboratory tests and the final step is the transmission of the test result to the ordering physician. There are many intermediary steps, some of which are preanalytic, ie, before performance of the test; some are analytic and relate to the actual performance of the test; and others are postanalytic and involve transmission of test results into the medical record. The introduction of this concept led to a system to identify and classify errors associated with laboratory test performance. Errors have since been considered as preanalytic, analytic, and postanalytic. During the past 4 decades, changes in medical practice have significantly altered the brain-to-brain loop for laboratory testing. This review describes the changes and their implications for analysis of errors associated with laboratory testing.

AB - Forty years ago, Lundberg introduced the concept of the brain-to-brain loop for laboratory testing. In this concept, in the brain of the physician caring for the patient, the first step involves the selection of laboratory tests and the final step is the transmission of the test result to the ordering physician. There are many intermediary steps, some of which are preanalytic, ie, before performance of the test; some are analytic and relate to the actual performance of the test; and others are postanalytic and involve transmission of test results into the medical record. The introduction of this concept led to a system to identify and classify errors associated with laboratory test performance. Errors have since been considered as preanalytic, analytic, and postanalytic. During the past 4 decades, changes in medical practice have significantly altered the brain-to-brain loop for laboratory testing. This review describes the changes and their implications for analysis of errors associated with laboratory testing.

KW - Brain-to-brain loop

KW - Decision making

KW - Error analysis

KW - Error reduction

KW - Laboratory error

KW - Laboratory test selection

UR - http://www.scopus.com/inward/record.url?scp=82655171626&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=82655171626&partnerID=8YFLogxK

U2 - 10.1309/AJCPR28HWHSSDNON

DO - 10.1309/AJCPR28HWHSSDNON

M3 - Article

VL - 136

SP - 829

EP - 833

JO - American Journal of Clinical Pathology

JF - American Journal of Clinical Pathology

SN - 0002-9173

IS - 6

ER -