Integrating Electronic Systems for Requesting Clinical Laboratory Test into Digital Clinical Records: Design and Implementation

Luna, Félix; Contreras, Isidoro Herrera; Guerrero, Antonio Cruz; Guitarte, Francisco Bermudo

doi:10.4236/health.2017.94044

Cited by 3 publications

(3 citation statements)

References 29 publications

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“…Therefore, alternate novel interventions to those discussed above from similar studies should be implemented. For example, a study investigating the characteristics of COVID-19 in HCWs in a London hospital found that novel interventions for replacing paperbased specimen receiving with electronic-based work and the use of ultraviolet irradiation to sterilise the papers received in the laboratory may help reduce the risk of infection [25,36,37]. These are recommendations that could be implemented within the South African context.…”

Section: Plos Onementioning

confidence: 99%

COVID-19 cases among medical laboratory services staff in South Africa, 2020–2021: A cohort study

et al. 2022

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Medical laboratory workers may have an increased risk of COVID-19 due to their interaction with biological samples received for testing and contamination of documents. Records of COVID-19 laboratory-confirmed positive cases within the medical laboratory service were routinely collected in the company’s Occupational Health and Safety Information System (OHASIS). Surveillance data from the OHASIS system were extracted from 1 April 2020 to 31 March 2021. An epidemic curve was plotted and compared to that for the country, along with prevalence proportions and incidence rates. The odds of COVID-19 infection were categorised by job and compared to the US Occupational Risk Scores. A logistic regression model assessed the risk of COVID-19 infection per occupational group. A total of 2091 (26% of staff) COVID-19 positive cases were reported. The number of COVID-19 cases was higher in the first wave at 46% (967/2091) of cases, than in the second wave 40% (846/2091) of cases. There was no significant difference in COVID-19 prevalence between male and female employees. The job categories with the most increased risk were laboratory managers [AOR 3.2 (95%CI 1.9–5.1)] and laboratory support clerks [AOR 3.2 (95%CI 1.9–5.2)]. Our study confirms that some categories of medical laboratory staff are at increased risk for COVID-19; this is a complex interaction between workplace risk factors, community interaction, socioeconomic status, personal habits, and behaviour. Targeted interventions are recommended for high-risk groups. OHASIS has the potential to generate data for surveillance of health care workers and contribute towards a South African risk profile.

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Section: Plos Onementioning

confidence: 99%

COVID-19 cases among medical laboratory services staff in South Africa, 2020–2021: A cohort study

et al. 2022

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“…Establishment of an electronic request and handling system for pathology laboratories is fundamental to ensure the safety of staff, particularly during such a public health crisis [ 15 ]. It is recommended that hospital information systems and laboratory information systems should be implemented, with all requests made electronically through the system, and the World Health Organization's guide to laboratory safety [ 16 ] and good clinical practice [ 17 ] should be followed to ensure non-contamination from infected papers.…”

Section: Discussionmentioning

confidence: 99%

Histopathology laboratory paperwork as a potential risk of COVID-19 transmission among laboratory personnel

Hasan¹,

Nafie²,

Abbadi³

2020

Infection Prevention in Practice

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Background Healthcare workers have a higher risk of acquiring coronavirus disease 2019 (COVID-19). The process of requesting pathological investigations is usually handled manually through paper-based forms. This study evaluated the potential for paper-based request forms to transmit severe acute respiratory virus coronavirus-2 (SARS-CoV-2) to laboratory staff in order to make recommendations for dealing with hospital paperwork in a post-COVID-19 world. Methods Paper-based forms were tracked from the time of test ordering until the release of the pathology report by calculating the time taken for the forms to reach the laboratory, and the exposure of each staff group to forms received from both high and moderate COVID-19 risk areas. Results Four hundred and thirty-two (83%) of 520 forms were received in the laboratory within 24 h. The remaining 88 (17%) forms took ≥24 h to be handled by laboratory personnel. The mean daily exposure time to the paperwork for various laboratory staff was as follows: receptionists, 2.7 min; technicians, 5.5 min; and pathologists, 54.6 min. Conclusion More than 80% of the forms were handled by laboratory personnel within 24 h, carrying a high potential risk for viral transmission. It is recommended that paper-based request forms should be replaced by electronic requests that could be printed in the laboratory if required. Another option would be to sterilize received paperwork to ensure the safety of laboratory personnel. More studies are needed to detect the stability of SARS-CoV-2 on different surfaces and determine the potential risk of COVID-19 transmission via paper.

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“…The bulk of the paper forms (80%) were dealtwith by laboratory recruitsin less than 24 hours, posing anelevated risk of viral spread because about 21% of the paper forms emerged in high-risk divisions such as the emergency room, intensive care unit, and quarantine section, while 79 percent originated in moderate-risk departments such as wards, outpatient departments and operating rooms [54]. Therefore, to guarantee the safety of employees and personnel, particularly during such a pandemic, pathology laboratories must build an electronic request-handling system [55]. Hospitals should adhere to the World Health Organization's standard for laboratory safety and good clinical practices to protect personnel from infected documents].…”

Section: Transmission Through Papermentioning

confidence: 99%

Coronavirus Disease (COVID-19) Possible Transmission Routes and Alleviation Strategies

Kumar¹,

Singh²,

Jain³

et al. 2023

Int J Pharm Res Allied Sci

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Coronavirus disease is a contagious respiratory ailment that has spread significantly around the world. Most cases of COVID-19 are spread from person to person by coming into contact with respiratory droplets that are released when an infected person coughs or sneezes. In this manuscript, we have highlighted the possible transmission of COVID-19 through food, water, air and paper. In the case of food, we have extensively covered the transmission of COVID-19 through meat, frozen foods, food packaging and food market along with the incidences worldwide. In the nextsection, we have highlighted the different components of air which are responsible for the transmission and also covered its relation with PM 2.5 incidence. The SARS-CoV-2 was isolated from sewage water/wastewater of various countries namely the United States, India, Australia, Netherlands and France signifying that wastewater can be a mode of virus transmission. The paper circulation by the infected COVID-19 patients can also be a virus conveyance route. It can be concluded that SARS-CoV-2 can therefore be transmitted indirectly through food via the workers involved in food packing or food marts.By following general safety precautions (wearing masks, using hand sanitisers, cleaning and disinfecting contact surfaces, and avoiding close contact), heating and using chemicals like ethanol (67-71%), sodium hypochlorite (0.1%) and hydrogen peroxide (0.5%) on environmental surfaces, along with vaccination, it is possible to reduce the spread of the SARS-CoV-2 virus.

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Integrating Electronic Systems for Requesting Clinical Laboratory Test into Digital Clinical Records: Design and Implementation

Cited by 3 publications

References 29 publications

COVID-19 cases among medical laboratory services staff in South Africa, 2020–2021: A cohort study

COVID-19 cases among medical laboratory services staff in South Africa, 2020–2021: A cohort study

Histopathology laboratory paperwork as a potential risk of COVID-19 transmission among laboratory personnel

Coronavirus Disease (COVID-19) Possible Transmission Routes and Alleviation Strategies

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