The frequency and potential clinical impact of non-analytical errors in the RCPA Microbiology QAP 1987-2008

Morris, Arthur J.; Haremza, Elizabeth; Walker, Debra

doi:10.1097/pat.0b013e32834634f4

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Many of these reports were manually transcribed into the LIS, with the concomitant risk of transcription errors and of omission of clinically relevant information. 11,14 Some of these reports were several pages long and contained long interpretative comments and tables. We did not have the personnel to transcribe all the information contained in these reports into our LIS and therefore forwarded them via fax or mail to the ordering physicians.…”

Section: Resultsmentioning

confidence: 99%

Electronic reporting of all reference laboratory results: An important step toward a truly all-encompassing, integrated health record

Kratz

2016

Health Informatics J

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Results from reference laboratories are often not easily available in electronic health records. This article describes a multi-pronged, long-term approach that includes bringing send-out tests in-house, upgrading the laboratory information system, interfacing more send-out tests and more reference laboratories, utilizing the "miscellaneous assay" option offered by some reference laboratories, and scanning all remaining paper reports from reference laboratories for display in the electronic health record. This allowed all laboratory results obtained in association with a patient visit, whether performed in-house or at a reference laboratory, to be available in the integrated electronic health record. This was achieved without manual data entry of reference laboratory results, thereby avoiding the risk of transcription errors. A fully integrated electronic health record that contains all laboratory results can be achieved by maximizing the number of interfaced reference laboratory assays and making all non-interfaced results available as scanned documents.

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Section: Resultsmentioning

confidence: 99%

Electronic reporting of all reference laboratory results: An important step toward a truly all-encompassing, integrated health record

Kratz

2016

Health Informatics J

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“…Unfortunately, interfacing each of these peripheral instruments with the LIS is not always pursued or is deemed too resource intensive, because these interfaces may need to be built and maintained by in-house support teams, but the lack of an instrument-LIS interface can result in inefficient and error-prone daily workflow in the laboratory. It has been demonstrated that manual entry of microbiology results is a source of laboratory errors (47,48), and other clinical laboratories have demonstrated that the development of in-house interfaces between instruments and the LIS can be useful in reducing manual entry errors and hands-on time (49,50). In order to optimize the efficiency and accuracy of all instrument testing, interfaces between laboratory instruments and the LIS should be employed for data transfer whenever possible.…”

Section: Instrument Interfaces With the Lismentioning

confidence: 99%

Clinical Microbiology Informatics

et al. 2014

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SUMMARY The clinical microbiology laboratory has responsibilities ranging from characterizing the causative agent in a patient's infection to helping detect global disease outbreaks. All of these processes are increasingly becoming partnered more intimately with informatics. Effective application of informatics tools can increase the accuracy, timeliness, and completeness of microbiology testing while decreasing the laboratory workload, which can lead to optimized laboratory workflow and decreased costs. Informatics is poised to be increasingly relevant in clinical microbiology, with the advent of total laboratory automation, complex instrument interfaces, electronic health records, clinical decision support tools, and the clinical implementation of microbial genome sequencing. This review discusses the diverse informatics aspects that are relevant to the clinical microbiology laboratory, including the following: the microbiology laboratory information system, decision support tools, expert systems, instrument interfaces, total laboratory automation, telemicrobiology, automated image analysis, nucleic acid sequence databases, electronic reporting of infectious agents to public health agencies, and disease outbreak surveillance. The breadth and utility of informatics tools used in clinical microbiology have made them indispensable to contemporary clinical and laboratory practice. Continued advances in technology and development of these informatics tools will further improve patient and public health care in the future.

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Error in laboratory report data for platelet count assessment in patients suspicious for dengue: a note from observation

Wiwanitkit

2016

Asian Pacific Journal of Tropical Disease

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The frequency and potential clinical impact of non-analytical errors in the RCPA Microbiology QAP 1987-2008

Cited by 5 publications

References 14 publications

Electronic reporting of all reference laboratory results: An important step toward a truly all-encompassing, integrated health record

Electronic reporting of all reference laboratory results: An important step toward a truly all-encompassing, integrated health record

Clinical Microbiology Informatics

Error in laboratory report data for platelet count assessment in patients suspicious for dengue: a note from observation

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