Using Web technologies for implementing testing strategies

被引:2
作者
Connelly, DP [1 ]
机构
[1] Univ Minnesota, Sch Med, Dept Lab Med & Pathol, Hlth Informat Div, Minneapolis, MN 55455 USA
关键词
D O I
10.1016/S0272-2712(01)00005-1
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Web technologies will play an increasingly important role in connecting the clinician to the laboratory in both the ambulatory care and hospital settings, so it is timely to incorporate their consideration into any discussion focused on clinical laboratory testing strategies. Web technologies can help activate a testing strategy and make its application more likely by disseminating information about the strategy and, more importantly, by facilitating and reinforcing clinician intent to use the strategy. Web-mediated approaches to test strategy facilitation include access to electronic laboratory handbooks and other pertinent knowledge resources, enhanced order forms, abstracted test order subsets, workflow integration, alerts and reminders, automated policy-driven ordering, and reports augmented with interpretive knowledge. The rapid evolution of the use of Web technology in the clinical laboratory presents interesting challenges to laboratory leaders.
引用
收藏
页码:529 / +
页数:19
相关论文
共 28 条
[11]   INFORMATION-SEEKING IN PRIMARY-CARE - HOW PHYSICIANS CHOOSE WHICH CLINICAL QUESTIONS TO PURSUE AND WHICH TO LEAVE UNANSWERED [J].
GORMAN, PN ;
HELFAND, M .
MEDICAL DECISION MAKING, 1995, 15 (02) :113-119
[12]   EFFECT OF CLINICAL GUIDELINES ON MEDICAL-PRACTICE - A SYSTEMATIC REVIEW OF RIGOROUS EVALUATIONS [J].
GRIMSHAW, JM ;
RUSSELL, IT .
LANCET, 1993, 342 (8883) :1317-1322
[13]   Effects of computer-based clinical decision support systems on physician performance and patient outcomes - A systematic review [J].
Hunt, DL ;
Haynes, RB ;
Hanna, SE ;
Smith, K .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (15) :1339-1346
[14]   Computerized reminders to monitor liver function to improve the use of etretinate [J].
Koide, D ;
Ohe, K ;
Ross-Degnan, D ;
Kaihara, S .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2000, 57 (01) :11-19
[15]  
Kuperman G J, 1996, Proc AMIA Annu Fall Symp, P704
[16]   Improving response to critical laboratory results with automation: Results of a randomized controlled trial [J].
Kuperman, GJ ;
Teich, JM ;
Tanasijevic, MJ ;
Ma'Luf, N ;
Rittenberg, E ;
Jha, A ;
Fiskio, J ;
Winkelman, J ;
Bates, DW .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 1999, 6 (06) :512-522
[17]  
Manning P R, 2001, J Contin Educ Health Prof, V21, P46, DOI 10.1002/chp.1340210108
[18]  
MICHEL RL, 1999, DARK REPORT, V6, P2
[19]   COMPUTERIZED PROTOCOLS FOR LABORATORY INVESTIGATION AND THEIR EFFECT ON USE OF MEDICAL TIME AND RESOURCES [J].
MUTIMER, D ;
MCCAULEY, B ;
NIGHTINGALE, P ;
RYAN, M ;
PETERS, M ;
NEUBERGER, J .
JOURNAL OF CLINICAL PATHOLOGY, 1992, 45 (07) :572-574
[20]   A randomized trial of ''corollary orders'' to prevent errors of omission [J].
Overhage, JM ;
Tierney, WM ;
Zhou, XH ;
McDonald, CJ .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 1997, 4 (05) :364-375