Document Detail

Effectiveness of out-of-hours biochemistry investigations.
MedLine Citation:
PMID:  6788298     Owner:  NLM     Status:  MEDLINE    
A survey was carried out of doctors who used their out-of-hours biochemistry service to find out why requests for investigations were made, how often the results altered patient management, and whether they could define areas where investigations were unproductive. Of 107 questionnaires distributed, 147 (88%) were completed. In 86% the requests were for diagnosis or immediate patient management and in 35% the results actually altered management. Senior clinical staff were more efficient than their juniors in instigating biochemical investigations that proved to be effective. In no instance where the clinical staff predicted that it was unlikely that the results would alter management was management altered. It is suggested that joint reviews of case notes by junior and senior clinical staff would prove to be the most appropriate way to increase the effectiveness and efficiency of clinical investigation.
R M Young; R B Payne
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British medical journal (Clinical research ed.)     Volume:  283     ISSN:  0267-0623     ISO Abbreviation:  Br Med J (Clin Res Ed)     Publication Date:  1981 Jul 
Date Detail:
Created Date:  1981-09-25     Completed Date:  1981-09-25     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8302911     Medline TA:  Br Med J (Clin Res Ed)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  289-91     Citation Subset:  IM    
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MeSH Terms
Biochemistry / economics*
Cost-Benefit Analysis
Hospital Bed Capacity, 500 and over
Hospital Departments / utilization*
Laboratory Techniques and Procedures / utilization
Medical Staff, Hospital
Pathology Department, Hospital / utilization*

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