Background: Physician requests for additional testing on an existing laboratory specimen (add-ons) are resource intensive and generally require a phone call to the laboratory. Verbal orders such as these have been noted to be associated with errors in accuracy. The aim of this study was to compare a novel computerized system for add-on requests to the prior verbal system. Method: We compare the computerized add-on request system to the verbal system with respect to order completeness and workflow. Results: We demonstrate that the computerized add-on system resulted in the complete in-laboratory documentation of the add-on request 100% of the time, compared to 58% with the verbal add-on system. In addition, we show that documentation of a verbal add-on request in the electronic medical record (EMR) occurred for 4% of requests, while in the computerized system EMR documentation occurred 100% of the time. We further demonstrate that the computerized add-on request process was well accepted by providers and did not significantly change the test mix of the add-on requests. Conclusions: In computerized physician order entry (CPOE) implementations, add-on order functionality should be considered so these orders are documented in the EMR.

O-beta-N-Acetylglucosaminidase on human Erythrocytes as biomarker of oxidative stress in erectile disfunction patients / L. Massaccesi, A. Barassi, F. Ciociola, F. Ghilardi, R. Pacciolla, G.M. Colpi, G. Goi, G.V. Melzi d’Eril. - In: CLINICAL CHEMISTRY AND LABORATORY MEDICINE. - ISSN 1434-6621. - 49:suppl. 1(2011 May), pp. 845-845. ((Intervento presentato al convegno IFCC tenutosi a Berlin nel 2011 [10.1515/CCLM.2011.140].

O-beta-N-Acetylglucosaminidase on human Erythrocytes as biomarker of oxidative stress in erectile disfunction patients.

L. Massaccesi;A. Barassi;G. Goi;G.V. Melzi d’Eril
2011

Abstract

Background: Physician requests for additional testing on an existing laboratory specimen (add-ons) are resource intensive and generally require a phone call to the laboratory. Verbal orders such as these have been noted to be associated with errors in accuracy. The aim of this study was to compare a novel computerized system for add-on requests to the prior verbal system. Method: We compare the computerized add-on request system to the verbal system with respect to order completeness and workflow. Results: We demonstrate that the computerized add-on system resulted in the complete in-laboratory documentation of the add-on request 100% of the time, compared to 58% with the verbal add-on system. In addition, we show that documentation of a verbal add-on request in the electronic medical record (EMR) occurred for 4% of requests, while in the computerized system EMR documentation occurred 100% of the time. We further demonstrate that the computerized add-on request process was well accepted by providers and did not significantly change the test mix of the add-on requests. Conclusions: In computerized physician order entry (CPOE) implementations, add-on order functionality should be considered so these orders are documented in the EMR.
Settore BIO/12 - Biochimica Clinica e Biologia Molecolare Clinica
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/255115
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