More on Lab Communication with Test-Ordering Physicians and Nurses

In a recent note (see:Need for Improved Communication Channels between Clinical Labs and Users), I addressed the issue of optimizing lab communications with clinicians and the desirability of formally integrating such activities into the job descriptions of lab personnel. As a comment, Branko Perunovic, submitted the following:Thanks for the post, this is a relevant and often revisited topic.Our team at Laboratory Medicine atSheffield Teaching Hospitals, UK, is prototyping eConsult, in-house developed software bolt-on the electronic requesting and LIMS system that enables questions and successive answers in relation to the particular case/episode becoming a part of the patient record (and avoid disruptive phone enquirers, repeated questions as the patient moves through the system and learning about the recurrent issues/gaps in education that need to be addressed in a systematic way. The prototype rolled out in the hospital and will extend to primary care and outreach sites. Due to other type of legacies, not able to include mobile devices. A quick overview will be published in the next RCPath Bulletin. This is a very good idea from Branko and his team in Sheffield, UK: integrate questions to lab experts and the subsequent answers (I assume written) into the electronic medical record for documentation of the process and later reference. As I continue to ponder the issue of how to improve lab consultation with users, I have come up with the following hierarchy of va...
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