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Interpretative commenting.

作者信息

Vasikaran Samuel

机构信息

Department of Core Clinical Pathology and Biochemistry, PathWest Laboratory Medicine WA, Royal Perth Hospital, Perth, WA 6000, Australia.

出版信息

Clin Biochem Rev. 2008 Aug;29 Suppl 1(Suppl 1):S99-S103.

Abstract
  • Clinical laboratories should be able to offer interpretation of the results they produce. * At a minimum, contact details for interpretative advice should be available on laboratory reports.Interpretative comments may be verbal or written and printed. * Printed comments on reports should be offered judiciously, only where they would add value; no comment preferred to inappropriate or dangerous comment. * Interpretation should be based on locally agreed or nationally recognised clinical guidelines where available. * Standard tied comments ("canned" comments) can have some limited use.Individualised narrative comments may be particularly useful in the case of tests that are new, complex or unfamiliar to the requesting clinicians and where clinical details are available. * Interpretative commenting should only be provided by appropriately trained and credentialed personnel. * Audit of comments and continued professional development of personnel providing them are important for quality assurance.
摘要
  • 临床实验室应能够对其出具的结果进行解读。

  • 至少,实验室报告上应提供解读建议的联系方式。解读意见可以是口头的、书面的或打印的。

  • 报告上的打印意见应谨慎提供,仅在其能增加价值的情况下提供;不恰当或危险的意见不如不提供意见。

  • 解读应基于当地认可或国家公认的临床指南(如可获取)。

  • 标准的固定评语(“预设”评语)有一定的有限用途。对于申请临床医生不熟悉的新的、复杂的或不常见的检测,以及有临床详细信息的情况,个性化的叙述性评语可能特别有用。

  • 解读评语应由经过适当培训并具备资质的人员提供。

  • 对评语进行审核以及为提供评语的人员提供持续专业发展培训对于质量保证很重要。

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本文引用的文献

1
The assessment of interpretation in clinical biochemistry: a personal view.
Ann Clin Biochem. 2007 Mar;44(Pt 2):101-5. doi: 10.1258/000456307780118163.
2
Technology to improve quality and accountability.
Clin Chem Lab Med. 2006;44(6):719-23. doi: 10.1515/CCLM.2006.136.
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Quality assessment of interpretative commenting in clinical chemistry.
Clin Chem. 2004 Mar;50(3):632-7. doi: 10.1373/clinchem.2003.024877.
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Review of a pilot quality-assessment program for interpretative comments.
Ann Clin Biochem. 2002 May;39(Pt 3):250-60. doi: 10.1258/0004563021901955.
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Provision of interpretative comments on biochemical report forms.
Ann Clin Biochem. 2000 Nov;37 ( Pt 6):758-63. doi: 10.1258/0004563001900066.

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