Adizua U C
Department of Chemical Pathology, Federal Medical Centre , Umuahia, Abia state, Nigeria.
West Afr J Med. 2019 May-Aug;36(2):112-115.
Laboratory request forms serve as a medium for communication between clinicians managing medical cases and the pathologist. Improperly filled forms impairs the ability of pathologists to generate sound and valuable reports. This research focused on finding out the extent to which doctors in Federal Medical Centre, Umuahia properly fill laboratory request forms.
A total of 1,509 laboratory request forms directed to the electrolyte bench, already filled out by various doctors in the hospital between May and October, 2018 were retrospectively studied. The completeness of information supplied by requesting physician based on some parameters were analysed.
In descending order, the most frequently provided data were as follows; name of patient, 1,509[100.0%]; gender,973[64.5%]; provisional diagnosis,866[57.4%]; age,639[42.4%]; hospital number,428[28.4%]; clinical summary,47[3.1%]. 26[2%] forms were completed in their entirety per the 6 variables assessed.
Proper and adequate filling of laboratory request forms is very poor in this hospital. Therefore, continuous medical education on the need for adequate completion of request forms is absolutely necessary.
实验室申请表是管理医疗病例的临床医生与病理学家之间的沟通媒介。填写不当的申请表会削弱病理学家生成合理且有价值报告的能力。本研究聚焦于查明乌穆阿希亚联邦医疗中心的医生正确填写实验室申请表的程度。
回顾性研究了2018年5月至10月期间医院各医生已填写的共计1509份送往电解质检测台的实验室申请表。根据一些参数分析了申请医生提供信息的完整性。
按降序排列，最常提供的数据如下：患者姓名，1509份[100.0%]；性别，973份[64.5%]；初步诊断，866份[57.4%]；年龄，639份[42.4%]；医院编号，428份[28.4%]；临床摘要，47份[3.1%]。根据评估的6个变量，26份[2%]表格填写完整。
该医院实验室申请表的正确和充分填写情况非常差。因此，绝对有必要就充分填写申请表的必要性开展持续医学教育。
