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临床化学报告。问题与建议。

Clinical chemistry reporting. Problems and proposals.

作者信息

Bold A M

出版信息

Lancet. 1976 May 1;1(7966):951-5. doi: 10.1016/s0140-6736(76)92726-4.

Abstract

The completed report is the most obvious interface between the laboratory and the clinician. An unattractive, uninformative, or confusing report may fail to do justice to an excellent analytical service. Unfortunately, relatively little effort has been expended on achieving the best possible report, and individual enthusiasm and initiative has led to widely diverse practices in reporting. There is an urgent need for standardisation of report formats and it is suggested that all reports should include guidance on abnormality, be in cumulative format, and contain a realistic statement of analytical reliability.

摘要

完整的报告是实验室与临床医生之间最明显的接口。一份缺乏吸引力、信息不足或令人困惑的报告可能无法充分体现出色的分析服务。遗憾的是,在生成尽可能最佳的报告方面投入的精力相对较少,个人的热情和主动性导致报告实践差异很大。迫切需要对报告格式进行标准化,建议所有报告都应包含对异常情况的说明,采用累积格式,并包含关于分析可靠性的实际陈述。

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