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Development and implementation of an automatic system for verification, validation and delivery of laboratory test results.

机译:开发和实施用于验证,确认和交付实验室测试结果的自动系统。

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BACKGROUND: The verification/validation of laboratory test results is one of the most critical aspects of the total testing process, which may produce conflicts between competencies and duties at the point of professional crossroads. This process has centered for decades on the human component, with positive effects as well as potential adverse consequences (postanalytical errors). Manual validation of data is a time-consuming activity, is inherently subjective and arbitrary, and requires the constant presence of postgraduate physicians or biologists within the laboratory with adverse economical and organizational impacts. To overcome these inherent limitations, we have developed and implemented in our stat department an automatic system for verification, validation and delivery of laboratory results. METHODS: The procedure is based on automatic validation of test results by an expert system, coupled with remote wireless connection, which allows the laboratory professional "on call" to access, visualize, analyze, validate and deliver alert values (suspect, erroneous or critical) using a small laptop. This system also provides five phases where preanalytical and analytical errors can be identified and handled. RESULTS AND CONCLUSIONS: Six months following implementation of this innovative system, which can be customized to facilitate a wide variety of laboratory workflow models, the reporting efficiency of our stat laboratory has greatly improved, reducing manual data entry, and increasing the timeliness and utility of test results.
机译:背景:实验室测试结果的验证/确认是整个测试过程中最关键的方面之一,这可能会在专业十字路口产生能力和职责之间的冲突。这个过程已经集中了几十年的时间,涉及人类因素,产生了积极的影响以及潜在的不利后果(分析后错误)。手动验证数据是一项耗时的活动,本质上是主观的和任意的,并且需要实验室内不断存在研究生医师或生物学家,并对经济和组织产生不利影响。为了克服这些固有的局限性,我们在统计部门开发并实施了一个自动系统,用于验证,确认和交付实验室结果。方法:该程序基于专家系统对测试结果的自动验证以及远程无线连接,允许实验室专业人员的“通话中”访问,可视化,分析,验证和提供警报值(可疑,错误或严重) )使用小型笔记本电脑。该系统还提供五个阶段,可以识别和处理分析前和分析中的错误。结果与结论:实施该创新系统六个月后,该系统可以进行定制以方便各种实验室工作流程模型,我们的统计实验室的报告效率已大大提高,减少了手动输入数据,并提高了及时性和实用性检测结果。

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