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A Report Template for Molecular Genetic Tests Designed to Improve Communication Between the Clinician and Laboratory

机译：一份报告模板分子基因检测旨在提高之间的通信临床和实验室

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Ann: Errors are most likely to occur during the pre- and postanalytic phases of the genetic testing process, which can contribute to underuse, overuse, and misuse of genetic tests. To mitigate these errors, we created a template for molecular genetic test reports that utilizes the combined features of synoptic reporting and narrative inter-pretation. Methods: A variation of the Delphi consensus process with an expert panel was used to create a draft report template, which was further informed by focus group discussions with primary care physicians. Results: There was agreement that molecular genetic test reports should present information in groupings that flow in a logical manner, and most participants preferred the following order of presentation: patient and physician information, test performed, test results and interpretation, guidance on next steps, and supplemental infor-mation. We define data elements for the report as "required," "optional," "possible," and "not necessary"; provide recommendations regarding the grouping of these data elements; and describe the ideal design of the report template, including the preferred order of the report sections, formatting of data, and length of the report. Discussion: With input from key stakeholders and building upon prior work, we created a template for molecular genetic test reports designed to improve clinical decision making at the point of care. The template design should lead to more effective communication between the laboratory and ordering clinician. Studies are needed to assess the usefulness and effectiveness of molecular genetic test reports generated using this template.
机译：安:最有可能发生在错误预处理和postanalytic阶段的基因测试过程,可以促进未充分利用,过度使用和滥用的基因测试。为了减轻这些错误,我们创建了一个模板利用的分子遗传测试报告天气报告和合并后的特性叙述枫桥夜泊。德尔菲专家共识过程面板是用来创建一个草案报告模板,这是进一步通过焦点小组与初级保健医生的讨论。结果:分子有协议基因测试报告应该提供的信息在分组流逻辑的方式,大多数参与者更喜欢下面的订单演示:病人和医生信息,测试执行,测试结果和解释,指导下一步补充信息。元素的报告是“要求”,“可选的”、“可能”,“没必要”;提供建议的分组这些数据元素;设计报告的模板,包括优先顺序报告的部分,报告的格式的数据,和长度。讨论:与关键的利益相关者和输入建立在之前的工作中,我们创建了一个模板分子遗传测试报告设计提高临床决策的时候护理。实验室之间的有效沟通和排序的临床医生。评估的实用性和有效性分子遗传学测试报告生成的使用该模板。

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