Data utilization, not data acquisition, is the main problem.
Previous studies focusing on the value of laboratory testing have sometimes been flawed because they had not always determined whether the data generated had been appropriately used by clinicians. It has been well documented that neither clinicians nor administrators always use objective data effectively. When data are not used appropriately by clinicians, not only are morbidity and mortality increased, but also care costs are higher. Failures by administrators result in lost opportunities to identify and correct system deficiencies. To provide information support to assure good data utilization, a prototype desktop workstation has been developed and partially implemented. Experience with such a system suggests that not only may it help provide better care more economically, but it can also aid in implementation of Practice Guidelines (Agency for Health Care Policy and Research) and Clinical Indicator (Joint Commission on Accreditation of Healthcare Organizations) programs. Laboratorians can be influential in this effort and promote the use of new knowledge in patient care in a timely and responsible manner.
Altshuler
C H
CH
St. Joseph's Hospital, Milwaukee, WI 53210.
D002624:Chemistry, Clinical / Q000592:standards*; D003625:Data Collection; D016208:Databases, Factual; D003933:Diagnosis; D018166:Health Care Reform; D006801:Humans; D007753:Laboratories; D010820:Physicians