Laboratory information systems in clinical biochemistry in Australia

George Streitberg, Lyndall Angel, Kenneth A Sikaris, Phillip Bwititi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Computers and information technology in pathology have improved efficiency and security allowing more effective patient care. However the extent of utilisation of this technology in Australia is not clear. The aim of the study was to look at availability and utilisation of Laboratory Information System (LIS) in clinical biochemistry laboratories. Self-administered questionnaires were sent to senior staff of clinical biochemistry in NPAAC GX/GY classified laboratories in Australia. Questions ascertained whether the laboratory utilised a LIS and the functionality of the system. Of the 82 respondents, 97% have LIS and a large number have bi-directional interface on the main analysers, quality control validation programs and a LIS program to alert critical values. Ninety-three percent of respondents have results available electronically to the patient health-care team. The majority of laboratories auto-validate and accept general serum chemistry and immunoassay results using algorithms embedded in either middle-ware or the LIS. Management, chemical pathologist, senior scientist collectively or alone determine and update the auto-validation rules. Computer and biochemistry personnel are responsible for inserting auto-validation rules into the LIS. The use of computers and LIS's appears universal and the future laboratory will rely more on interfaces for instrumentation, software programs for quality control, auto-validation, handling of critical values, and reporting of results. These attributes assist to make pathology pivotal to patient care and close to the patient care team.
Original languageEnglish
Pages (from-to)2-8
Number of pages7
JournalAustralian Journal of Medical Science
Volume35
Issue number1
Publication statusPublished - Feb 2014

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