Are physicians'office Laboratory results of comparable quality to those produced in other Laboratory settings ?
Context-ln 1995, California adopted a bill that brought laboratory laws in line with the 1988 Clinical Laboratory Improvement Amendments'standards for clinical laboratories and mandated a study comparing results in physicians'office laboratories (POLs) with other settings.
To determine whether persons conducting tests in POLs produce accurate and reliable test results comparable to those produced by non-POLs.
Deslgn-Survey of clinical laboratories using proficiency testing data.
- All California clinical laboratories participating in the American Association of Bioanalysts proficiency testing program in 1996 (n=11 10).
Main Outcome Measures
- « Unsatisfactory » (single testing event failure) and « unsuccessful » (repeated testing event failure) on proficiency testing samples.
- The unsatisfactory failure rate for POLs was nearly 3 times (21.5% vs 8.1%) the rate for the non-POLs and about 1.5 times (21.5% vs 14.0%) for POLs that used laboratory professionals as testing or supervisory personnel (P<. 001).
The POL unsuccessful rate was more than 4 times (4.4% vs 0.9%) the rate for non-POLs and more than twice (4.4% vs 1.8%) the rate for the POLs using laboratory professionals (P<. 001).
- Significant differences exist among POLs, POLs using licensed clinical laboratory scientists (medical technologists), and non-POLs. (...)
Mots-clés Pascal : Laboratoire, Clinique, Etude comparative, Qualité production, Médecin, Responsabilité professionnelle, Enquête sur terrain, Homme, Economie santé
Mots-clés Pascal anglais : Laboratory, Clinic, Comparative study, Production quality, Physician, Occupational responsibility, Field inquiry, Human, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0139100
Code Inist : 002B30A09. Création : 21/07/1998.