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  1. Are physicians'office Laboratory results of comparable quality to those produced in other Laboratory settings ?

    Article - En anglais

    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.

    Objective

    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.

    Setting

    - 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.

    Results

    - 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).

    Conclusions

    - 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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0139100

    Code Inist : 002B30A09. Création : 21/07/1998.