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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.


    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

    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.