Re: Laboratory Request Form scanning

On 2005-09-14 03:31:15 -0400, "Sam Smith" <Res1r09@xxxxxxxxxxx> said:

Any one using something similar in the out patient setting, say an internist ordering a lab?
Sam
"Manky Badger" <spam@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx> wrote in message news:db1f72$t7j$1@xxxxxxxxxxxxxxxxxxxxxxx

"Stephen.B" <Sorry@xxxxxxxxxxxxx> wrote in message news:db18tg$i92$1@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx 
Hi All,

I am interested in exploring less laboriuos ways of importing the data from Laboratory Request forms into out Laboratory Information Management System (LIMS) and would like to get some information on the subject from anyone who may be using a similar mechanism in their Laboratory currently.

Seeing vast difficulties in actually importing all of the data from our currently hand written request forms, I believe that an achievable starting point would be that of importing the Test information only.

Any advice and information would be gratefully received.

Many thanks,

Stephen. 

We use a system for in patient/hospital out patient whereby the wards enter
the patient's demographics, diagnosis & test requests onto their ward based
computer.
This generates a form with all the details and a unique number called an ION
(bar coded) which they send with the blood sample to the lab.
We then allocate our lab number to the request and effectively tell the lab
computer that sample number 123456 goes with ION 1231346567494354645B (bar
code scanning!) and all the PID & requests appear as if by magic :o)
And then that's it, apart from a check that the details on form do indeed
match the computer.

We then" do our thing" and when results are at an "authorised stage" where
we would happily print them, the lab computer then sends them to the ward
based system.

There's plans to extend this to GP surgeries, but as always there's
squabbles as to which pot of money will pay for it.

Hope that helps.


I'm the lab information manager for a Veterans Affairs hospital. The VA uses a whole hospital integrated system called VISTA. This software manages every aspect of the hospital from maintenance, personnel, fiscal, pharmacy, lab, radiology, medicine, etc,etc,etc.

When any provider enters an order into the Computerized Patient Record System (CPRS is the gui version of VISTA), the orders are instantly available to lab staff for either inpatient or outpatient work. As soon as a provider enters the order an "order label" will print with all the CAP and JCAHO required patient identifiers, the test name, the tube to draw, etc. there is even a space for the phleb to write their initials and time of collection. When we receive a tube with an order label we just type or scan the order number and the exact doctors order appears on the screen to be accessioned into VISTA.

As soon as an accession number is generated the appropriate worklist is updated and the test is downloaded into the correct instrument. If it is a send out the shipping manifest is updated and the correct Quest order name and code is printed on the manifest ***.

Results are uploaded from the instruments into VISTA for our verification - we don't allow autoverify yet, although it is now approved, the software isn't set up for it.

The CPRS screens are updated with the lab results instantly and can be viewed by anyone with proper access. CPRS also has the ability to view x-rays, EKGs, GI studies, scanned documents like advanced directives, consents, etc.

Another aspect of CPRS is Bar Coded Medicine Administration in which the nurse scans the patient's barcoded wristband and then scans the medicine bottle - only if they match can the med be given. This also works for blood bank, but currently only in our OR. The next version should make it to the other wards.

And to top it all off VISTA is a free program (with a $30 US fee for the CD) from your friendly US Government. Of course it will cost about millions in salaries, equipment and support to get it all up and running.

--
John Gentile, MS M(ASCP)
Laboratory Information Manager
Providence, VAMC

.

Loading