| Titre : | Are physicians'office Laboratory results of comparable quality to those produced in other Laboratory settings ? (1998) |
| Auteurs : | J. HURST ; L.H. HILBORNE ; K. NICKEL ; Laboratory Field Services. California Department of Health Services. Berkeley. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 279, n° 6, 1998) |
| Pagination : | 468-471 |
| Langues: | Anglais |
| Mots-clés : | Laboratoire ; Clinique privée ; Etude comparée ; Médecin ; Responsabilité professionnelle ; Homme ; Economie santé |
| Résumé : | [BDSP. Notice produite par INIST y8vmR0x4. Diffusion soumise à autorisation]. 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. (...) |
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