On the basis of data events being monitored by the expert laboratory computer system in our laboratory, the system can (a) alert the analysts that a certain data event has occurred, (b) order a reflex test or cancel a test already ordered based on a data event, (c) handle critical results reporting issues, (d) monitor unacceptable specimens, (e) handle discrepant results reporting, (fl allow for standing orders, (g) append coded comments for interpretation, (h) log the occurrence of a data event into a downloadable ASCII file, and (i) based on a data event, e-mail or fax a laboratory report to a client.
Although older laboratory computer systems generally perform routine functions rather well but the nonroutine functions poorly, it follows that newer computer solutions for the laboratory must recognize and handle both routine and nonroutine situations with ease.
In our current CHIN laboratory computer system, all information flows automatically to and from different components of the system with the central core laboratory computer system serving as the heart of the system.
The key to a successful CHIN laboratory computer system is the automated flow of critical laboratory information throughout the testing process, thus eliminating bottlenecks and manual steps in the test process; and foremost, ensuring good business practice throughout.
Previously, transporting laboratory test results data from the laboratory computer systems
to physician, nursing, and medical administrative areas consisted of a system employing a variety of methods.
Ed Heierman, PhD, Abbott Diagnostics, and CLSI volunteer, explains, "The LIS01-A2 protocol continues to serve as the foundation for the reliable transmission of patient results to laboratory computer systems
for many laboratory instruments.
And she understands the role of laboratory computer systems
Currently available laboratory computer systems
can display time trends for key laboratory data.
As for the bit of history, I recall that one of the early laboratory computer systems used programming based on developmental efforts at the clinical laboratory of the NIH.
Not only have some of the current clinical laboratory computer systems benefited from the design changes for operating flexibility, but advances in programming have led to the data base management system.
Laboratory computer systems
generally do an excellent job in the first category, but they fall short in the other two.