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"What is most important is that the results management system is accountable and transparent," Rogge said.
It was concluded that an integrated electronic results management system would improve the management of laboratory results.
A total of 45 discrete hazard categories were identified which cover the breadth of the laboratory test ordering and results management system (see online supplementary appendix 1).
The first was Hickner et al's 8 generic model of the preanalytic, analytic and postanalytic stages and functions of a diagnostic test ordering and results management system.
A conceptual model of the hazards associated with the test ordering and results management system and their potential impacts on health, well-being and performance was developed based on empirical data from this study and others.
In 647 practices (83.2%), a range of hazards were observed and recorded by clinical risk assessment facilitators that were related to the safe operation of the test ordering and results management system.
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They were encouraged to speak freely about their experiences and perceptions of all aspects of the results management systems in their practices.
Much work has been done in Peru by Blaya, Fraser, and others to improve TB laboratory services and results management systems, with very clear benefits.
CRSA visits were undertaken to 778 UK and Ireland general practices of which a range of systems hazards were recorded across the laboratory test ordering and results management systems in 647 practices (83.2%).
In this study, we analysed data on test results management systems held in a large medical protection organisational database collected as part of clinical risk assessments undertaken in general practices throughout the UK and Ireland.
A significant proportion of all medico-legal claims in primary healthcare are related to delayed, missed or inaccurate diagnoses with unsafe and ineffective laboratory test ordering and results management systems frequently cited as contributory factors in these failures [ 9].
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