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WHAT PHYSICIAN’S SHOULD KNOW ABOUT THE DIAGNOSTIC LABORATORIES?

WHAT PHYSICIAN’S SHOULD KNOW ABOUT THE DIAGNOSTIC LABORATORIES?

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Published by doctorrao
WHAT PHYSICIAN’S SHOULD KNOW ABOUT THE DIAGNOSTIC LABORATORIES?
WHAT PHYSICIAN’S SHOULD KNOW ABOUT THE DIAGNOSTIC LABORATORIES?

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Published by: doctorrao on Nov 19, 2013
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05/15/2014

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Physician
s continue to be master of the game in the Medical profession, where the patients depend on the advice of the clinicians for many good and bad reasons. However Clinicians play a pivotal role in patient education and in cooperation with all diagnostic services, clinicians may regard quality management of diagnostic services as a matter that is separate from their own area of responsibility. Therefore they are not aware of the need for, and may fail to add, sufficient information on a patient, which makes it difficult for a diagnostic service to provide clinically relevant results. Clinicians may feel that they do not have the time for such activities, and they may not see the clinical outcomes are in fact tied to the diagnostic processes being followed. If I am right around 50% of the Microbiology specimens arrive in the laboratory without minimal clinical information, Take the example of Urine for culture majority of the specimens do not contain any information whether the patient was on catheter, or on Antibiotic Therapy, which will really makes a great difference in reporting for clinician benefit of urine culturing. Clinicians are rarely used for team-work and may feel uncomfortable working as a member of a team of health workers with different professional training or fewer credentials. The diagnostic services may not recognize the clinical importance of its observations in the management of a patient; and vice versa, the clinician may not be sufficiently aware of the relevance of a diagnostic observation to the clinical situation of a patient. It was my early years when I was just a resident in a well-equipped Superspecalists hospital in Andhra Pradesh, our Medical Director a Cardio thoracic surgeon, and a tough administrator, when I introduced myself, he said so you are Microbiologist you examine Our urine and sputum. I felt surprised to find this is the imagination of senior people in the Medical profession, about the benefits of Diagnostic Microbiology; however my sincerity and knowledge proved I can do many things beyond his imagination in Microbiology. The major observations of World Health Organization Studies in developed countries have revealed between 20% and 60%of orders for laboratory investigations are clinically unjustified. With privatization of Medical sector in India, the private laboratories are used as tools to generate money to the Hospitals and to the pockets of busy clinical Practitioners. The clinicians if they write several investigations in the changing world with restrains of the money, definitely patient will realises that he knows little himself in clinical medicine, and wish to investigate him like a Guinea pig. However the one should realise, Patients seek medical help for determination and treatment of various health problems. Sometimes a
combination of the patient’s history and a clinical exami
nation by a primary level physician are enough to decide whether medical treatment is needed, and what treatment should be given. However, often laboratory investigations or diagnostic imaging, or Microbiology culture procedures are required to confirm a clinically suspected diagnosis or to obtain more accurate information. The Young doctors should realise the request to laboratory investigations should be with sense, should take into consideration, the clinical symptoms together with the medical history and physical examination of the patient guide the clinician to request a diagnostic investigation for confirmation or exclusion of a disease. However all Doctors should be familiar with Diagnostic investigation as there are three phases in the process of diagnostic investigation
:•the pre
-analytical phase
•the analytical
 phase

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