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Medical Forum / General / Laboratory / February 2004saving coagulation results from instrument directly -
We have our coag instrument hooked up to our LIS. Results are downloaded to the LIS and resulted through the LIS. Now my question is, since the results are already saved on the LIS and through the backup tapes, do we need to be saving the results directly off of the coag instrument onto Floppy Disk as well, or the LIS sufficient? Chemistry saves a hard copy print out of all their results. Hematology does not (though our manager thinks we probably should be). BB has an ABS and saves the hard copy as well as backing up the results on floppy). Of course the LIS has the final results whereas anything saved on floppy has any intermediate steps taken, repeats and the like. nicolette (MT-ASCP) > We have our coag instrument hooked up to our LIS. Results are > downloaded to the LIS and resulted through the LIS. Now my question [quoted text clipped - 9 lines] > Of course the LIS has the final results whereas anything saved on > floppy has any intermediate steps taken, repeats and the like. Where in the world are you ? - Opinions vary from place to place. I'm UK based & although our lab analysers have limited data storage (about a month's worth) we regard the LIS & ity's backups to be sufficient. HTH MB > > We have our coag instrument hooked up to our LIS. Results are > > downloaded to the LIS and resulted through the LIS. Now my question [quoted text clipped - 18 lines] > > MB For what it's worth from OK... We had our CLIA inspection a couple of months back, and the opinion of the inspector was that you should save the hard copies from the analyzer, a backup copy on floppy, and the results in the LIS. The reasons for all the copies are: 1) You save the results in the LIS, obviously, because those are the reported results with any computer generated comments. Especially important if you have results that autoverify for large volume labs. 2) You download all results to a floppy so you have a computer generated copy of all testing cycles run... harder to tamper with without leaving a trace... good backup in case the hard copies from the analyzer are lost or damaged. Disks take up much less storage room and can be a lifesaver if procedure/policy questions come up regarding the reliability of a result (the hospital down the street recently had an incorrect ISI shipped in the product insert for their thromboplastine... the disks were much easier to work from when determining the extent of the problem and how many results were involved) 3) The hard copy is kept as backup in case the floppies are damaged, plus we are required by CLIA to keep all instrument hard copies for 2 years. Also if you hand write observations on your hard copies (depending on the instrument and procedure, obviously), then enter those in the LIS after a manual review, you have the hard copy with the original comments in case you need to refer back to those. For what it's worth... I hope it helps! Shylirin Dang. i hate to hear that..... I'm in IN btw. Could someone take thier inspector into a room where the hard copies are kept floor to ceiling and *arrange* to have them fall on him/her? Then maybe for safety's sake they would stop suggesting that?? No, more likely it would generate regulations on *how* they were to be kept... nicolette >For what it's worth from OK... >We had our CLIA inspection a couple of months back, and the opinion of the [quoted text clipped - 26 lines] > >Shylirin LOL!! We'd be required to store them in special locking cabinets that are securely fastened to the wall and floor... :) FYI... if you are installing any new analyzers, be aware of CLIA's new regulations regarding accuracy, precision, and (the hardest one) verifiying the reportable range of the analyzer. I am installing a new Clinitek 500, and we have to verify the upper and lower end of the *reportable range* for each analyte. Whew! This is going to be quite a bit of extra work... just something to keep in mind!! Shylirin > Dang. i hate to hear that..... I'm in IN btw. Could someone take thier > inspector into a room where the hard copies are kept floor to ceiling and [quoted text clipped - 34 lines] > > > >Shylirin Just out of curiosity, what happens if your instrument does not have an "A" drop to download to floppy and your LIS only stores results under patients names and your saved paper printouts only lists lab identifier? E.g., our CA-1500 has an "A" drive, but does not allow patient archiving (only std curve storage). I have not seen anyone very picky on this point (although I archive all CBCs to floppy and then to the hospital system). I can reestablish this data by data / ID / name/ time on excel. It can done in a short time from either floppy of LIS. The only hematology paper I keep are daily lists of reviewed flagged data. The clinitek 500 you mention only scrolls heat printed narrow paper ribbons. BTW, anyone have one of those add on printers Bayer sales? I was wondering if it prints more than one result on a 8"x11" sheet of bond. Yes, I have established ranges for the analyses on the for the clinitek 500's / multistix / controls (most of the time).  SignatureDetective Tom Polhaus: " Heavy. What is it?" Sam Spade: "The, uh, stuff that dreams are made of." --------------------------- > LOL!! We'd be required to store them in special locking cabinets that are > securely fastened to the wall and floor... :) [quoted text clipped - 54 lines] > > > > > >Shylirin If the analyzer doesn't have an A drive, then you just have to save the printouts and download to the LIS. I am guessing each patient has a unique identifier that you could use to pull up that exact specimen in the LIS... so using an identifier is ok as long as you could correlate that to a LIS result if needed (at least in the next two years since that is all we are required to keep patient results). The inspector was really understanding of that point... I have that problem with my CD3700SL... it has a floppy, but I can't save results to disk. I just save the printouts and make sure all results are stored in the LIS under that special unique identifier. And you might be really lucky and have a CLIA inspector that "interprets" the rules a bit differently... some of those have quite a few interpretive guidelines. I didn't get the add-on printer, since the thermal paper is what the supply folks get us... sorry I don't have an answer for that one!! I thought about it, especially if I could use a pre-printed form with the microscopic data fields already there (just print the UA results directly on the form... no more thermal paper!), but I couldn't convince everyone it would be better, so I got the thermal stuff! If you get the printer I'd love to know how it is working for you. Shylirin > Just out of curiosity, what happens if your instrument does not have an "A" > drop to download to floppy and your LIS only stores results under patients [quoted text clipped - 90 lines] > > > > > > > >Shylirin Well we have the lab identifier on the print outs, but this is not unique as it is reused (after about six months). The unique identifier you refer to is our patient account number and that does not print out on the results. To get results out of the hospital system after they have been archived from the LIS, is difficult if not impossible as the name is not on the print out. So I can see where we are deficit. This problem hopefully will be corrected in the next two years, as we will be getting a new hospital wide system. We actually have three separate systems joined together with difficulty. Well, an add on Clinitek 500 printer might not do me much good if it does not batch print on the bond paper. I would hate to see on printout per 11x8. ---- Texas hold'em party, my house Jan 31 ----- > If the analyzer doesn't have an A drive, then you just have to save the > printouts and download to the LIS. I am guessing each patient has a unique [quoted text clipped - 129 lines] > > > > > > > > > >Shylirin Ahhhh... that would make things difficult! I don't suppose you have a label with the patient's unique identifier that you could slap on the printout? :D I realize for high volume that might be next to impossible, but if it was workable would help patch things until the new system is up. Which one are you getting? I've worked with Cerner, Ulticare, and IDX... Cerner was the best of the three so far. Best of luck getting that set up.. we're getting a new version of IDX in late March, complete with a whole new round of training... yuk. I'm ready for at least a couple months of stability before we change something again! Lol. Shylirin > Well we have the lab identifier on the print outs, but this is not unique as > it is reused (after about six months). The unique identifier you refer to [quoted text clipped - 164 lines] > > > > > > > > > > > >Shylirin Well, the only good solution that I have come up with is to attach all printouts to our LIS generated work list. This list has both name and unique ID. This seems reasonable. > Ahhhh... that would make things difficult! I don't suppose you have a label > with the patient's unique identifier that you could slap on the printout? [quoted text clipped - 206 lines] > > > > > > > > > > > > > >Shylirin |
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