Information about Quality of Care

Clement J. McDonald; Raymond D. Aller

doi:10.7326/0003-4819-127-7-199710010-00022

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Letters |1 October 1997

Information about Quality of Care

Clement J. McDonald, MD; Raymond D. Aller, MD

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TO THE EDITOR:

We side with Pine and colleagues [1] against Iezzoni's [2] pessimistic conclusions about electronic laboratory data. Computer-based laboratory reporting systems are present in most hospitals with more than 200 beds, and standards for electronic messages (such as ASTM [American Society for Testing and Materials] E1238 or HL7 [Health Level 7]) [3] are widely used. Mayo Clinical Laboratories and ARUP Laboratories, for example, each have more than 100 standards-based electronic interfaces operating between their referral laboratories and clients around the United States. All of the major vendors of laboratory information systems support ASTM and HL7 (64 of 67 vendors surveyed [4]), as do all of the large referral laboratories. The largest three laboratories account for 50% of the nonhospital laboratory volume. The experience of Davies and associates quoted by Iezzoni may be anomalous.

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Letters |1 October 1997

Information about Quality of Care

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Letters |1 October 1997

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