Finding and Applying Evidence During Clinical Rounds: the "evidence cart."

Article Abstract:

An rolling "evidence cart" equipped with a notebook computer and electronic evidence-based medicine references, medical textbooks, and other diagnostic tools may be highly useful in treating hospital patients from an evidence-based perspective. Evidence-based medicine advocates diagnosis and treatment based on the best-available research evidence. Researchers in Oxford, UK, tested the feasibility of an evidence cart for one month, and found that the cart sources were consulted 98 times. About half of the searches produced evidence that confirmed a tentative diagnosis or treatment, while 25% identified new diagnostic tests or decisions. Twenty-three percent of searches led to an alternate diagnosis or treatment plan.

Care and treatment, Innovations, Evaluation, Computer-aided medical diagnosis, Computer aided medical diagnosis, Hospital patients, Medical informatics, Evidence-based medicine

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Quality Assurance in Molecular Genetic Testing Laboratories

Article Abstract:

Many laboratories that perform molecular genetic tests do not meet quality assurance (QA) standards set by the American College of Medical Genetics Laboratory Practice Committee. These standards establish minimum requirements for each test. Researchers surveyed 245 laboratories that did genetic testing and used the information to assign a QA score. The average QA score was 90% and the scores ranged from 44% to 100%. Fifteen percent of the laboratories scored lower than 70%. Laboratories that did more tests, participated in proficiency testing and were certified had higher scores than other laboratories.

Quality management, Genetic screening, Genetic testing, Diagnosis, Laboratory, Laboratory diagnosis

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