Laboratory Data and Patient Care

1. Front Matter

   Pages i-x

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2. Economical Use of the Clinical Laboratory

   1. Rationalizing Laboratories around Techniques that Cross Departmental Boundaries

      • D. S. Young

      Pages 1-8

   2. In Search of Laboratory Excellence

      • D. J. Worthington

      Pages 9-15

   3. The Economics of Near Patient Testing

      • Vincent Marks

      Pages 17-23

   4. The Asking for Redundant Tests Syndrome (ARTS)

      • Alan M. Bold

      Pages 25-30

3. Modification of Physician Behavior at the Laboratory Interface

   1. Disease and Diagnosis, a Philosophical Analysis

      • P. J. Thung

      Pages 31-34

   2. Cost-Effectiveness Analysis of Thyroid Testing Strategies

      • J. Robert Beck, Paul E. Appleton, Edward K. Shultz

      Pages 35-43

   3. Is it a Dichotomy between the Clinician and the Pathologist in Hematology?

      • Jacques P. Caen

      Pages 45-49

   4. The Physician, Friend or Foe? Education of Physicians in Laboratory Medicine

      • Oren Zinder

      Pages 51-58

   5. Decision Analysis and the Clinical Laboratory

      • Ellis S. Benson

      Pages 59-66

4. Clinical Decision Analysis and the Laboratory

   1. Systematic Nomenclature for Measures of Status-Quantity Relationship

      • René Dybkaer

      Pages 67-74

   2. Expected Value of Clinical Information: A Revisionist View

      • J. Robert Beck, David J. Malenka

      Pages 75-84

   3. Some Tricks and Tools for Intelligent Use of Multiple Tests

      • Jørgen Hilden

      Pages 85-92

   4. ROC Curves: Assessment of Clinical Test Accuracy

      • Mark H. Zweig

      Pages 93-99

5. Data Bases and Expert Systems

   1. Data Base Management and Knowledge-Based Systems in Clinical Laboratory Medicine

      • Torgny Groth

      Pages 101-108

   2. Retrospective Research on Clinical Laboratory Test Results Using a Hospital Information System. A preliminary Report

      • J. H. M. Zwetsloot-Schonk, M. Frolich, J. H. M. Souverijn

      Pages 109-116

   3. Experience with Expert Systems in Clinical Chemistry

      • R. W. Wulkan, B. Leijnse

      Pages 117-124

   4. Routine Applications of the Expert System PRO.M.D.

      • Chr. Trendelenburg

      Pages 125-130

   5. A System for Medical Reasoning (SMR) in the Clinical Laboratory

      • Fred M. Wiener

      Pages 131-140

   6. Laboratory, Patient and Expert System as a Triad in Patient Care

      • P. L. M. Kerkhof

      Pages 141-146

The best conferences are often those where the participants are from a mixture of different disciplines. There is a cross fertilization of ideas and a wider perspective of common problems. The 6th International Meeting on Clinical Laboratory Organization and Management, held in Noordwijkerhout, The Netherlands, on 24th-28th June 1987 lived up to its promise of a stimu­ lating program and differing views from a wide range of international par­ ticipants. The theme of the conference was "Laboratory Data and Patient Care" and this provided a forum for discussion of many aspects of laboratory input into the diagnosis and monitoring of disease. The titles of the papers in this book of the proceedings will give some indication of the breadth of topics discussed, ranging from problems of laboratory management and pro­ fessional leadership to educating the clinician in the most cost effective testing strategies; and computer aided diagnosis to the best presentation of data and graphical displays. The backgrounds of the participants were equally wide, ranging from medical statisticians and computer experts to practising clinicians and heads of clinical laboratories. There was also a significant number of delegates from commercial companies who were able to inject a different perspective on many problems. This blend of backgrounds and disciplines promoted much discussion and new avenues for research and development.

• Laboratory
• care
• computer
• development
• diagnosis
• hematology
• management
• monitoring
• organizations
• research

• University of Utrecht, Utrecht, The Netherlands

  P. L. M. Kerkhof

• De Wever Hospital, Heerlen, The Netherlands

  M. P. Dieijen-Visser

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