Intended for healthcare professionals

Rapid response to:

Practice Practice Pointer

Explaining laboratory test results to patients: what the clinician needs to know

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h5552 (Published 03 December 2015) Cite this as: BMJ 2015;351:h5552

Rapid Response:

Not highlighting abnormal results by the lab. A system safety failure

I am concerned about recent changes in pathology result reporting. In several, if not all GP systems, results that are abnormal are highlighted so when results are checked they stand out. Both locally to us and in discussion with colleagues in other areas this is happening less. Examples include loss of highlighting high psa, high lipids and high creatinine, as well as positive chlamydia results.

It is hard enough for clinicians to sort this out, and it is in my view an example of a system safety failure. It will be even harder for patients viewing their own results. Who makes these decisions and how can they be influenced?

Competing interests: No competing interests

11 May 2016
Nicholas j Sharvill
GP
Balmoral surgery kent
Canada rd deal