A novel class of laboratory middleware: Promoting information flow and improving computerized provider order entry

Ricky Grisson, Ji Yeon Kim, Victor Brodsky, Irina K. Kamis, Balaji Singh, Sidi M. Belkziz, Shalini Batra, Harold J. Myers, Alexander Demyanov, Anand S. Dighe

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

A central duty of the laboratory is to inform clinicians about the availability and usefulness of laboratory testing. In this report, we describe a new class of laboratory middleware that connects the traditional clinical laboratory information system with the rest of the enterprise, facilitating information flow about testing services. We demonstrate the value of this approach in efficiently supporting an inpatient order entry application. We also show that order entry monitoring and iterative middleware updates can enhance ordering efficiency and promote improved ordering practices. Furthermore, we demonstrate the value of algorithmic approaches to improve the accuracy and completeness of laboratory test searches. We conclude with a discussion of design recommendations for middleware applications and discuss the potential role of middleware as a sharable, centralized repository of laboratory test information.

Original languageEnglish
Pages (from-to)860-869
Number of pages10
JournalAmerican journal of clinical pathology
Volume133
Issue number6
DOIs
StatePublished - Jun 2010

Keywords

  • Administration
  • Informatics
  • Management
  • Order entry

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