whereas when you are a contractor, the practice nurse bugs you 
to check and clear the electronic path reports, and the receptionists
bug you to clear the pigeon hole , and everything gets double checked,
but that doesn't guarantee the path company doesn't send the report
nowhere , or to some other med practitioner's application elsewhere.
It's also optional to correlate ordered investigations with received
investigations, so much of the time, only the received investigations
get checked. This is a big flaw in medical applications, as this is
probably important enough not to make it optional, but part of the
daily emr duties . 

On Sun, 2007-03-11 at 07:37 +1100, Elizabeth Dodd wrote:
> On Sunday 11 March 2007 04:54, Peter MacIsaac wrote:
> > In recent discussions about receiver responsibilities, both in Australia
> > and at HL7, it has been suggested that the acknowledgement response to a
> > HL7 result message should come from the GP application, not the
> > communication client.
> >
> > This ensures that the sending pathologist for example at least knows that
> > the report has made it into the referrers application. I understand that
> > there have been examples of reports falling into the void at that level ie.
> > Pathology system feels that delivery has been acknowledged and GP system
> > does not really have it.
> 
> 
> But getting into the application still does not guarantee that it has got 
> into 
> the practitioner's brain. No system guarantees that. One of my associates 
> happily stamps every path report on paper as read, never checks the on-line 
> version unless the patient is present, and feels that he pays his medical 
> defence premiums to deal with the aftermath.
> 

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