Publication Date

2020

Document Type

Dissertation/Thesis

First Advisor

Morris, Sherrill

Second Advisor

Isabel, Jeanne

Degree Name

Ph.D. (Doctor of Philosophy)

Legacy Department

School of Interdisciplinary Health Professions

Abstract

Every person in America seeks medical care at some point, trusting and relying on highly educated healthcare professionals and sophisticated technology to solve their medical problem. The majority of clinicians rely on laboratory testing to provide insight into a patient’s illness. Unfortunately, the appropriate laboratory tests are not always ordered correctly during a patient’s initial visit. A study that examined 15 years of inappropriate test utilization indicates that, on average, 20.6% of lab tests were ordered when they weren’t needed and 44.8% of lab tests that were needed were not ordered. This is considered a medical error that can lead to financial waste, psychological distress, delayed diagnosis, or even death. In fact, medical errors are the third leading cause of death in the United States. The number of laboratory tests available has more than doubled over the past 20 years, giving clinicians at least 3,500 tests to choose from. Evidence is accumulating that clinicians are struggling more with not only selecting the appropriate laboratory test(s) but also correctly interpreting the results. Healthcare providers are recognizing the value of working as interprofessional teams to ensure that no aspects of a patient’s illness are overlooked. A new, advanced-practice medical laboratory professional, a Doctor of Clinical Laboratory Science (DCLS), is now available to provide consultation to clinicians and assist them with the ordering and interpretation of diagnostic laboratory tests. This qualitative research project explored the perceptions that clinicians have about medical laboratory professionals and how perceptions change after collaboration with a DCLS. These findings provide insight about an unexplored area of healthcare research and support the need for future study of the efficacy of including laboratory expertise in patient care.

Extent

146 pages

Language

eng

Publisher

Northern Illinois University

Rights Statement

In Copyright

Rights Statement 2

NIU theses are protected by copyright. They may be viewed from Huskie Commons for any purpose, but reproduction or distribution in any format is prohibited without the written permission of the authors.

Media Type

Text

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