Journal Published Online: 01 March 1990
Volume 35, Issue 2

Improving Information Management in a Metropolitan Coroner's Office. Part 1: Design and Implementation of a Cost-Effective Minicomputer System with Initial Applications for the Toxicology Laboratory

CODEN: JFSCAS

Abstract

We report the development of a system of computer hardware and software which addresses the special needs of forensic toxicology laboratories for real-time data-gathering, analysis, and retrieval. In addition to accessioning, work-list preparation, and result reporting, we implement automatic test ordering based on patient and case characteristics to provide reliable and uniform analyte profiles for puzzle solving. The system also provides extensive real-time event journaling to satisfy strict chain of custody requirements, consistent with both College of American Pathologists accreditation and National Institute on Drug Abuse certification. The toxicologist's expertise has been woven into the fabric of the software so that appropriate new orders are placed as results from previous orders arrive. The relationships among analyte concentrations in various specimens (blood, urine, gastric, and so forth) as a function of time before and after death have been incorporated into other software experts which review final results for inconsistencies. The system has saved many hours of error-prone manual work, streamlined data storage and access, automated data collection from instruments, and made a broad spectrum of expertise available to the laboratory at all times. These features have decreased error rates, increased productivity, and enhanced the puzzle-solving skills of the laboratory.

Author Information

Cechner, RL
University Hospitals of Cleveland, Cleveland, OH
Hepler, BR
Case Western Reserve University, Cleveland, OH
Sutheimer, CA
Case Western Reserve University, Cleveland, OH
Pages: 16
Price: $25.00
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Details
Stock #: JFS12839J
ISSN: 0022-1198
DOI: 10.1520/JFS12839J