Abstract
I found myself nodding my head is agreement reading Dr. Wians’ farewell letter as editor-in-chief of LabMedicine . I too have been “in the business” for over 40 years, and my assessment of the changes in the field very much echo his. The one thing I would like to add to his “good/bad/ugly” list is my observation of the negative impact of the Core Lab concept on patient service. Quite simply, from my viewpoint at a large teaching hospital, the core lab concept is a failure and has done a great disservice to our patients. Patient samples are getting inferior treatment in this system. As autonomous individual laboratories, we could and did control our specimens. We had trained accessioning teams who comprehended all the subtleties of the various samples in that specialty. We had the ability to push through great quantities of specimens while giving immediate priority to stats and “super” stats. Our samples did not get lost in the shuffle, stats did not get buried in bags until the end of the day, and specimens were easily delivered to appropriate areas for testing because of the proximity of the accessioning area. We did it better and we did … frank.wians{at}baylorhealth.edu
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