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Mailbox: program designed to improve communication in clinical laboratories.

Abstract

A MUMPS program called MAILBOX allows information to be more efficiently disseminated in a hospital department of clinical biochemistry. Readily accessible to all staff as the department is equipped with video display units in every laboratory and office, MAILBOX allows laboratory staff to send and read departmental messages; send, read, and save personal messages; sign in to and out of the department; and locate all other staff. Departmental messages containing information of general interest are automatically displayed on signing on to MAILBOX. Personal messages are directed to specific people, who are so informed when signing on; they can only be read by the sender and intended recipient(s).

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BibTeXRIS

J F Loughlin, J F Tuckerman, A R Henderson. 1986. Mailbox: program designed to improve communication in clinical laboratories.. https://doi.org/10.1136/jcp.39.8.828

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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