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Clinical Chemistry 20: 121-125, 1974;
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Clinical Chemistry, Vol 20, 121-125, Copyright © 1974 by the American Association for Clinical Chemistry

Frequency of Clinical Toxicology Test-Ordering (Primarily Overdose Cases) and Results in a Large Urban General Hospital

George D. Lundberg 1, Clifford B. Walberg 1, and Violet A. Pantlik 1

1 Department of Pathology, University of Southern California School of Medicine; and the Section of Laboratories and Pathology, Los Angeles County—University of Southern California Medical Center, Los Angeles 90033.

We report one year's analytical data from a clinical toxicology laboratory of a large urban hospital. The laboratory was designed to perform tests on seriously ill patients believed to be suffering from possible drug overdose. The data describe the types and numbers of tests requested and percent positive. Barbiturates, ethanol, a "hypnotic screen," phenothiazines, and salicylates were the leading requests and positive findings among the 63 drug determinations studied. The mechanism of organizing a laboratory along "patient-focused" lines is described and the clinician—laboratory interface is discussed. We believe that these data could be of value to anyone contemplating offering a clinical toxicology service for the first time or in assisting in the reorganization of their present service.

Submitted on November 23, 1973
Accepted on November 26, 1973






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Copyright © 1974 by the American Association for Clinical Chemistry.