Abstract
What is the most effective medical care for patients? That which immediately comes to one's mind may be that people can receive medical help by consulting a respected clinician whenever necessary, and can get proper medical care without financial difficulties. However, high-quality medical care is n...
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PMID: 20963953
PDF is available here.
Abstract
It is well known that laboratory data is essential to medical diagnosis and treatments. The use of laboratory tests is related to almost every process of medicine such as diagnosis, treatment, prognostic expectation, and health checkup. Since diagnoses are based on evidence now, it is obvious that t...
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PMID: 20963954
PDF is available here.
Abstract
Owing to an ageing population with increasing comorbidity, transcatheter interventions are being developed and in certain cases becoming routine alternatives for open heart operations. Percutaneous interventions are also being increasingly performed in adult patients with congenital heart abnormalit...
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PMID: 20531169
PDF is available here.
Abstract
We have developed a work manual in consultation with past incident reports and update this manual regularly. We can reduce medical accidents by including a check system for each task. For pathological diagnosis, we perform some of the same checks as for tissue specimen preparation and can make more...
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PMID: 20860180
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Abstract
I have tackled these issues. Not only laboratory performance and activity, but the information system for healthcare workers were significantly improved. As a result, appropriate antimicrobial use has been achieved in part....
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PMID: 20715517
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Abstract
We hope our ISO15189 accreditation will be helpful in its dissemination in Japan, thereby playing a role in clinical laboratory standardization, benefiting both clinicians and patients....
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PMID: 20715511
PDF is available here.
Abstract
We describe our methods for reducing error as much as possible during the pre-analytical and analytical phases. This was achieved by revising procedures, and by using computer technology and automation. Most mistakes are the result of human error in the identification and matching of patient and sam...
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PMID: 21171512
PDF is available here.
Abstract
Contiguous gene deletion syndromes: the importance of an accurate genetic definition for a careful clinical monitoring. Contiguous gene deletion syndromes are so named because the deletion manifests as a distinctive cluster of otherwise unrelated single-gene disorders in the same subject. An accurat...
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PMID: 21089740
PDF is available here.
Abstract
There was a significant decrease (75%, p < 0.01) in the cases of spurious hyperkalaemia and hypocalcaemia. CONCLUSION: EDTA contamination is a common and important source of pre-analytical error which can be prevented to some extent by education of medical and nursing staff....
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PMID: 20642972
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Abstract
We discuss the causes of these variations, and present a global quality control program to overcome them....
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PMID: 20201744
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Abstract
General performance of MC was poor. In 2006, the high and low performance groups checked on average 190 and 24 TB suspects, respectively. The majority of TB suspects who visited a MC did not have their sputum checked, or sputum was checked but the result was not recorded. TB suspects who visited a M...
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PMID: 20004490
PDF is available here.
Abstract
We describe the application of the Toyota Production System (LEAN) to histology and anatomic pathology as implemented at the Avera McKennan Hospital laboratory. Avera McKennan is the flagship hospital of the Avera Health System, a faith based, not for profit healthcare system based in South Dakota....
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PMID: 20418676
PDF is available here.
Abstract
In the last years several point of care testing (POCT) systems used for coagulation parameters have been developed and became daily routine. As for other POCT applications (e. g. blood gas analysis) there is a need for user education and continuous improvement of quality assurance. For some POCT coa...
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PMID: 20454752
PDF is available here.
Abstract
During the 20th century understanding for quality has changed and international and national requirements for quality have been published. Therefore also medical branches started to establish quality management systems. Quality assurance has always been important for medical laboratories. Certificat...
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PMID: 20454753
PDF is available here.
Abstract
Estrogen receptor and PR negativity remained highly variable among hospitals despite use of a single laboratory and tended to be significantly associated with prolonged specimen handling. More studies are needed to confirm these findings....
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PMID: 20367311
PDF is available here.
Abstract
Since 2003 when the international norm for implementation of quality management in medical laboratories (EN ISO 15189, Medical laboratories--Particular requirements for quality and competence) was established and accepted, accreditation has become practical, generally accepted method of quality mana...
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PMID: 20437640
PDF is available here.
Abstract
Participation in external quality assessment is an integral part of laboratory work and mandatory when the results have a clinical application, which is one of the requirements of standard 15189 for accreditation of medical laboratories. Institute of Clinical Chemistry, the first laboratory accredit...
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PMID: 20432753
PDF is available here.
Abstract
We conclude that even in the setting of low resource tertiary centres found in many developing countries, challenges could be overcome and standard acceptable patency rates obtained in the microsurgery laboratory ....
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PMID: 20348985
PDF is available here.
Abstract
We identify 9 distinct constituencies that may be impacted by large-scale testing errors, each of which requires laboratory management's thoughtful and timely attention....
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PMID: 20154282
PDF is available here.
Abstract
The current study provides further evidence that PoCT is an acceptable alternative to pathology laboratory testing in a general practice setting. The Bland Altman method is a useful and flexible tool for assessing agreement. Limits of agreement should be reported in future method comparison studies...
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PMID: 20085517
PDF is available here.
Abstract
During the last decade, laboratory medicine has been faced with marked changes in the health care environment. There is an increasing pressure to reduce costs and increase the efficiency and quality of medical care. In response, hospital laboratories need to undergo functional changes. Ongoing techn...
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PMID: 20229818
PDF is available here.
Abstract
Toxoplasmosis is a zoonotic disease of worldwide distribution. Infection with Toxoplasma gondii can result in debilitating disease especially in the immunocompromized host and pregnant women. Determination of its seroprevalence and risk factors have been studied in many countries as a mean to unders...
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PMID: 20358853
PDF is available here.
Abstract
In 1999, the Centers for Disease Control and Prevention (CDC), the Association of Public Health Laboratories (APHL), and the Federal Bureau of Investigation established the national Laboratory Response Network (LRN) for bioterrorism readiness. A more broad application of the LRN is the National Labo...
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PMID: 20518452
PDF is available here.
Abstract
Measurement of laboratory performance using KPIs and a data warehouse application that continuously collects registers and calculates KPIs confirmed the reliability of indicators, indicator acceptability and usability for users, and continuous process improvement....
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PMID: 19919329
PDF is available here.
Abstract
On May 28-29, 2009, a number of medical laboratory opinion leaders, pathologists and biochemists met in Sitges, Spain to discuss issues of interest to medical laboratory professionals. The meeting was sponsored by Bio-Rad Laboratories Inc. (Hercules, CA). Over 40 persons representing Austria, Belgiu...
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PMID: 19922240
PDF is available here.
Abstract
Our study illustrates the importance of proper venipuncture procedures, analytical expertise and correct transcription of numerical data for precise and accurate reporting of results to clinicians. There is an urgent need for close inter-departmental cooperation to meet the goal of ensuring patient...
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PMID: 20047530
PDF is available here.
Abstract
We believe that the use of standardized routines and regular staff training, combined with an exchange of the existing paper-based referral management system with an electronic system, can increase the safety in the pre-analytical processes....
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PMID: 21141440
PDF is available here.
Abstract
In Thailand nearly 1000 public health laboratories serve 65 million people. A qualified indicator of a good quality laboratory is Thailand Medical Technology Council certification. Consequently, Chiang Rai Regional Medical Sciences Center established a development program for laborat...
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PMID: 21387861
PDF is available here.
Abstract
We could participate in an international collaborative study, "Regional Difference in Laboratory Data and Establishment of Common Reference Ranges", which was mainly designed by Prof. Ichihara, Medical Research Department, Yamaguchi University Graduate School. This also resulted from ISO15189 acquis...
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PMID: 20169948
PDF is available here.
Abstract
The purpose of the present communication is to provide specialists with the comparative characteristics of the most important user qualities of the major histological labware by the world's leading manufacturers introduced on the market. These are comparatively estimated solely from technologically...
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PMID: 20369588
PDF is available here.
Abstract
In this issue, Crawford et al. describe their experiences running a clinical diagnostic laboratory during the first 3 weeks of the influenza A pandemic (H1N1) 2009 outbreak (1). During the early weeks of the outbreak, their laboratory, which serves 15 hospitals and affiliated physician practices in...
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PMID: 20031064
PDF is available here.
Abstract
The North Shore-Long Island Jewish Health System Laboratories serve 15 hospitals and affiliated regional physician practices in the New York City metropolitan area, with virus testing performed at a central reference laboratory. The influenza A pandemic (H1N1) 2009 outbreak began in this area on Apr...
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PMID: 20031036
PDF is available here.
Abstract
With the development of distance education and blended course delivery formats, our faculty faced new issues related to academic integrity in online testing. Current students often differ in their understanding of what is appropriate academic behavior and what is considered cheating. Enhancing quiz...
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PMID: 21140791
PDF is available here.
Abstract
With the wide availability of educational technologies and the Internet, clinical laboratory educators are replacing some traditional face-to-face classes with online methods in their courses. This article summarizes current literature and practice for partly online "blended" courses. Blended course...
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PMID: 21140793
PDF is available here.
Abstract
We describe the process of ISO15189 accreditation in our institute. As an outcome of ISO accreditation, the frequency of laboratory incidents was reduced through seeking the causes of incidents and performing continual improvement according to ISO 15189: "Plan, Do, Check, Action". Additionally the m...
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PMID: 19928494
PDF is available here.
Abstract
To obtain a real impact on patient management, it is fundamental to shorten the lapse between the obtainment of tests results and the warning, supported on appropriate computerized systems, and to spread the procedure to all personnel involved in patient's care....
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PMID: 20011953
PDF is available here.
Abstract
We are attempting to correct this problem by introducing our experience with harmonization procedures directed toward clinical trials in laboratory medicine in general. First we described the current status of clinical trials in our hospital. Then we will show personnel in need for clinical trials....
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PMID: 19860207
PDF is available here.
Abstract
We were awarded ISO15189 accreditation on July 31, 2008. In this report, we summarize the preparations for ISO15189 accreditation and the effects on our laboratory....
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PMID: 19764410
PDF is available here.
Abstract
We hope that education in graduate schools of medical technology (Master's course), along with promoting the specialty of laboratory techniques, will develop students' clinical skills to examine patients and research skills to conduct studies....
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PMID: 19764415
PDF is available here.
Abstract
The practice of overlaying handwritten information with printed labels for liquid-based Papanicolaou tests should be strongly discouraged and replaced with placing patient information in separate portions of the glass slide so that crucial patient identification is not hidden and visual matching is...
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PMID: 19653729
PDF is available here.
Abstract
Our institution's specimen-labeling policy requires the collection date, 2 unique patient identifiers, and the ability to identify the phlebotomist. This policy, however, was initially strictly enforced only by the blood bank. In fiscal year 2005, following an educational campaign on proper specimen...
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PMID: 19605809
PDF is available here.
Abstract
The aim of this study was to describe a pseudo-outbreak due to Serratia marcescens associated with laboratory contamination, and also the epidemiologic and laboratory methods used to determine the source of contamination. An apparent increase in positive culture results for Serratia marcescens was o...
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PMID: 19845109
PDF is available here.
Abstract
A panic value is defined as an abnormal value indicating a life-threatening situation. Hematological examination results are sensitive to changes in treatment, and are likely to be influenced by blood collection techniques. Panic values may directly influence the diagnosis in many cases because they...
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PMID: 19708536
PDF is available here.
Abstract
We can promote our efforts in clinical laboratory testing within the general public. This division will increase the number of younger doctors who want to be specialists in clinical laboratory examinations....
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PMID: 19708540
PDF is available here.
Abstract
We describe the methods used during the outbreak investigation in order to provide infection control specialists with an overview of how such national incidents may be investigated. We surveyed the hospitals reporting the contamination problem and conducted microbiological and environmental sampling...
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PMID: 19531341
PDF is available here.