Pub Date : 2018-10-25DOI: 10.1542/9781610021937-part04-point_of
S. Cordry, B. Hendrix, C. Johns, A. Kurec, D. Bloodworth
{"title":"Point-of-care testing.","authors":"S. Cordry, B. Hendrix, C. Johns, A. Kurec, D. Bloodworth","doi":"10.1542/9781610021937-part04-point_of","DOIUrl":"https://doi.org/10.1542/9781610021937-part04-point_of","url":null,"abstract":"","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"7 1 1","pages":"63-5"},"PeriodicalIF":0.0,"publicationDate":"2018-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46702899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Career development strategies. The psycho-barbarian manager.","authors":"M M Kennedy, R B Pickett","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"13 6","pages":"409-11"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pathologists and nurses have only recently cooperated in point-of-care testing (POCT), after accreditation organizations recommended that the laboratories take responsibility for managing the quality of patient-care testing conducted at the bedside. Laboratories are charged with ensuring that patient-care tests generate comparable results, regardless of the location or method. Many home testing devices, when used in hospitals, physicians' office laboratories, and mobile nursing practices, have presented technical and operational issues that were not foreseen from home use. These problems arise from a number of factors: the way the devices are used, the patient population, and even differences in sample type. Thus, to be successful, management of POCT in the health-care environment requires interdisciplinary cooperation of clinical nursing staff and laboratory staff. The article identifies problems in POCT, describes some solutions, and examines how well these solutions have worked from a laboratory perspective.
{"title":"Quality assurance, practical management, and outcomes of point-of-care testing: laboratory perspectives, Part I.","authors":"J H Nichols, S S Poe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pathologists and nurses have only recently cooperated in point-of-care testing (POCT), after accreditation organizations recommended that the laboratories take responsibility for managing the quality of patient-care testing conducted at the bedside. Laboratories are charged with ensuring that patient-care tests generate comparable results, regardless of the location or method. Many home testing devices, when used in hospitals, physicians' office laboratories, and mobile nursing practices, have presented technical and operational issues that were not foreseen from home use. These problems arise from a number of factors: the way the devices are used, the patient population, and even differences in sample type. Thus, to be successful, management of POCT in the health-care environment requires interdisciplinary cooperation of clinical nursing staff and laboratory staff. The article identifies problems in POCT, describes some solutions, and examines how well these solutions have worked from a laboratory perspective.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"13 6","pages":"341-50"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Big thinking in small spaces.","authors":"D S Wilkinson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"13 6","pages":"339-40"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nutrition assessment performed as part of hospital admission protocol can significantly reduce length of stay, costs of care, and the incidence of readmission by efficiently identifying patients with malnutrition. As reported in more than 150 clinical studies, malnutrition is a health problem of huge magnitude, potentially affecting more than half of hospitalized patients in the United States. The laboratory director can optimize the use of visceral protein testing in nutrition assessment protocols to realize the greatest benefit for both patient and institution. The accurate identification of patients with protein calorie malnutrition allows the use of malnutrition ICD-9-CM codes to obtain higher reimbursement for the increased acuity of illness.
{"title":"Nutrition assessment outcomes: a strategy to improve health care.","authors":"G R Bickford, L J Brugler, S Dolsen, C E Vickery","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nutrition assessment performed as part of hospital admission protocol can significantly reduce length of stay, costs of care, and the incidence of readmission by efficiently identifying patients with malnutrition. As reported in more than 150 clinical studies, malnutrition is a health problem of huge magnitude, potentially affecting more than half of hospitalized patients in the United States. The laboratory director can optimize the use of visceral protein testing in nutrition assessment protocols to realize the greatest benefit for both patient and institution. The accurate identification of patients with protein calorie malnutrition allows the use of malnutrition ICD-9-CM codes to obtain higher reimbursement for the increased acuity of illness.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"13 6","pages":"357-64"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When a health-care plan does not cover an ordered test.","authors":"L J Weber, M G Bissell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"13 6","pages":"412-4"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The objective of this research study is to identify laboratory performance areas and indicators of performance from the perspective of key laboratory constituencies. A specific technique, the Delphi panel, is used to achieve consensus on a system of indicators that can be used by laboratory service managers to build information pathways, increase efficiency, and improve outcomes. Individual panels represented the five highest ranked stakeholder groups: hospital executives, managed care executives, referring physicians, laboratory regulators, and laboratory managers. The instruments used for the Delphi panels were developed and validated in a pilot study. After three rounds, each panel had identified a set of priority performance areas and indicators for each area. Although concurring that the Delphi was valuable and effective in identifying performance areas, participants indicated that it was less useful in developing specific indicators enabling monitoring of laboratory performance over time or cross-laboratory comparisons.
{"title":"The use of the Delphi panel for consensus development on indicators of laboratory performance.","authors":"J Zinn, A Zalokowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this research study is to identify laboratory performance areas and indicators of performance from the perspective of key laboratory constituencies. A specific technique, the Delphi panel, is used to achieve consensus on a system of indicators that can be used by laboratory service managers to build information pathways, increase efficiency, and improve outcomes. Individual panels represented the five highest ranked stakeholder groups: hospital executives, managed care executives, referring physicians, laboratory regulators, and laboratory managers. The instruments used for the Delphi panels were developed and validated in a pilot study. After three rounds, each panel had identified a set of priority performance areas and indicators for each area. Although concurring that the Delphi was valuable and effective in identifying performance areas, participants indicated that it was less useful in developing specific indicators enabling monitoring of laboratory performance over time or cross-laboratory comparisons.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"13 6","pages":"386-408"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Operational issues in health care ultimately lead to discussions concerning personnel. Adequate staffing, "rightsizing," compensation, scheduling, morale, supervision, and organizational structure were subjects of the questions the Clinical Pathology Laboratories at the University of Virginia Medical Center asked in 1994. The answers were found in the design of a new skill-based personnel organizational model and compensation plan.
{"title":"Competing in the new health care paradigm: a novel personnel compensation model, Part I.","authors":"B A Strain, C V Leitch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Operational issues in health care ultimately lead to discussions concerning personnel. Adequate staffing, \"rightsizing,\" compensation, scheduling, morale, supervision, and organizational structure were subjects of the questions the Clinical Pathology Laboratories at the University of Virginia Medical Center asked in 1994. The answers were found in the design of a new skill-based personnel organizational model and compensation plan.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"13 6","pages":"365-71"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What is your return on your skills investment?","authors":"L D Lemery","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"13 6","pages":"436, 435"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21598049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号