Laboratory Analysis And Results Are Vital Part Of Diagnosis Of Many Disorders And Diseases These Days

The Clinical Laboratory Improvement Amendments (CLIA) established a program to regulate any size and all “laboratories that test patient specimens to ensure the labs produce accurate and reliable test results”, CLIA was passed in 1988 to establish quality standards and regulations on all non-research laboratory test, and they must meet applicable Federal requirements and have a CLIA certificate to operate.

Now that I remain in the CLT program, it has actually opened my eyes to a complete different world of operating in the medical laboratory field. Having that chance to be more involved with the breakdown of the process of the clinical laboratory studies is astounding. I ‘am pleased to have prepared myself to travel beyond with a little in order to succeed with wealth of

a) Tap and drag over the area of the graph where the resting heart rate is displayed to select the data.

The College of American Pathologists or CAP is the accrediting organization for laboratory and testing personnel. CAP’s “accreditation process is so thorough, the Joint Commission [and CMS] accepts …their standards” in place of conducting their own survey of the hospital’s laboratory and personnel (Gartee, 2011, p. 47). This is because of the guidelines they follow to maintain their integrity and to remain the industry standard. In recent years, the “CAP [has] developed new check list” for continued improvements. Additionally, they are continuing to vet the requirements for the new next-generation sequencing or NGC-based test that is speeding laboratory procedures. So much so that the recent adoption of the new technology for clinical testing” was done prior to the new standards being approved (Aziz, et.al. 2015, p. 481).

The experimental procedures for Lab 2 were provided on Blackboard labelled as “Pre-Lab 2: Techniques & Measurement”.

Congress held hearings at which people who had been harmed by laboratory errors testified. These hearings revealed serious deficits in the quality of work from physician office laboratories and in Pap smear testing results (R. D. Feld, M. Schwabbauer, and J. D. Olson, 2001, The Clinical Laboratory Improvement Act [CLIA] and the physician's office laboratory; Virtual Hospital, University of Iowa College of Medi-cine [www.vh.org/adult/provider/pathology/CLIA/CLIAHP.html]). In 1988, Congress once again responded to public concerns about the quality of laboratory testing by passing CLIA '88. CLIA '88 expanded the laboratory standards set by CLIA '67 and extended them to include any facility performing a clinical test. Currently, under CLIA '88,

According to the Clinical Leadership & Management Review, (2008) healthcare spending is currently taking up 16.2 percent of our nation’s economy. According to the Centers for Medicare and Medicaid Services, cost is expected to rise to twenty percent by 2015. Nearly, seventy percent of medical decisions are based on laboratory tests, yet the costs of lab tests account for only four percent of the total in health care costs. Annual sales for clinical laboratory testing in the U.S. in 2001 were thirty-five billion, and are expected to grow at four percent annually (Johnson, 2008). Upon looking at annual global growth rate, laboratory testing is projected to increase by 5.5 percent (Johnson, 2008). As a result, laboratories as a business plays a significant role, on how health care dollars are spent. Additionally, laboratories offer a tremendous service for a reasonable price by providing quality, state-of-the-art services and fair reimbursement that is essential.

The preanalytical errors increases health care costs and decreases the patient satisfaction. The laboratory errors that happen at any stage of the total testing process have influence on quality of laboratory services. Any errors that happen during this total testing process will affect the patient care that also includes unnecessary recollection of samples, delay in reporting, misdiagnosis and treatment by the clinician. Although the errors can happen at any stage of the total testing process, preanalytical errors accounts for highest percentage (70%). The consequences associated with analytical errors are significantly reduced by the use of modern laboratory instruments. But pre analytical phase is still prone to more errors due to its complexity and different stages that involved within and outside laboratory. The inaccurate reporting of results due to preanalytical errors leads to unnecessary investigations and creating an additional burden to the healthcare system (Kaushik, & Green, 2014). According to Green (2013) the healthcare economist created a model to quantify the costs associated with laboratory errors and poor sample quality. It is based on operating costs, number of beds, test volume, number of rejected samples, instrument problems and the frequency of inaccurate results reported by laboratory and their impacts. As per this model

In the article Medical Professionalism in the New Millennium, by Sox, the author’s focus was on the three fundamentals and ten professional responsibilities that are bestowed on medical professionals today. These are principles and guidelines that we, as medical professionals, should consider and adhere to daily while performing our duties. Although all the points made in the article are important there are a few that can be incorporated into the Medical Laboratory Scientist’s everyday performance. In my opinion, these principles are improving quality care, patient confidentiality, scientific knowledge, professional competence, and professional responsibilities. In addition, I would incorporate always having the patient’s best interest at

Consults with physicians, hospital personnel and independent and hospital laboratory personnel regarding common laboratory problems.

College of American Pathologists (CAP) accreditation helps laboratories meet Clinical Laboratory Improvement Amendments (CLIA) regulatory requirements and certifies compliance through the guidance a complete list of the most recent clinical and laboratory standards. By doing this it ensures accuracy of lab results and maintains correct patient diagnosis. This increases the value of the laboratory. The CAP accreditation program is based on peer based inspections that use working laboratory professionals who are qualified through a CAP training program. It is the responsibility of the laboratory supervisors, managers, and directors to attend this training and participate in the CAP accreditation process.

Data were collected in September and November 2017 at the Elk Valley Preserve and Field Station in Banner Elk, NC. The preserve is located at 36°10'17.2"N 81°54'45.9"W, in Avery County in western North Carolina. The area is a mixed deciduous forest at an altitude of 1,127 m above sea level. Data were collected in early fall, during which temperatures average around 10-18 degrees Celsius. Summers in Banner Elk are typically mild, with temperatures averaging 21 degrees Celsius, and winters are cold and snowy, averaging near zero degrees Celsius. During the months of September and November there is an overall average precipitation of 12-25cm.

Diagnostic/Patient Specimens - Specimens that are collected directly from humans or animals (including, but not limited to, excreta, secreta, blood and its components, tissue and tissue fluid swabs, and body parts) that are transported for research, diagnosis, investigations, disease treatment and prevention.

Your presentation underscored the importance of the ability of a PT to effectively suggest an appropriate diagnostic test to a patient’s primary care doctor. In the first place, physical therapists are educated users of diagnostic imaging. As McKinnis (2014) aptly stated that the decisions to recommend diagnostic imaging should always be anchored on clinical evidence gathered during the evaluation. The physical therapists by virtue of their pedagogy and training in diagnostic imaging is knowledgeable on the diagnostic strengths and failings of each imaging technique.

After discovering my passion for science and math, I pursue a career in Clinical Laboratory Science with enthusiasm. My desire to study this subject originates from the exciting and rapidly-moving subject area that is highly relevant to major issues facing society today. Clinical Laboratory Scientists play a crucial role in the healthcare field; in detection, diagnosis and treatment of disease in patients. My goal is to be involved in the latest advances in medical research and to constantly be expanding my knowledge about my field. On top of this goal, Clinical Laboratory Science remains a challenging, rewarding and inspiring topic that will motivate and shape my career for my entire life.