Quality And Quality Of Quality Control

Point of care testing (POCT) refers to laboratory testing that occurs close to the patient rather than in a central laboratory. POCT is usually performed by non-laboratory trained individuals such as nurses, physicians, respiratory therapists, percussionist’s, anesthesia assistants, midwives and paramedics [1]. In recent years, these assays have been increasingly carried out at sites of patient care, such as doctor’s offices, emergency rooms, and even at home. This trend allows for rapid estimates of the state or progress of an illness [2]. POCT is mainly characterized by proximity to the patient, quantitative or semi-quantitative single measurements, short turnaround time, no sample preparation, no pipetting, use of pre-made reagents, user-friendly dedicated analytical instruments and instant, result deduced therapeutic action [3]. In recent years, POCT has gained ground worldwide. In advanced healthcare

The nurse is challenged with the care of patients over a lifespan. Each stage of life brings its own physical and emotional changes which directs the care needs. The care needs of the pediatric patient will be much different from the needs of the geriatric population. The geriatric population has very specific needs which has prompted the government to establish the Quality Assurance & Performance Improvement (QAPI) program. The QAPI provides the framework for nursing facilities to develop and implement changes which address deficiencies the facility was found to have. Also, the QAPI program requires practices and policy be put in place to monitor care of the residents. The purpose of this paper is to list some of the changes the elderly go through as they age, and demonstrate these changes in a quality improvement project. After review of literature, I will discuss the challenges, barriers, and solutions as related to quality improvement. Lastly, I will discuss the quality of care for the geriatric in the future.

Our group interviewed Dr. Aissa Nicole Villarreal, Pharm.D., R.Ph, a pharmacist employed at Sam’s Club in McAllen, Texas. Although the pharmacy that she is employed at does not offer Point-of-Care Testing, we were able to gather insight as to what the service would offer and why it should be implemented in Sam’s Club pharmacies within the South Texas area. Point-of-Care Testing (POCT) is a medical diagnostic test that is conducted outside of a traditional lab. It is designed to provide more convenient diagnostic results for the patient in terms of location and time. It can be used to test for multiple conditions such as strep throat and influenza. Different methods of administering the tests include throat and nasal swab.

With response to the online job posting on Trillium Gift of Life Network website, I am applying for the position of Quality Analyst at Trillium Gift of Life at 522 University Avenue as suggested by Nisha De Silva; the current Quality Analyst – Organ in the Quality department. I have graduated in the stream of Nursing and hold a previous degree with a Specialization in Anthropology, both from the University of Toronto.

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).

quality assurance is a system for evaluating the performance, the quality if the services they provide i.e. what chamberlayne provie for their service users. Many quality assurance procedures would be set by the central government. Standards, governance, and quality control are all essential in any care setting like the NHS of any health service.

According to Merriam Webster (2014), "Provision is: the act or process of supplying or providing something." Every company provides a provision or has a mission statement that their company stand by, which shows what services that company, will commit to delivering to their clients. We as professionals and them as businesses have an obligation to deliver direct services effectively to help clients adapt socially and effectively in society. It is the companies' responsibility to provide clients with

30). According to Brunstein (2016), individual tests can be moved to a patient’s bedside or in other less formal settings to provide faster diagnosis, allowing for quicker response times when medical interventions are needed (p. 30). Bedside testing uses a method called point-of-care testing (POCT) and presents both new possibilities as well as challenges (Brunstein, 2016, p. 30). Brunstein (2016) points out some of the challenges are decreased sensitivity, specificity, or sometimes both, especially when compared to the testing that is done in the core lab (p.30). However, POCT can prove to be advantageous because of reduced response times for medical interventions. POCT with moderate sensitivity and high specificity have proven to be convenient, cost effective first-line screening tools (Brunstein, 2016, p. 30). Molecular POCT has positive implications for the future but there are some limitations. POCT used for molecular diagnosis (Madix) are limited to only

This set of particular tests were carried out at Manchester Metropolitan University in the Interdisciplinary Laboratory. Prior to the tests that were going to be carried out the client in question was asked to carry out a Pre-Test Medical questionnaire to assess the risks involved and to see if the client would be able to participate in the tests. The tests that were performed on the client were height, weight, haemoglobin, cholesterol, FEV1 and FVC.

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

The term quality assurance is used in the medical records, the purpose or intention of this is by finding errors and correcting in ongoing process of providing care to consumers (Royse 2010). For example, Quality-assurance research involves requirements, “QA studies should be a hypothesis driven and are before and after studies” (stroller 2004). Also, the standards that are recognized in quality insurances involves documenting and collecting data that pertains to diagnosis/treatment plan of their clients. The main focus of quality assurance is not the treatment outcome, but rather it mainly focuses on the

As I will progress in this program it’s my belief to be well equipped with the knowledge how to analyze diagnostic testing of blood, hematology, immunology, urine and microbiology tests, at the same time expecting my knowledge how to use the biomedical instrument used in diagnostic testing will be improved. As of right now my I believe this course prepared me mentally, psychologically and emotionally as well, how to be a better medical professional by broadened my understanding of self-care in medical professional which thought me that under any circumstances we must meet the physical and emotional need of our patients. Despite gaining so many knowledge about health care system, ethics, and scope of practice, as student, there is a long road to go to understand about how diagnostic test analyzed in the laboratory. Overall this course changed my perspective about the importance of patients' rights and confidentiality, professionalism, medical ethics, and self-care. My knowledge is so limited that in regards to those topics before taking this class, for instance, I used to think self-care as looking after yourself but after taking this class my understanding of self-care was wrong. As a medical professional, the priority should be always the physical,

The Utilization Management Program of the Naval Hospital Guam facility is one which is designed to ensure that high quality, cost efficient health care is delivered to all members of the community. The Utilization Management Division is responsible for implementing a Utilization Management Plan which will monitor the appropriate usage of the health care facilities, services and its resources. These services may include utilization reviews, case management, discharge planning and outcome-based evaluations. The Utilization Management Program is completely planned and put into action by this division. It is also responsible for coordinating and monitoring access to care, developing programs, and evaluating

iConsultant is committed to implementing appropriate quality management systems and processes to enable the delivery of the highest practicable quality products and services. Dyson Limited engaged iConsultant to strategize a total quality transformation for the company to overcome its current quality challenges and hone its competitiveness in the world market.

Quality is never an accident it is always the results of high intention, sincere efforts, intelligent directions and skillful execution, it represents the wise choice of many alternatives.