The Medical Laboratories : An Evaluation Of Patient Safety, And Diagnosis Of Patients With Chronic And Acute Diseases

Equally impressive is the implementation of Computerized Physician/provider Order Entry or CPOE. CPOE is known as one of three key patient safety initiatives by Leapfrog Group, a conglomeration of non-health care Fortune 500 company leaders committed to modernizing the current healthcare system (Huston, 2014; The Leapfrog Group, 2013). CPOE is a type of software designed to reduce errors in transcription due to illegible physician handwritings or wrongly placed decimals in dosage and strengths of medications. CPOE also gives the clinician access to Clinical Decision Support, or CDS, which is a database to assist clinicians and providers to health related information for certain patient diagnosis with care planning assistance and direction. (Huston, 2014; The Leapfrog Group, 2013). CPOE and CDS will likely be streamlined and commonly used in healthcare in the next decade which appears will likely improve patient safety as well as vastly reduce medication and

Purpose: The purpose of this lab is to help you become a little familiar with some of the tests that can be typically performed in a clinical or research lab facility. These tests may help in determining a particular pathogen’s growth needs.

The first component, proactive encounter is a team- based care in all settings. It has three phases which are assessing the patient during pre-encounter, assist and provide standardized care for the patient during encounter, and provide information and instruction for follow up during post- encounter. Benefit from the proactive encounter were numerous, it helps the care providers to identify missing lab that may be critical, it helps to reduces making error in care, and it provide client informative information to follow up. Next, KPSC develop several team to manage different situations, also known as the panel management. It is a tactic of having multiple team to work together in harmony instead of overwhelming an individual with loads of responsibilities. It eases out the work for every individual in order to provide optimum focused care. For example, case manager will be taking care of clients who needs long term support, health educator will be educating clients, and team nurses will provide quality care. Last, clinical information system and decision support will be helping the client to provide real time laboratory, radiology, and other clinical data available to providers to enhance the best point of care. The result was significant with the use of a complete care program, and it had made KPSC one of the

It is important as an APRN to understand the rules and regulations of laboratory processes to better provide accurate testing for patients and because it is federal law. After reading and researching on Clinical Laboratory Improvement Amendments (CLIA), I can see how it is important for a future nurse practitioner to have this knowledge. There is a process that a clinic is required to understanding to obtain the correct certificate for performing lab testing. There are five different types of certifications: certificate of waiver (CW), Certificate for Provider- performed Microscopy Procedures (PPMP), certificate of registration (COR), certificate of compliance (COC) and certificate of accreditation (COA). I see that the certificate of waiver

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).

by explaining to the patient what type of test they may need, by explaining to them what they can

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

After all the patient information is gathered, it is given to the medical director to review. A plan of care (POC) is given to the nurses from the medical director after the records have been examined. After the POC has been received the nurses will then communicate with the front office in scheduling the patient for the appropriate care. The rule for this section was agreed upon by the medical

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

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

Working in the field of medical testing, it is important to know that there will be a health risk when working on lab equipment, due to many hazardous chemical, many scientist risk their lives to find the right substance to find a cure. Each test has its own indication and contraindication. Tests being performed are expected to have no benefit for the individual being tested. Instead, the results may be useful for the establishment of statistics in order to improve health care for other individuals. Patients may give informed consent to undergo medical tests that will benefit other people. It is not just classify only to use for diseases but to find a relevant used of treatments. What is medical testing? What are some source of topic that relates to it? Medical testing is a kind of

Clinical Laboratory Improvement Amendments of 1988 (CLIA) facilities in the United States that perform laboratory testing on human specimens for health assessment or the diagnosis, prevention, or treatment of disease are regulated under the Waived tests. Although CLIA have a low risk for erroneous results, but CLIA is not completely error-proof. Errors can occur anywhere in the testing process. Sometimes CLIA have errors in the manufacturer's instructions are not followed and when testing personnel.

A clinical laboratory is defined as any facility where materials derived from the human body are examined for the purpose of providing information for the diagnosis, prevention, or treatment of disease or the assessment of health. Standards applied to

The Pathology service at Stoke Mandeville Hospital is a diagnostics laboratory analysing patients samples everyday, producing accurate, reliable results in a strict time scale for clinical diagnosis and patient welfare. All Hospital wards are provided with this service as well as all departments at Stoke Mandeville, Wycombe Hospital, all GP’s and Clinics.

As part of the CLS clinical practicum site preparation, I was granted the opportunity to tour Henry Ford Health Systems Laboratory. Being a patient at Henry Ford Health Systems, it was intriguing to see how their laboratory operates behind the scenes. If my physician ever has to order any laboratory tests, it does not take more than two to three business days to receive my results and feedback from my physician. After touring Henry Ford’s laboratory, there was no longer any doubt as to how I could receive my results so quickly; Henry Ford is very driven and modern. Case in point, their main laboratory was in the middle of cleaning up after a major technological upgrade during the tour. I also observed that every employee seemed to be completely