Despite the fact that self-monitoring of blood glucose (SMBG) apparently accounts for an amazing 20 % of the expenses of the total in vitro diagnostic market worldwide (27 % in the US), there remains a woeful lack of evidence that SMBG is actually effective in improving the clinical outcome of diabetic patients.  In...

In most hospitals, the amount of nursing time spent on actual patient care is only 33 %, while problem solving consumes 40 % of their time. That’s the bad news. The good news is that inverting this ratio may be easier than you think.  According to Dr John Kenagy and David Sundahl of the US-based Kenagy & Associates,...

Mock inspections are a great way to prepare for real-life inspections from regulatory agencies such as CAP and JCAHO. But where do you start? And most importantly, what should you look for? Lou Ann Wyer, Clinical Specialist, POCT at the Virginia-based Sentara Laboratory Services and Theresa Kulik, Point-of-care...

Ever since the landmark document “To err is human” [1] was released, patient safety has been the paramount objective in US hospitals. “Patient safety” became the catch phrase and focus for all activities; a trend that was rapidly taken up by the rest of the world’s hospitals. Suddenly a new catch phrase – “lean” – ...

Modern blood gas analyzers have incorporated technology that allows spectrophotometric measurement of bilirubin concentration on the same whole-blood sample that is used to measure blood gas parameters. A recent French multicenter study confirms the reliability of this technique for measuring bilirubin during the...

What does it take to create and maintain a quality point-of-care program in a world-renowned healthcare institution? acutecaretesting.org recently asked that question to Paula Santrach, MD, Interim Chair of the Dept. of Laboratory Medicine and Pathology at the Mayo Clinic in the US. She came back with a list* of 10...

How to implement improvements in hospital settings within a week Jens Weirsøe is one of Radiometer's most experienced Master Black Belts in Transactional Process Improvements (TPI or kaizen). He has facilitated 90 kaizen events in several countries (USA, Japan, Germany and Denmark), in several different industry...

As point-of-care testing (POCT) continues to expand in the hospital environment, the desire of physicians to participate in the performance of testing may increase. This article discusses the required competencies for a physician who wishes to be involved in laboratory testing and some practical considerations for...

The National Academy of Clinical Biochemistry has developed a Laboratory Medicine Practice Guideline for point-of-care testing (POCT). This POCT guideline systematically reviews the scientific literature linking POCT to patient outcome and makes recommendations for the optimal use of POCT in patient care.  This...

Clinical initiatives to maintain blood glucose (BG) within a more normal range have emerged over the last decade as a growing trend in clinical management of patients in acute care settings. This trend has grown due to the increased focus of research in glycemic control (GC) and results indicating that GC is...