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Articles by Andrew St John
Showing articles by "Andrew St John"
Article
September 2007
Patient safety 2007
In 2005, acutecaretesting.org interviewed Dr Michael Astion, an active spokesperson for patient safety and reduction of lab errors, on the main issues surrounding the topic. Since then, a lot has changed… or has it? In a follow-up interview with Astion, acutecaretesting.org gauges the status of patient safety year...
Point-of-care testing
Information management
Process optimization
Glucose
Article
June 2007
Want to improve patient safety?
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,...
Point-of-care testing
Preanalytical phase
Process optimization
Article
April 2007
Heel or back of the hand?
Reprinted and translated by permission of Danske
Bioanalytikere, dbio from "Fra hæl eller håndryg", by Jytte
Kristensen, dbio, vol no 4, 2007, pp 8-11. Copyright 2007
by dbio. Translated by Radiometer Medical
ApS.
Norwegian and Danish biomedical laboratory scientists
disagree on best practice when collecting blood...
Neonatology
Preanalytical phase
Glucose
Article
July 2006
Intrapartum asphyxia
In Geneva in 1821, a French nobleman Jacques Alexandre Le Jumeau, Vicomte de Kergaradec, became the pioneer of modern fetal monitoring. He described the sound of the fetal heartbeat, as he used the newly invented stethoscope (by Laennec, France 1819) and applied it to the abdominal wall of a pregnant woman [1].
The...
Blood gases/acid-base
Neonatology
Glucose
Lactate
Article
April 2006
Reporting calculated GFR from serum creatinine
The National Kidney Disease Education Program (NKDEP)
Laboratory Working Group reviewed problems related to serum
creatinine measurement for estimating glomerular filtration rate
(GFR) and prepared recommendations to standardize and improve
creatinine measurement.
The NKDEP recommends using the estimating equation...
Information management
Glucose
Creatinine/urea
Kidneys/fluids
Article
January 2006
The trouble with properly describing the oxygen-transport-related quantities
There is widespread confusion concerning the quantities to
be used in the description of the oxygen-transport properties of
human blood [1].
It all began in 1980 with the introduction of a
changed (and wrong) definition of oxygen saturation in a paper on a
new instrument for multicomponent analysis (MCA) of...
Blood gases/acid-base
Quality assurance
Hemoglobins
Article
January 2006
Neonatology - Get in control of fetal scalp blood sampling
Interview
Fetal scalp Blood Sampling (FBS) – not exactly wishful thinking for the mother, nor for the obstetrician? The procedure is regarded as cumbersome, the sample quality is questionable and the consequences of the result may be instrumental vaginal delivery or Cesarian Section (CS).
acutecaretesting.org has...
Preanalytical phase
Blood gases/acid-base
Neonatology
Lactate
Article
May 2005
Patient safety: Find the error behind the error
Lately, everybody seems to be talking about reducing
testing errors and improving patient safety. But where do you
begin?
The answer may be to look beyond the error itself and
instead focus on what is causing it. Michael Astion, Associate
Professor, Director of the University of Washington’s Reference
Laboratory...
Information management
Point-of-care testing
Process optimization
Article
April 2005
Specimen mislabeling: A significant and costly cause of potentially serious medical errors
Preanalytical errors are a significant source of medical
errors that can jeopardize patient safety. Proper specimen labeling
practices are critical components of effective and accurate patient
identification.
These variables are now considered part of the
preexamination process in the newest CLSI quality system...
Process optimization
Preanalytical phase
Article
April 2005
Management of neonatal hyperbilirubinemia
Supported by Pennsylvania Hospital Kernicterus Fund and the Eglin Fund
In the late 1980s, the question whether bilirubin damaged the brain of healthy infants was unanswered. The absence of documented evidence influenced the formulation of the 1994 consensus-based guidelines...
Neonatology
Bilirubin
