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Articles by Barry A. Shapiro
Showing articles by "Barry A. Shapiro"
Article
November 2007
Automating shunt calculation improves analytical quality
Tartu University Hospital has improved the quality of blood gas testing in its clinical laboratory and critical care units by introducing an automatic system for blood gas analysis.
Not only did the quality of processes in the preanalytical phase improve, but also the automatic calculation of pO2(A-a), for APACHE...
Information management
Blood gases/acid-base
Process optimization
Quality assurance
Creatinine/urea
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
September 2007
Fetal-to-neonatal transition: Part 2
Part 2: Red flags
The transition from fetus to newborn is a process of rapid physiological adaptation that is sometimes delayed by complications. Most newborns complete the process of transition with little or no delay.
These infants may demonstrate normal transitional findings, including tachypnea and tachycardia, ...
Neonatology
Glucose
Hemoglobins
Article
September 2007
Automating blood gas improves preanalytical quality
Tartu University Hospital has improved the quality of blood gas testing in its clinical laboratory and critical care units by introducing an automatic system for blood gas analysis [1].
Process optimization
Blood gases/acid-base
Information management
Point-of-care testing
Preanalytical phase
Hemoglobins
Article
July 2007
Is there a QC Gap?
This essay is a follow-up to the 2006 series expressing concern that there is a widespread gap between QC theory and QC practice. Now we are giving you, the reader, the opportunity to rate your own QC practice and to help prove or disprove that gap.
If the QC theories generally recommended by recognized QC experts ...
Quality assurance
Article
July 2007
Fetal-to-neonatal transition: What is normal and what is not? Part 1
Part 1: The physiology of transition
The transition from fetus to neonate is a critical time
of physiological adaptation. While the majority of term infants
complete this process in a smooth and organized fashion, some
infants experience a delay in transition or exhibit symptoms of
underlying disease.
Careful...
Neonatology
Blood gases/acid-base
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
May 2007
How to reduce analyzer downtime and improve processes
Technology is available worldwide to help us carry out
diversified tasks and work in an easier, faster, and more efficient
way.
Furthermore, technology can help us prevent analyzer downtime
and failures that may have serious consequences for both business
and patients. This article gives an overview of some of the...
Process optimization
Quality assurance
Article
May 2007
Standards Provide a Quality Approach to Blood Gas Analysis
Blood gas analysis is a complex field that has a direct impact on patient care in a critical care environment. Healthcare professionals consistently emphasize high-quality results in order to properly treat patients, and recognize the need and usefulness of quality standards.
Using a path-of-workflow analysis as part ...
Quality assurance
Article
March 2007
Century City Doctors Hospital: Is paperless possible? (English)
Century City Doctors Hospital (CCDH) is a Los Angeles, California-based acute care medical center that is one of the largest physician-owned and -operated hospitals in the United States. The 178-bed facility was designed and built to be fully digital, paperless, and state-of-the-art, with integrated information...
Information management
Process optimization
