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Articles by E. M. Clarke
Showing articles by "E. M. Clarke"
Article
June 2005
Arterial blood collection - part 1 of 2
The collection of arterial specimens with glass syringes
and immediate storage in iced water was the accepted industry
standard for many years. Practice has changed over the past several
years to blood gas sample collection in plastic syringes, likely
due to the cost, safety and convenience of plastic.
This change
...
Quality assurance
Blood gases/acid-base
Hemoglobins
Article
June 2005
Reducing sharps injury risk in intensive care
Five years of data on percutaneous injuries (PIs) from the EPINet multi-hospital sharps injury database at the University of Virginia were analyzed to understand exposure risks faced by personnel in intensive care/critical care settings.
Of 687 PIs in intensive care units (ICUs), nurses had the highest proportion of...
Quality assurance
Blood gases/acid-base
Preanalytical phase
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
Transcutaneous monitoring in continuous use
The University College London Hospitals (UCLH) is one of the largest NHS trusts in England. The Elizabeth Garrett Anderson and Obstetric Hospital houses the Trust's gynecology, obstetric and neonatal services.
At the neonatal unit, blood gas monitoring has historically been done by a combination of blood gas...
Neonatology
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
Make document management user-friendly
In 1998, Fleury Diagnostics, Brazil's most comprehensive center for diagnostic medicine and pathology with 1,600 employees and 2,500 patients a day, implemented its own system for managing documents necessary for certification and point-of-care testing (POCT) programs. The system was entirely developed in-house in the ...
Process optimization
Information management
Article
April 2005
Behind the glucose protocol
In 2001, Belgian professor Greet Van den Berghe, PhD, and her colleagues at the Leuven University Hospital began a small revolution with the publication of the 2001 study “Intensive insulin therapy in critically ill patients”.
According to the study, tighter glucose control based on insulin therapy lowered rates of...
Glucose
Point-of-care testing
Article
January 2005
Tips for developing training materials with the help of vendors
Is it a good idea to rely on vendors to help develop
training materials for point-of-care testing staff? According to
the lab group responsible for point-of-care (POC) testing at the
Malmö University Hospital in Sweden, vendor cooperation can help
you achieve a better result, faster.
However, the better prepared
you ...
Point-of-care testing
Quality assurance
Article
January 2005
Biological variation and reference (normal) values
Test results are commonly interpreted against
population-based reference (normal) intervals, which should be
provided on every laboratory report, irrespective of whether
the test has been done as point-of-care testing or in a
clinical laboratory.
Reference intervals are difficult to
generate properly if international ...
Quality assurance
Creatinine/urea
Hemoglobins
Article
January 2005
Twelve keys to effective competency programs
What does it take to ensure an effective competency
program? Acutecaretesting.org asked three point-of-care coordinators (POCC)
with solid programs what makes their competencies work. Their input
resulted in a list of 12 key recommendations.
Process optimization
Point-of-care testing
Quality assurance
