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Articles by Ian E. Smith
Showing articles by "Ian E. Smith"
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
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
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
Permissive Hypercapnia-Continuous Monitoring
Neonatology, perhaps more than any other field in medicine, has undergone dramatic improvements in care over the last several decades. One of the main areas of advancement is the ability to mechanically ventilate premature infants with a variety of neonatal lung conditions.
As survival of premature infants has...
Blood gases/acid-base
Article
January 2005
Understanding the principles behind blood gas sensor technology
Today’s blood gas sensors are the result of many
years of gradual improvements and optimizations. The operating
principles behind sensor technology have largely remained
unchanged, even though the size of analyzers and thus of
sensors has decreased remarkably.
However, miniaturization has
created a new challenge: to ...
Preanalytical phase
Blood gases/acid-base
Glucose
Kidneys/fluids
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
October 2004
Jaundice in the newborn infant
About half of all newborn infants born at term develop
jaundice during their first days of life, and the lower the
gestational age the more frequent the jaundice is. Newborns
develop hyperbilirubinemia because of a large bilirubin
production, low hepatic excretion and enterohepatic
recirculation. At birth the newborn ...
Bilirubin
Neonatology
Hemoglobins
Article
October 2004
Permissive hypercapnea: Protecting the infant lung
Almost as soon as healthcare providers began ventilating neonates with respiratory distress syndrome, the problem of chronic lung disease began. How to manage these children in a way to promote lung growth and disease-free survival has been the question for those involved in the care of these infants since that time....
Neonatology
Hemoglobins
Article
October 2004
Overcoming the limitations of barcode technology
The introduction of armband barcode scanning
capabilities to point-of-care glucose testing devices has been
shown to greatly reduce patient identification errors. Barcodes
may be scanned to identify operators, patient identification
and reagents. Barcode scanning, however, does not eliminate all
errors, and in some...
Information management
Glucose
Preanalytical phase
Process optimization
