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Articles by James H. Nichols
Showing articles by "James H. Nichols"
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
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
April 2007
The use of heparin in preparing samples for blood gas analysis
The significance of good practice during the pretesting
phase of clinical laboratory investigation cannot be
overemphasized.
The production of high-quality, accurate results
which are clinically useful depends as much on practice before the
patient’s sample reaches the laboratory as it does on the
analytical phase...
Preanalytical phase
Quality assurance
Glucose
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
Article
January 2007
Can barcoded wristbands improve patient safety
In the majority of U.S. healthcare institutions, patient wristbands do not contain barcodes, creating a situation where patient data is manually typed into a database or point-of-care device, leaving plenty of room for error.
In light of error statistics issued by the United Kingdom’s National Patient Safety Agency...
Process optimization
Information management
Preanalytical phase
Glucose
Article
January 2007
Pseudohyponatremia
Measurement of plasma/serum sodium concentration is one
of the most frequently requested blood tests in clinical practice.
Although usually performed in the laboratory, the test is also
available at the point of care using technology incorporated into
blood gas and other point-of-care analyzers.
In health, sodium...
Electrolytes
Preanalytical phase
Glucose
Kidneys/fluids
Article
January 2007
Sleep like a baby?
Where do you go for help, when you are a parent of a child who stops breathing while it sleeps? If you live in the south of Sweden, you go to Halmstad County Hospital, where a team of specialists are ready to monitor your sleeping child by polysomnography (PSG).
The neonatal intensive care unit (NICU) in Halmstad has ...
Neonatology
Blood gases/acid-base
Glucose
Article
January 2007
Emergency assessment of oxygenation
Hypoxia and hypoxemia describe states of oxygen
deficiency: hypoxia is deficiency in oxygenation at tissue or
cellular level whilst hypoxemia is a suboptimal normal partial
pressure of oxygen. Hypoxia and hypoxemia are interrelated, as
untreated hypoxemia will ultimately result in hypoxia.
It should
also be noted...
Blood gases/acid-base
Bilirubin
Article
January 2007
All you need to know about mock inspections
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...
Point-of-care testing
Quality assurance
Glucose
Article
January 2007
What does “lean” have to do with patient safety?
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” –
...
Process optimization
Point-of-care testing
