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Articles by J. Kofstad
Showing articles by "J. Kofstad"
Article
April 2011
The importance of preoperative evaluation of NT-proBNP
Postoperative cardiovascular event including myocardial infarction or heart failure is a major cause of morbidity after non-cardiac surgery. Preoperative evaluation including estimation of the probability of perioperative cardiac event and application of non-invasive testing or beta-blocker has been developed, but...
Cardiac markers
Creatinine/urea
CRP
Natriuretic peptide
Article
July 2010
Diagnosis of DVT with D-dimer testing and the Wells score
The following is a copy of an article from Evidence-Based Practice, 2007; 10(12):1-2.
Venous thromboembolism refers to a spectrum of disease that includes both pulmonary embolus and deep-venous thrombosis (DVT).
More than 250,000 people in the United States are diagnosed annually with venous thromboembolic disease;...
Coagulation/fibrinolysis
D-dimer
Article
June 2009
D-dimer as a rule-out test for deep venous thrombosis: Gold standards and bias in negative predictive value
Recent studies of D-dimer as a “rule-out” test for deep venous thrombosis (DVT) frequently have used duplex ultrasound rather than venography as the gold standard.
Because duplex ultrasound has limited ability to image the calf veins, there is potential for ultrasound studies to classify patients with calf DVT as...
Coagulation/fibrinolysis
Hemoglobins
D-dimer
Article
April 2009
Using "lean" process mapping to integrate testing to point(s) of care in the clinical enterprise
As point-of-care applications of lab testing demand more rapid and clinically integrated order entry and results-reporting processes, it becomes paramount for the laboratory to investigate entire clinical processes.
Direct observation and process mapping of these clinical applications – end to end - are "lean" tools...
Blood gases/acid-base
Point-of-care testing
Process optimization
Creatinine/urea
Article
April 2009
Perspectives on the impact of point-of-care testing for cardiac markers on healthcare professional working relationships
Applications of point-of-care testing (POCT) for diagnostic biomarker measurement in healthcare have increased significantly in recent years in a wide range of clinical scenarios. These include infectious disease, critical care, cardiology and other areas of emergency medicine.
Traditionally, routine clinical...
Cardiac markers
Point-of-care testing
Troponins
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
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
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
