How to implement improvements in hospital settings within a week Jens Weirsøe is one of Radiometer's most experienced Master Black Belts in Transactional Process Improvements (TPI or kaizen). He has facilitated 90 kaizen events in several countries (USA, Japan, Germany and Denmark), in several different industry...

In Geneva in 1821, a French nobleman Jacques Alexandre Le Jumeau, Vicomte de Kergaradec, became the pioneer of modern fetal monitoring. He described the sound of the fetal heartbeat, as he used the newly invented stethoscope (by Laennec, France 1819) and applied it to the abdominal wall of a pregnant woman [1]. The...

The National Academy of Clinical Biochemistry has developed a Laboratory Medicine Practice Guideline for point-of-care testing (POCT). This POCT guideline systematically reviews the scientific literature linking POCT to patient outcome and makes recommendations for the optimal use of POCT in patient care.  This...

The National Kidney Disease Education Program (NKDEP) Laboratory Working Group reviewed problems related to serum creatinine measurement for estimating glomerular filtration rate (GFR) and prepared recommendations to standardize and improve creatinine measurement. The NKDEP recommends using the estimating equation...

There is widespread confusion concerning the quantities to be used in the description of the oxygen-transport properties of human blood [1]. It all began in 1980 with the introduction of a changed (and wrong) definition of oxygen saturation in a paper on a new instrument for multicomponent analysis (MCA) of...

Interview Fetal scalp Blood Sampling (FBS) – not exactly wishful thinking for the mother, nor for the obstetrician? The procedure is regarded as cumbersome, the sample quality is questionable and the consequences of the result may be instrumental vaginal delivery or Cesarian Section (CS). acutecaretesting.org has...

Reprinted with permission from Elsevier from "Neonate capillary blood gas reference values", by Jocelyne Cousineau, Suzanne Anctil, Ana Carceller, Monique Gonthier and Edgard E. Delvin, CLINICAL BIOCHEMISTRY, Vol no 38, 2005, pp 905-907. Copyright 2005 by Canadian Society of Clinical Chemists. OBJECTIVES Because...

Iatrogenic phlebotomy loss resulting from the intensive clinical monitoring in the weeks immediately following birth remains the primary cause of neonatal anemia and the need for red-blood-cell (RBC) transfusion. Reducing RBC transfusion needs in the neonatal intensive care unit (NICU) requires new approaches for...

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...

As point-of-care testing (POCT) becomes more popular in healthcare institutions because of its ability to deliver high-quality results at the bedside, point-of-care coordinators (POCCs) are becoming increasingly tasked with controlling costs. To deal with this responsibility, POCCs often turn to equipment to solve...