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Articles by James Nichols
Showing articles by "James Nichols"
Article
October 2014
Point-of-care cardiac markers in the Emergency Department are safe, reduce admissions and do not impact on the 4-hour target
Barnsley Emergency Department (ED), which recruited patients into the RATPAC trial, initiated a point-of-care (POC) pathway for low-risk chest pain patients from December 2011.
All patients who underwent POC testing for chest pain between December 2011 and July 2012 were identified. Patient notes were then examined...
Cardiac markers
Point-of-care testing
Process optimization
Troponins
Article
September 2013
Developing quality control strategies based on risk management: The CLSI EP23 guideline
How do errors occur in the laboratory and what can we do to prevent errors?
Any test can and will fail if incorrectly performed or operated under the wrong conditions. The role of the laboratory director is to determine those conditions and to understand test limitations in order to prevent laboratory errors....
Point-of-care testing
Quality assurance
Hemoglobins
D-dimer
Troponins
Article
July 2006
Using the new NACB Practice Guidelines to enhance POCT
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...
Point-of-care testing
Quality assurance
Article
April 2005
POCT data mining – an introduction
Point-of-care testing (POCT) results, like other forms
of laboratory data, hold potential hidden information that can be
utilized to improve patient care.
The technique of extracting
useful information from vast amounts of data is termed “data
mining”. Technological solutions are now available to meet the
challenges ...
Point-of-care testing
Information management
Preanalytical phase
Process optimization
Glucose
Creatinine/urea
Hemoglobins
Article
March 2005
POCT data mining – a practical approach
Simple data-mining algorithms can be applied to
point-of-care testing (POCT) data to document compliance of quality
control, operator training and to identify potential preanalytical
errors.
Data can be manipulated to automate manual review and other
laborious processes for identifying data trends, verifying...
Point-of-care testing
Information management
Preanalytical phase
Process optimization
Creatinine/urea
Glucose
Article
September 2002
A six sigma primer desc.
"Six Sigma" is the latest trend in quality management and is being widely implemented in business and industry today.
Six Sigma represents an evolution of Total Quality Management (TQM), providing a more quantitative framework for evaluating process performance and clearer goals for process improvement. The...
Quality assurance
Article
September 2002
Evidence-based medicine and point-of-care testing
Point-of-care testing provides rapid laboratory diagnostics close to the site of care. Quality assurance of POCT, however, requires significant resources that should be matched with improved patient outcome and benefit. Application of evidence-based medicine to POCT can critically assess the medical effectiveness of...
Point-of-care testing
Article
May 2001
Quality planning and control strategies
What quality is being controlled in laboratories today? The definition of a quality requirement for each laboratory test is the starting point of quantitative quality management.
Different types of requirements may be used as long as there are appropriate quality-planning models for translating those requirements...
Quality assurance
Article
November 1999
Management of point-of-care testing
Point-of-care testing (POCT) is a delivery option for performing laboratory testing closer to the patient. Due to increasing healthcare pressures for faster turnaround of laboratory results and the development of a broader menu of testing devices, POCT is growing in popularity. Devices today are more portable,...
Point-of-care testing
Glucose
Hemoglobins
