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” – ...

Hospital do Coração (HCor) in São Paolo, Brazil is a hospital for cardiac patients, many of whom are children and newborns. Cardiac patients are closely monitored with respect to acid base and blood gases, and even the newborns have several arterial and venous blood samples drawn daily. Dr Alberto Duarte from the...

What does it take to create and maintain a quality point-of-care program in a world-renowned healthcare institution? acutecaretesting.org recently asked that question to Paula Santrach, MD, Interim Chair of the Dept. of Laboratory Medicine and Pathology at the Mayo Clinic in the US. She came back with a list* of 10...

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...

Reprinted with permission from British Journal of Nursing, 2004, Vol 13, No 9.  Arterial puncture is the most common method used to obtain a sample for the measurement of arterial blood gases (ABGs) and is essential to guide the prescription of long-term oxygen therapy (LTOT) in patients with chronic hypoxic lung...

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...

Clinical initiatives to maintain blood glucose (BG) within a more normal range have emerged over the last decade as a growing trend in clinical management of patients in acute care settings. This trend has grown due to the increased focus of research in glycemic control (GC) and results indicating that GC is...

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...

Effectively written policies and procedures can help contribute to an error-free POCT program. Sentara Healthcare has incorporated policy and procedure development into their safety program. It is coined Focus & Simplify and is about improving the effectiveness of work processes and procedure documentation.  Through ...