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Articles by John H. Eckfeldt
Showing articles by "John H. Eckfeldt"
Article
January 2004
What is EQA
External Quality Assessment (EQA) in medical laboratories have evolved over the past 50 years to provide more sophisticated systems compared with the simple participants’ analytical performance evaluation of earlier years.
There are clear distinctions between the proficiency testing schemes and the evolved External...
Quality assurance
Article
October 2003
Pulse oximetry vs. transcutaneous monitoring in neonates: practical aspects
Non-invasive monitoring of oxygenation has become a standard procedure in neonatal critical care. Both transcutaneous pO2 (tcpO2) monitors and pulse oximeters involve methodological and practical issues that should be known to those using these devices in infants.
tcpO2 measurements are influenced by skin thickness, ...
Neonatology
Hemoglobins
Article
October 2003
Are we ready for the outbreak of an epidemic?
That is the question the Hvidovre Hospital had to ask itself in May 2003, when the Danish National Board of Health and the Copenhagen Hospital Corporation appointed it to be one of the country's three key sites for receiving and treating SARS patients.
Once appointed, the hospital began a painstaking process of...
Point-of-care testing
Article
October 2003
Benchmarking as part of competency testing
Like many hospitals throughout the world, the Princess Royal Hospital in Sussex, England has set up a quality assurance (QA) scheme to verify the competency of glucose-meter operators. Their scoring system, however is anything but typical.
Instead of relying solely on individual results, the system also uses...
Quality assurance
Point-of-care testing
Glucose
Article
October 2003
Proficiency testing versus QC-data-comparison programs
Evaluation of the quality of the total testing process of a laboratory is very important to assure that the results supplied by the laboratory are correct and can be used for decisions by the personnel ordering the tests. In this paper Proficiency Testing (PT) or External Quality Assessment (EQA) is described.
PT is...
Quality assurance
Article
September 2003
Transcutaneous monitoring - a Danish approach
Danish neonatal intensive care units (NICUs) are known
throughout the world for practicing minimal handling. Because it is
non-invasive, transcutaneous monitoring of pO2
and pCO2 plays an important role in this
setup.
acutecaretesting.org has interviewed Professor Gorm
Greisen, MD, Dr. Med. Sci., and Head of the...
Neonatology
Article
Article
April 2003
STAT testing in the future
Since the mid 1990's Point of Care Testing (POCT) has been viewed as a solution to a declared need for Short Turn Around Testing (STAT).
However, is it being utilized in a way that meets the needs of improving patient care and hospital quality assurance? What is STAT testing, why and how did it become POCT? How is...
Process optimization
Point-of-care testing
Information management
Glucose
Creatinine/urea
Article
March 2003
Standardizing is the key to effective POCT
According to the Hvidovre Hospital, standardizing is a must
if POCT is to run optimally. In the first article of the series
"POCT setups for blood gas", acutecaretesting.org interviews
the Danish hospital on how they have successfully implemented
POCT.
Point-of-care testing
Information management
Process optimization
Glucose
Hemoglobins
Troponins
Article
February 2003
What is p50
p50 is a shorthand representation of hemoglobin-oxygen affinity. A lower p50 is protective in ambient hypoxemia, whereas increasing the p50 should be beneficial in hypoxia due to lung disease, anemia, and tissue ischemia.
Despite encouraging theoretical and experimental data, it is not yet established that...
Blood gases/acid-base
Hemoglobins
