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Articles by Robert C. Boushel et al.
Showing articles by "Robert C. Boushel et al."
Article
September 2007
Lactate and lactic acidosis
The integrity and function of all cells depend on an adequate supply of oxygen. Severe acute illness is frequently associated with inadequate tissue perfusion and/or reduced amount of oxygen in blood (hypoxemia) leading to tissue hypoxia.
If not reversed, tissue hypoxia can rapidly progress to multiorgan failure and ...
Blood gases/acid-base
Glucose
Lactate
Kidneys/fluids
Article
September 2007
Patient safety 2007
In 2005, acutecaretesting.org interviewed Dr Michael Astion, an active spokesperson for patient safety and reduction of lab errors, on the main issues surrounding the topic. Since then, a lot has changed… or has it? In a follow-up interview with Astion, acutecaretesting.org gauges the status of patient safety year...
Point-of-care testing
Information management
Process optimization
Glucose
Article
July 2007
Is there a QC Gap?
This essay is a follow-up to the 2006 series expressing concern that there is a widespread gap between QC theory and QC practice. Now we are giving you, the reader, the opportunity to rate your own QC practice and to help prove or disprove that gap.
If the QC theories generally recommended by recognized QC experts ...
Quality assurance
Article
July 2007
Ionized calcium
Homeostatic mechanisms ensure that in health the
extracellular fluid (ECF) concentration of electrolytes, including
calcium, is maintained within well-defined limits. Abnormality in
ECF calcium concentration can have profound adverse effects.
The
most common means of assessing calcium status is to measure total...
Preanalytical phase
Electrolytes
Lactate
Hemoglobins
Kidneys/fluids
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
The use of heparin in preparing samples for blood gas analysis
The significance of good practice during the pretesting
phase of clinical laboratory investigation cannot be
overemphasized.
The production of high-quality, accurate results
which are clinically useful depends as much on practice before the
patient’s sample reaches the laboratory as it does on the
analytical phase...
Preanalytical phase
Quality assurance
Glucose
Article
March 2007
Century City Doctors Hospital: Is paperless possible? (English)
Century City Doctors Hospital (CCDH) is a Los Angeles, California-based acute care medical center that is one of the largest physician-owned and -operated hospitals in the United States. The 178-bed facility was designed and built to be fully digital, paperless, and state-of-the-art, with integrated information...
Information management
Process optimization
Article
January 2007
Can barcoded wristbands improve patient safety
In the majority of U.S. healthcare institutions, patient wristbands do not contain barcodes, creating a situation where patient data is manually typed into a database or point-of-care device, leaving plenty of room for error.
In light of error statistics issued by the United Kingdom’s National Patient Safety Agency...
Process optimization
Information management
Preanalytical phase
Glucose
Article
January 2007
Sleep like a baby?
Where do you go for help, when you are a parent of a child who stops breathing while it sleeps? If you live in the south of Sweden, you go to Halmstad County Hospital, where a team of specialists are ready to monitor your sleeping child by polysomnography (PSG).
The neonatal intensive care unit (NICU) in Halmstad has ...
Neonatology
Blood gases/acid-base
Glucose
