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...

In most hospitals, the amount of nursing time spent on actual patient care is only 33 %, while problem solving consumes 40 % of their time. That’s the bad news. The good news is that inverting this ratio may be easier than you think.  According to Dr John Kenagy and David Sundahl of the US-based Kenagy & Associates,...

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...

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 ...

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...

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...

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...

Measurement of plasma/serum sodium concentration is one of the most frequently requested blood tests in clinical practice. Although usually performed in the laboratory, the test is also available at the point of care using technology incorporated into blood gas and other point-of-care analyzers. In health, sodium...

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 ...

Mock inspections are a great way to prepare for real-life inspections from regulatory agencies such as CAP and JCAHO. But where do you start? And most importantly, what should you look for? Lou Ann Wyer, Clinical Specialist, POCT at the Virginia-based Sentara Laboratory Services and Theresa Kulik, Point-of-care...