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Articles by V. M. Roemer
Showing articles by "V. M. Roemer"
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
Article
December 2002
From hospitals to project organizations
If you think only private corporations can call themselves project organizations, think again. Hospitals around the world are increasingly seeing themselves as project organizations and relying on project groups to explore and implement new technologies.
Meanwhile, healthcare workers participating in these projects...
Process optimization
Point-of-care testing
Glucose
Article
November 2002
The role of training, competency assessment, and continuing education
In a 1999 study, the US Institute of Medicine (IOM) concluded that 44,000 to 98,000 hospitalized Americans die each year from preventable medical errors.
While the number of serious medical errors attributable to point of care (point-of-care testing, POCT) is not known, the testing environment (patient bedside) and...
Process optimization
Point-of-care testing
Glucose
Article
September 2002
Paperless inspections no longer a dream
Preparing for an accreditation inspection is often synonymous with carts full of paper. For some labs, though, the paper hassle associated with accreditation is now history. These labs are letting their data management systems do all the work.
Information management
Blood gases/acid-base
Point-of-care testing
Article
September 2002
The invention and development of the blood gas analysis apparatus
John Severinghaus, who recently turned 80, is one of the pioneers in the field of blood gas. To celebrate his birthday, bloodgas.org has asked him to look back on the first developments leading to the modern blood gas analyzers.
The following article has also been published in Anesthesiology, The Journal of the...
Point-of-care testing
Blood gases/acid-base
Glucose
Lactate
Hemoglobins
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
U.S. quality assurance regulations for decentralized testing
In the U.S. all testing, including decentralized testing, is regulated according to the Clinical Laboratory Improvement Amendments of 1988 (CLIA'88). Congress passed CLIA'88 to ensure accurate, reliable, and timely test results regardless of test site.
These quality control, quality assurance, and proficiency tesing...
Quality assurance
Information management
Article
May 2002
Key elements in a successful pediatric laboratory
Children are not just small adults, and present unique challenges to the clinical laboratory. Blood specimens must be very small; for example, total blood volumes in a premature infant can be as small as 115 mL. Genetic diseases frequently must be detected in the newborn period. Reference values change with age....
Neonatology
Blood gases/acid-base
Point-of-care testing
Preanalytical phase
Glucose
Hemoglobins
