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Articles by Vinod K. Bhutani
Showing articles by "Vinod K. Bhutani"
Article
January 2006
Quality control in theory and practice – a gap analysis
Millions of times every day, in a myriad of distinctive
laboratories around this globe, front-line workers make the final
decision on the quality of results they report.
If they decide the
quality is “OK”, patient results are released to impact clinical
decisions, and proficiency values reflect the overall ability...
Quality assurance
Article
June 2005
Activity-based costing: selecting the right equipment for POC
As point-of-care testing (POCT) becomes more popular in
healthcare institutions because of its ability to deliver
high-quality results at the bedside, point-of-care coordinators
(POCCs) are becoming increasingly tasked with controlling costs.
To
deal with this responsibility, POCCs often turn to equipment to
solve...
Point-of-care testing
Article
April 2005
Management of neonatal hyperbilirubinemia
Supported by Pennsylvania Hospital Kernicterus Fund and the Eglin Fund
In the late 1980s, the question whether bilirubin damaged the brain of healthy infants was unanswered. The absence of documented evidence influenced the formulation of the 1994 consensus-based guidelines...
Neonatology
Bilirubin
Article
April 2005
Specimen mislabeling: A significant and costly cause of potentially serious medical errors
Preanalytical errors are a significant source of medical
errors that can jeopardize patient safety. Proper specimen labeling
practices are critical components of effective and accurate patient
identification.
These variables are now considered part of the
preexamination process in the newest CLSI quality system...
Process optimization
Preanalytical phase
Article
February 2005
Oxygen therapy in the newborn period represents a challenge
Oxygen is one of the most widely used drugs in medicine,
and especially so in the newborn period. In many cases, oxygen
supplementation is needed and is life-giving, but we are also aware
of its toxic effects. In spite of this, we still do not know
exactly what is the correct way to administer this drug.
It is a...
Neonatology
Blood gases/acid-base
Article
January 2005
Permissive Hypercapnia-Continuous Monitoring
Neonatology, perhaps more than any other field in medicine, has undergone dramatic improvements in care over the last several decades. One of the main areas of advancement is the ability to mechanically ventilate premature infants with a variety of neonatal lung conditions.
As survival of premature infants has...
Blood gases/acid-base
Article
October 2004
Permissive hypercapnea: Protecting the infant lung
Almost as soon as healthcare providers began ventilating neonates with respiratory distress syndrome, the problem of chronic lung disease began. How to manage these children in a way to promote lung growth and disease-free survival has been the question for those involved in the care of these infants since that time....
Neonatology
Hemoglobins
Article
September 2004
Hematocrit - a review of different analytical methods
To assess anemia and reduced oxygen-carrying
capacity, a measurement of hematocrit and/or hemoglobin is
performed. Whether hemoglobin or hematocrit is preferred
depends on different needs and is often determined by
tradition.
Both hematocrit and hemoglobin are important
hematology parameters for diagnosing...
Preanalytical phase
Quality assurance
Hemoglobins
Kidneys/fluids
Article
July 2004
The heart of the matter
Blood gas analysis at the point of care plays an important role during and after an open-heart surgery. acutecaretesting.org recently talked to Prof. Knut Kleesiek, MD, Director of the Institute for Laboratory and Transfusion Medicine of the Heart and Diabetes Center North Rhine-Westphalia in Germany, to find out more ...
Point-of-care testing
Blood gases/acid-base
Glucose
Hemoglobins
Lactate
Article
July 2004
Useful tips to avoid preanalytical errors in blood gas testing: neonatal total bilirubin
50-75 % of all newborns develop jaundice during their first week of life [1,2,3]. The decision behind which treatment is necessary and when it should be initiated is based upon a measurement of the concentration of total bilirubin (ctBil) in serum, plasma or whole blood.
It is therefore obvious that it is important...
Quality assurance
Bilirubin
Preanalytical phase
Hemoglobins
Blood gases/acid-base
