Current Evidence and Future Perspectives on the Effective Practice of Patient-Centered Laboratory Medicine

Hallworth, Mike; Epner, Paul; Ebert, Christoph; Fantz, Corinne R.; Faye, Sherry; Higgins, Trefor; Kilpatrick, Eric S.; Li, Wenzhe; Rana, Satyavati; Vanstapel, Florent

doi:10.1373/clinchem.2014.232629

Cited by 65 publications

(37 citation statements)

References 61 publications

(43 reference statements)

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“…Monitoring can be well managed by good recording and documentation practice. Automation and computing system for medical record may enhance the quality control in this process ( Figure 1) [2,7].…”

Section: Essential Elements In Patient-centred Laboratory Medicinementioning

confidence: 99%

“…This R&D is independent of the testing department aims at designing and developing research studies for clinical application tests for new innovative biotechnology, assisting in technical transfer in clinical biochemistry, conducting certification and auditing for new clinical technologies [7,13], improvement of current clinical laboratory examinations and assistance with internal auditor for quality management. It could be seen that the majority of devices and testing kits from clinical biotechnology companies have passed the quality control analysis while re-examination in the actual clinical laboratory is critical because of the environmental variations [14,15].…”

Section: Adaptation To New Innovative Applications and Future Laboratmentioning

confidence: 99%

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Elements of Effective Practice in Patient-Centred Laboratory Medicine

Tam¹,

Cho²,

Ng³

2018

Prev Med Commun Health

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Laboratory medicine is an evidence-based medicine which involves a set of medical diagnosis conducted on tissues, fluids, or other specimens to assist clinical staff and medical doctors in disease diagnosis and patients treatment. Chemical, cytological, haematological, microbiological, histological, and molecularly techniques are employed in the process of acquiring the diagnostic results. Quality assurance of the medical laboratory is regulated and accredited by international standardisation organisations. The whole process of patient-centred laboratory medicine could be described into five stages: screening of diseases, risk identification and stratification, clinical diagnosis, selection of medical treatment by physicians and continuous monitoring of drug efficacy and side effects. It was reported that the pre-analytical process is the major laboratory errors and thus elimination of these errors is critical for maintaining patient-centred laboratory medicine. Advanced development of molecular medicine and automation of clinical system requires development of laboratory medicine while systematic quality management should be maintained for good quality of medical practice. Foreseeably further laboratory medicine may contribute to targeted therapy and personalised management.

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Section: Essential Elements In Patient-centred Laboratory Medicinementioning

confidence: 99%

Section: Adaptation To New Innovative Applications and Future Laboratmentioning

confidence: 99%

Elements of Effective Practice in Patient-Centred Laboratory Medicine

Tam¹,

Cho²,

Ng³

2018

Prev Med Commun Health

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“…Hallworth et al . on behalf of the IFCC Task Force on the Impact of Laboratory Medicine on Clinical Management and Outcomes cited the five ways in which the testing process can lead to diagnostic error: an inappropriate test is ordered; an appropriate test is not ordered; an appropriate test result is misinterpreted or misapplied; an appropriate test is ordered, but is delayed or misrouted within the testing process and is not available where it is needed at the time it is needed; the result of an appropriate ordered test is inaccurate. Fryer and Smellie in their ‘toolkit’ for managing demand for laboratory tests suggested 27 recommendations not focused only on the selection of tests but also on the pre–pre‐analytical (shared strategy with clinician) and pre‐analytical (phlebotomy and sample characteristics) issues, postanalytical (interpretative report) and post–postanalytical (audit) issues, with emphasis on the potential of electronic requesting and patient impact.…”

Section: Appropriateness and Total Testing Processmentioning

confidence: 99%

Appropriateness of diagnostics tests

Cappelletti¹

2016

Int J Lab Hematology

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Summary The evolution of the concept of ‘appropriateness’, in the three past decades, from ‘no harm’ and ‘no waste’ to ‘medical decision‐making’ and ‘determining outcomes’ highlights two main points: its foundation is evidence‐based medicine, and it is a quality of every phase of the total testing process, not only for the selection of tests. Nevertheless, appropriateness in Laboratory Hematology, as well as in Laboratory Medicine, is an elusive concept: ‘Appropriateness’ interplays with ‘patient's safety’, ‘healthcare costs’, ‘clinical decision‐making’, and ‘effectiveness’, and the criteria for appropriateness, mainly adherence to clinical guidelines, are often not evidence‐based and not always consensus‐based. Moreover, practising appropriateness is a complex issue because of the ambiguity of the criteria and targets, the never‐ending work of implementing guidelines and their audit, and the uniqueness of the clinical situation of the individual patient. Authors agree on some practical rules: establishing a multidisciplinary and multiprofessional team, choosing carefully clinical targets, finding or building evidences, sharing guidelines with clinicians, choosing adequate tools for changing, working hard on implementation, identifying the ‘right’ laboratory methods and processes, checking progress indefinitely, providing information, interpretations, and consultations, and promoting feedback and audits. The success depends on the ‘right’ combination of educational, operative, and reinforcing interventions. Competences in organization, in implementation science, and in interpersonal relationship management are essential as well as knowledge and experience in Hematology, not only in Laboratory Hematology.

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“…En ese sentido, los profesionales de la medicina de laboratorio, deben contribuir a posicionar al paciente en el centro de la atención sanitaria, y contribuir con los mejores resultados de laboratorio, para su correcta intervención clínica, ya sea para su prevención, diagnóstico, seguimiento, monitorización o tratamiento [4] .…”

Section: Introductionunclassified

Normatividad relacionada al control de calidad analítica en los laboratorios clínicos del Perú

Figueroa-Montes

2017

Acta Med Peru

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El presente artículo especial tiene como propósito detallar las normas y regulaciones, elaboradas por instituciones peruanas, involucradas con la calidad analítica de los laboratorios cínicos. Además, refuerza la importancia de las responsabilidades de los gestores y profesionales de la medicina de laboratorio, en su rol de entregar resultados confiables y con calidad analítica, que permitirán una toma de decisiones clínicas por parte del profesional de la salud y así realizar una intervención oportuna al paciente, en beneficio de su diagnóstico, monitoreo o tratamiento.

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Current Evidence and Future Perspectives on the Effective Practice of Patient-Centered Laboratory Medicine

Cited by 65 publications

References 61 publications

Elements of Effective Practice in Patient-Centred Laboratory Medicine

Elements of Effective Practice in Patient-Centred Laboratory Medicine

Appropriateness of diagnostics tests

Normatividad relacionada al control de calidad analítica en los laboratorios clínicos del Perú

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