Quality Control and Quality Management of Alternate-Site Testing

Handorf, Charles R.

doi:10.1016/s0272-2712(18)30367-6

Cited by 7 publications

(4 citation statements)

References 43 publications

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“…Depending on perspective, veterinary medicine is either blessed or cursed that veterinary laboratories are not affected by regulations such as the Good Laboratories Practice Act and Clinical Laboratories Improvement Amendments of 1988, which are used as guidelines in human medical laboratories. Adherence to these regulations would make in‐clinic laboratories more expensive for the average practitioner, as quality‐oriented activities typically consume between 30% and 40% of laboratory budgets . The lack of regulatory oversight, however, puts the onus on the practice to ensure that they have a quality assurance plan in place.…”

Section: Discussionmentioning

confidence: 99%

“…While difficult to define in a single sentence, one definition proffered for laboratory quality is “the most appropriate laboratory test, correctly performed, reported, and utilized within a clinically optimal timeframe to produce the most proper patient diagnosis and optimal patient management result.” Ultimately, it is up to each practitioner to ensure that in‐clinic testing delivers accurate, precise results, and QA and QC programs are essential to assure their generation. Improved test turnaround time of accurate results with decreased transport artifact is quality; improved turnaround time of inaccurate results can actually be detrimental to patient care and outcome, and potentially have a negative impact on practitioner credibility, liability, and public health.…”

Section: Discussionmentioning

confidence: 99%

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Survey of point‐of‐care instrumentation, analysis, and quality assurance in veterinary practice

Bell

Harr²,

Rishniw³

et al. 2014

Veterinary Clinical Pathol

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Survey of point‐of‐care instrumentation, analysis, and quality assurance in veterinary practice

Bell

Harr²,

Rishniw³

et al. 2014

Veterinary Clinical Pathol

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“…In this study, we used laboratory personnel as a control group to show that the nurses in clinical units can reach the same level of technical quality as those reached by trained laboratory personnel (Table II). Laboratory personnel often focus on "hard data, " that is, technical quality, and overlook the functional quality of POCT management (27). If the functional quality is not addressed, the technical quality of measurement procedures remains beyond our control, due to human factors like poor motivation.…”

Section: Discussionmentioning

confidence: 99%

An interactive two-step training and management model of point-of-care glucose testing in northern Finland

Lehto

Liikanen

Melkko

et al. 2011

International Journal of Circumpolar Health

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Objectives. To assess an interactive 2-step training and management model for nurses in glucose pointof-care testing (POCT). Study design. The training of the nursing staff by the point-of-care coordinator of the laboratory started with interactive sessions with contact persons who subsequently trained their nursing colleagues at the Oulu University Hospital in northern Finland. The 2-step training model was applied in blood glucose testing as a pilot study. Methods. Functional quality was assessed through interviews with clinical contact persons and a questionnaire was given to the trained nurses. Technical quality was assessed through control measurements by laboratory and nursing staff. Results. Training succeeded because of basic resources (trainers' knowledge and skills, organized contents of training and place), interpersonal communication and high-quality interactions. Nurses were especially satisfied with the prerequisite training of the contact persons (mean score 1.58, Likert scale from -2 to +2, strongly disagree -strongly agree). Day-to-day repeatabilities of less than 3% were achieved in control measurements by both nursing and laboratory staff. Conclusions. The interactive 2-step training and management model could be implemented in the clinical units using a reasonable amount of laboratory resources. The goal of good functional and technical quality in point-of-care testing in the clinical units was achieved. Despite successful implementation, POCT needs continuous support from the laboratory.

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“…5 Nevertheless TAT is one of the most noticeable signs of a laboratory service and is used by many clinicians to judge the quality of the laboratory. 6 Delays in TAT elicit immediate complaints from users while adequate TAT goes unremarked. 7 Unsatisfactory TAT is a major source of complaints to the laboratory regarding poor service and consumes much time and effort from laboratory staff in complaint resolution and service improvement.…”

Section: Introductionmentioning

confidence: 99%

A Study to Analyze the Turnaround Time of Selected Lab Sample Test Conducted in A Multispeciality Hospital in Vadodara, Gujarat

Rathva,

Sharma,

Rohit

2023

IJRASET

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Quality refers to a product or service's ability to meet customer needs and expectations. Clinicians prioritize service quality, including total test error, availability, cost, relevance, and timeliness. They may sacrifice analytical quality for faster turnaround time, leading to the rise of point-of-care testing. The objective of the study was to analyze the turnaround time of selected lab sample test conducted in a multispecialty hospital. Materials and Methods: The study adopted an observational research design, analyzing data collected from a multispecialty hospital in Vadodara. A structured and validated checklist provided by the organization was used as the data collection instrument. Out of total 480 samples, 329 samples were taken for analysis. Results: Out of total 480 samples, 329 samples (78.88%) were taken for analysis. 100 (54.65%) samples were within TAT time and 83 (45.35 %) samples were delayed. 48 (57.83%) samples had TAT between 35 minutes to 40 minutes, 22 (26.51%) samples had TAT between 40 minutes to 50 minutes, 9 (10.84%) samples had TAT between 50 minutes to 55 minutes, and 4 (4.82%) samples had TAT over 60 minutes. Average time between sample collection and lab reach was observed to be 15 min. 38 sec. Transport delay was observed. ConclusionIn conclusion, the study emphasized the importance of timely and accurate laboratory services in ensuring patient satisfaction. By analyzing and addressing the factors contributing to delays in TAT, hospitals can improve their overall service quality and attract more patients.

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Quality Control and Quality Management of Alternate-Site Testing

Cited by 7 publications

References 43 publications

Survey of point‐of‐care instrumentation, analysis, and quality assurance in veterinary practice

Survey of point‐of‐care instrumentation, analysis, and quality assurance in veterinary practice

An interactive two-step training and management model of point-of-care glucose testing in northern Finland

A Study to Analyze the Turnaround Time of Selected Lab Sample Test Conducted in A Multispeciality Hospital in Vadodara, Gujarat

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