Role of laboratory medicine in collaborative healthcare

Watson, Ian; Wilkie, Patricia; Hannan, Amir; Beastall, G. H.

doi:10.1515/cclm-2017-0853

Cited by 19 publications

(9 citation statements)

References 40 publications

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“…This includes improved communication and provision of support and education to nurses and doctors, as well as the patients. The blood sampling process is a multilevel process that includes nursing care, laboratory medicine and medicine science, and this makes cooperation and communication for the patient's best especially important (42).…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Experiences of Blood Sample Collection from Children: A Qualitative Study from Swedish Paediatric Hospital Care

Hjelmgren

Ygge

Nordlund

et al. 2021

Preprint

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Background: Blood sampling collections are necessary and important for diagnosis and treatment in paediatric hospital care. Nurses play an active role in helping the children with the blood sampling experience. Unfortunately, the blood sampling collection procedure is often affected by pre-analytical errors, leading to consequences such as delayed diagnosis, treatment and hospital stay, as well as repeated sampling. Moreover, children state that needle procedures are the worst experience of their hospital stay. Nurses working in children’s hospitals are responsible for conducting most of the needle related procedures but their experience of errors occurring during blood sample collection is unknown. The aim of this study therefore was to describe paediatric nurses’ experiences of blood sampling collections from children. Method: We used a qualitative study design with a (reflexive) thematic analysis (TA) method. Three focus group interviews were conducted, with 19 nurses from Sweden working at two different paediatric hospitals, focusing on their experiences of the blood sample collection procedure. Results: From the three focus group interviews we analysed patterns and meanings of the following themes: Paediatric blood sampling is a challenge for the nurses, Nurses’ feelings of frustration with unsuccessful samplings, Nurses believe in team work, Venous blood sampling was experienced as the best option, and Nurses’ thoughts and needs regarding skills development in paediatric blood sampling. Conclusion: The narrative results of this study illustrate that nurses working in paediatric hospital care face a big challenge in blood sampling collection from children. The nurses felt frustrated due to unsuccessful blood samplings and frequently could not understand why pre-analytical errors occurred. Nevertheless, they felt strengthened by colleagues in their team and shared feelings of responsibility to help each other with this complex procedure. The implications of this study are that paediatric hospital care needs to focus on improving guidelines for and increasing competence in blood sampling children and helping nurses to understand why samplings may be unsuccessful and how this can be avoided.

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Section: Discussionmentioning

confidence: 99%

Nurses’ Experiences of Blood Sample Collection from Children: A Qualitative Study from Swedish Paediatric Hospital Care

Hjelmgren

Ygge

Nordlund

et al. 2021

Preprint

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“…Perhaps unsurprisingly, laboratory medicine specialists considered that their role in the choice of test portfolio ought to predominate, while their role was not so important in the opinion of clinicians. Although the expertise of laboratory medicine professionals on the clinical significance of laboratory tests may often be higher than that of many clinicians [32], the laboratory must always collaborate with clinicians and nursing staff, becoming an essential part of every health care setting as a clinical advisor [33]. An opinion shared by both clinicians and laboratory specialists was that health care managers should play a limited role in defining the laboratory test portfolio (Figure 3).…”

Section: Discussionmentioning

confidence: 99%

Clinicians’ and laboratory medicine specialists’ views on laboratory demand management: a survey in nine European countries

et al. 2020

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BackgroundLaboratory tests are an essential aspect of current medical practice and their use has grown exponentially. Several studies however have demonstrated inappropriate use of laboratory testing. This inappropriateness can lead to delayed or wrong diagnosis, negatively impacting patient safety and an increase in health care expenditure. The aim of the present small-scale survey was to obtain information on the current status of demand management in European laboratories, as well as the opinions of laboratory and clinical professionals in this regard.MethodsTwo surveys were developed, one for laboratory specialists and one for clinicians, covering information on current use, knowledge and opinions on the possible impact of different demand management strategies on patient outcome and health care costs. Additionally, we asked for the current state and willingness on collaboration of laboratory specialists and clinicians.ResultsOne hundred and fifty responses, 72 laboratory specialists and 78 clinicians, from nine countries were received. Developing local ordering protocols/profiles in collaboration with clinicians was the most used strategy (80.3% of laboratories). Of clinicians, 85.6% considered measures to ensure appropriate use of tests necessary and 100% were interested in advice/information about their indication. Of the laboratory specialists 97.2% were either already participating or willing to participate in multidisciplinary groups on the appropriateness of test demand as were 60.3% of clinicians, and 85.9% of clinicians were interested in attending activities about laboratory test demand management.ConclusionsThe results of our survey show that tools to improve the appropriate use of laboratory tests are already regularly used today. Laboratory medicine specialists as well as clinicians are willing to undertake additional shared activities aimed at improving patient-centered laboratory diagnostic workup.

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“…Moreover, the patient takes greater responsibility for his/her own health and is involved in decision-making with regard to the diagnosis of disease and the prescription of treatment. Laboratory medicine needs to embrace this change and therefore work in a tripartite partnership with patients and physicians using clinical laboratory services (Watson et al, 2019). Collaborative care prevails when healthcare workers from different disciplines work in partnership with patients and carers to provide comprehensive services and, accordingly, deliver high-quality personal healthcare (Watson et al, 2019).…”

Section: Literature Review 21 the Role Of The Medical Research Labora...mentioning

confidence: 99%

“…Laboratory medicine needs to embrace this change and therefore work in a tripartite partnership with patients and physicians using clinical laboratory services (Watson et al, 2019). Collaborative care prevails when healthcare workers from different disciplines work in partnership with patients and carers to provide comprehensive services and, accordingly, deliver high-quality personal healthcare (Watson et al, 2019). Laboratory medicine today is shifting to personalized laboratory medicine.…”

Section: Literature Review 21 the Role Of The Medical Research Labora...mentioning

confidence: 99%

Consolidation Of the Quality Indicator System for Clinical Laboratory Performance Improvement

2023

QAS

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The implementation and monitoring of quality indicators should be concerned an essential component of a continuous quality improvement program. This research aims at developing a model of a quality indicator system assessment for improving the performance of medical testing laboratories. In addition, the goal is to provide insights and suggestions for the successful implementation of the quality indicator system, estimating the factors, measures, and barriers related to the knowledge, attitudes, and behaviors of laboratory professionals. This study is based on a mixed method approach comprising both quantitative (survey) and qualitative (expert interview) research methods. Based on the insights derived from the literature review, expert interviews, and survey, we developed a model for the evaluation of the quality indicator system of the medical laboratory. The model covers the entire process of conducting the research (the pre-and post-analytical, analytical phases). Moreover, it complies with the requirements of the international standard EN ISO 15189:2013 and ensures the criteria for the evaluation of health care quality measures. The authors' consolidated model for the evaluation and implementation of a quality indicator system could be a valuable tool for laboratories that implement, modify, or update quality indicator systems.

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Role of laboratory medicine in collaborative healthcare

Cited by 19 publications

References 40 publications

Nurses’ Experiences of Blood Sample Collection from Children: A Qualitative Study from Swedish Paediatric Hospital Care

Nurses’ Experiences of Blood Sample Collection from Children: A Qualitative Study from Swedish Paediatric Hospital Care

Clinicians’ and laboratory medicine specialists’ views on laboratory demand management: a survey in nine European countries

Consolidation Of the Quality Indicator System for Clinical Laboratory Performance Improvement

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