Download or read book The Role of Medical Laboratory Professionals in Laboratory Stewardship written by Amanda Dianne Van Spronsen and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: With thousands of available laboratory tests and countless patient variables, clinical decision-making is highly complex. It occurs against a backdrop of time pressures, disjointed communication structures, and a culture that emphasizes certainty. Both over- and under- utilization of laboratory tests occur at unacceptably high rates. Despite considerable research into characterizing misutilization and understanding contributing factors, it remains an issue. There is a progressive trend of involving laboratory medicine professionals in ensuring appropriate ordering and management of laboratory tests. As this perspective becomes more sophisticated, it is increasingly aligned with the concept of stewardship. Stewardship calls for a wholistic, multidisciplinary approach to responsible resource use with an emphasis on securing value for efforts, and has led to new roles, and new challenges, for many healthcare professionals. Stewardship is a relatively recent concept within healthcare, and it is still being defined and integrated. Behind the scenes in healthcare, there are many professionals that generate and validate the information that is used to make clinical decisions. Medical Laboratory Professionals (MLPs), a term primarily inclusive of Medical Laboratory Technologists (MLTs) and Assistants (MLAs), are a skilled population that collects, processes, and tests biological specimens. MLTs also ensure result quality and communication to the ordering provider. The research presented in this thesis focuses on MLPs. Currently, little is known about how MLPs contribute to existing utilization issues in laboratory testing, or how they impact patient and resource waste in their routine practices. It is also difficult to articulate tangible and practical ways that MLPs can contribute to stewardship interventions and activities, as this deviates from how their work has been historically viewed through the lens of preventing errors and maximizing efficiency. This understanding is vital in highlighting their importance as stakeholders in laboratory stewardship. However, even if new roles and their explicit inclusion in stewardship activities can be justified, the barriers they face may be substantial as they have little visibility and authority outside of the laboratory. We used a modified Delphi process with a panel of MLPs to identify common practices that contribute to harm and waste. A scoping review expanded on this work to discover what has been published about the impact of MLP practices on inappropriate laboratory utilization, and the roles they can play in stewardship interventions. We administered a Canada-wide cross-sectional survey to assess knowledge, attitudes, and barriers experienced by MLPs as they considered active participation in laboratory stewardship. We used the Theoretical Domains Framework and the Behaviour Change Wheel to characterize survey findings and suggest tailored interventions, respectively. We also asked MLPs about their observations about inappropriate laboratory test ordering to highlight this unexplored perspective. This research shows that MLPs impact laboratory utilization in both direct and indirect ways during their routine activities, but many practices are absent from published research. Globally, there are staff shortages and burnout, and correspondingly, available research tends to focus on recruitment and retention. This reveals the historical view of the laboratory as a factory of inputs and outputs, with replaceable workers. However, our research shows that these skilled professionals are dedicated to patient care and wise resource use, can offer unique and valuable insights, and want to contribute in meaningful ways to stewardship. Unfortunately, they face environmental, cultural, and social barriers. A shift to laboratory stewardship may bring new roles and new opportunities to MLPs but it must be proactively and intentionally inclusive of all professionals who work in the laboratory.
Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Download or read book Textbook of Patient Safety and Clinical Risk Management written by Liam Donaldson and published by Springer Nature. This book was released on 2020-12-14 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.
Download or read book Clinical Laboratory Management written by Lynne Shore Garcia and published by John Wiley & Sons. This book was released on 2024-04-30 with total page 821 pages. Available in PDF, EPUB and Kindle. Book excerpt: Apply the principles of management in a clinical setting with this vital guide Managerial expertise is increasingly essential to the practice of medicine. It's no longer possible for laboratory directors or heads of clinical practice to grasp only the principles of medicine and pathology; it's now more necessary than ever that they be versed in fiscal management, patient care testing, quality assurance, and many other potential areas of expertise. Recent changes to the practice of medicine driven by the COVID-19 pandemic have only rendered this need more urgent. Clinical Laboratory Management provides a practical, comprehensive introduction to this body of expertise for practitioners who find themselves in supervisory positions. Beginning with an overview of management principles and their clinical applications, it assesses in detail the challenges facing clinical laboratories and the best practices for meeting them. Now fully updated to reflect the latest contributions from both business and medicine, it's an indispensable tool in a changing clinical world. Readers of the third edition of Clinical Laboratory Management will also find: Updates reflecting the lessons and transformations brought about by COVID-19 Detailed discussion of topics including point-of-care testing, information systems, reimbursement compliance, and more Practical examples and summary tables throughout Clinical Laboratory Management is ideal for laboratory directors, chief technologists, healthcare administrators, and trainees for leadership positions.
Download or read book Laboratory Management Information Systems Current Requirements and Future Perspectives written by Moumtzoglou, Anastasius and published by IGI Global. This book was released on 2014-07-31 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Technological advances have revolutionized the way we manage information in our daily workflow. The medical field has especially benefitted from these advancements, improving patient treatment, health data storage, and the management of laboratory samples and results. Laboratory Management Information Systems: Current Requirements and Future Perspectives responds to the issue of administering appropriate regulations in a medical laboratory environment in the era of telemedicine, electronic health records, and other e-health services. Exploring concepts such as the implementation of ISO 15189:2012 policies and the effects of e-health application, this book is an integral reference source for researchers, academicians, students of health care programs, health professionals, and laboratory personnel.
Download or read book Medical Laboratory Scientist The Comprehensive Guide written by Viruti Shivan and published by Independently Published. This book was released on 2024-01-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dive into the world of Medical Laboratory Science with our in-depth guide, designed for both aspiring professionals and seasoned experts. "Medical Laboratory Scientist - The Comprehensive Guide" is an essential resource for anyone seeking a thorough understanding of the laboratory science field. This book covers a wide range of topics including the fundamentals of medical laboratory techniques, the latest technological advancements, best practices in laboratory management, and the ethical considerations in laboratory science. Readers will find detailed chapters on microbiology, hematology, clinical chemistry, immunology, and more, each written in an accessible style that balances technical detail with practical application. Additionally, the guide discusses the critical role of laboratory scientists in patient care and public health, and offers insights into career development opportunities within the field. This comprehensive guide is specifically tailored to meet the needs of students, educators, and professionals, providing them with the knowledge and tools necessary to excel in the dynamic and evolving world of laboratory medicine. Please note that for copyright purposes, this book does not contain any images or illustrations.
Download or read book Clinical Laboratory Management written by Lynne Shore Garcia and published by . This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Laboratory Management is a comprehensive volume presenting authoriative information on the management challenges facing today′s clinical laboratories. Dramatic changes in the fields of medicine and healthcare require an increased level of expertise of all laboratory personnel. An invaluable resource for laboratory directors, managers, and supervisors, Clinical Laboratory Management will also teach healthcare practitioners at all levels how to hear, speak, and thoroughly understand the operational language of healthcare administration. Written by practicing laboratorians and edited by seasoned professionals, this publication details the core requirements for effective laboratory management, including personnel management, communication, data management, point–of–care testing, test management, selection and implementation of tests and instruments, safety and emergency preparedness, and regulatory requirements. A comprehensive overview of management principles is presented, with in–depth analyses of financial challenges encountred in the clinical laboratory. Contained here is an array of administrative tools, including numerous appendices providing guidelines for relevant documentation, information on regulatory requirements, and managerial tools pertaining to personnel, financial, and technical issues, as well as checklists, worksheets, forms, Web addresses, and a complete glossary of specialized terms. Clinical Laboratory Management is the essential resourece for all clinical laboratories, from the physician′s office to hospital clinical labs, to the largest commercial reference laboratories, providing practical information in the fields of medicine and healthcare, clinical pathology, and clinical laboratory mangement, for practitioners, managers, and individuals training to enter these fields. Key Features compiled by field experts with years of practical experience as healthcare administrators. a wealth of valuable administrative resources, including checklists, worksheets, forms, and Web addresses, in addition to practical examples of relevant material and a complete glossary thorough coverage of management topics such as managerial leadership, personnel, business planning, information management, regulatory management, reimbursement, generation of revenue and more essential resource for all clinical laboratories
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Download or read book Medical Laboratory Testing Personnel written by Joan O'Connell-Spalla and published by . This book was released on 2021 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: The shortage of Medical Laboratory Professionals (MLP) has been an ongoing problem for over a decade, primarily due to areas of discontent of MLP. Initiatives to improve these problematic areas of discontent have been and continue to be important to the field of medical laboratory science in regard to recruiting and retaining these essential professionals. Previous research has uncovered significant factors associated with discontent including; salary levels, lack of advancement, public awareness and esteem. This study explores the issues of awareness, respect, and recognition of the MLP within the context of the healthcare community, the impact on professional status among other healthcare professionals and the association with career satisfaction and professional engagement. This longitudinal survey presents data from samples of laboratory professionals collected both prior to the COVID-19 pandemic (n= 371) and during the COVID-19 pandemic (n=380). Results of the current study indicate that more than half of respondents do not feel respected by other healthcare professionals and more than 90% indicated that other healthcare professionals do not understand the educational requirements and level of responsibility of the MLP. Additional analysis reveals that perceived lack of respect and understanding by members of other healthcare professions have a statistically significant impact on the career satisfaction of MLP. The current study highlights the need to address awareness, respect, and understanding of the valuable contribution of the MLP, specifically, among other healthcare professionals. The implication of creating change related to respect, recognition, and awareness within the healthcare community is discussed as a means of developing positive professional identity and status and improving recruitment and retention of vital medical laboratory professionals.
Download or read book Common Problems in Clinical Laboratory Management written by Judith A. O'Brien and published by McGraw-Hill Professional Publishing. This book was released on 2000 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: -- A valuable look at the clinical challenges and questions that arise. in the everyday operation of the clinical lab -- Focuses on practical solutions to the most common, but not necessarily easy-to-solve, problems. -- Covers procedures and policies, planning continuing education, establishing quality control and quality assurance protocols, tuberculosis control, OSHA, and CLIA-88
Download or read book Clinical Laboratory Management written by Donna L. Nigon and published by McGraw-Hill Professional Publishing. This book was released on 2000 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past twenty years, laboratories have evolved from isolated, purely technical departments into integral segments of broader provider systems. Excelling in this new environment requires business knowledge, management skills, and marketing savvy in addition to the age-old prerequisites of clinical competence and technical expertise. This new book imparts these skills and much more. Addressing both emerging needs in the curriculum and the new demands upon practitioners, the text concentrates on critical issues of lab management including strategic thinking and planning, maximizing reimbursement, practical financial issues, compliance with governmental regulations, optimizing productivity and much more.
Download or read book Evidence based Laboratory Medicine written by Christopher P. Price and published by Amer. Assoc. for Clinical Chemistry. This book was released on 2003 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Clinical Diagnostic Technology written by Kory M. Ward and published by Amer. Assoc. for Clinical Chemistry. This book was released on 2003 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Essentials Of Medical Laboratory Practice written by Constance L Lieseke and published by F.A. Davis. This book was released on 2012-01-31 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inside, you’ll find a wealth of information on important laboratory terminology and the procedures you’ll need to perform to become an effective member of a physician’s office team. Coverage of the advanced procedures performed outside of the physician’s office explains what happens to the samples you send out. There’s also information on CLIA and other government regulations and how they affect each procedure.
Download or read book Laboratory Total Quality Management for Practitioners and Students of Medical Laboratory Science written by Erhabor Osaro and published by AuthorHouse. This book was released on 2012-10-09 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book will enable the production of reliable, accurate, reproducible (best possible care) results that satisfies the customers requirements obtained from an accredited, process oriented, health and safety conscious laboratory that is cost effectively run (value for money) by qualified, certified and highly motivated biomedical staff (Joy and pride at work) using well maintained, validated and quality controlled equipments and appropriately stored reagents on the right sample drawn from the right patient that is appropriately communicated in a timely fashion to the requesting clinician to enable them render the best possible evidenced- based medical care to their patients.
Download or read book Clinical Laboratory Science Education Management written by M. Ann Wallace and published by Saunders. This book was released on 1998 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Laboratory Science Education & Management is the first resource to cover the full range of education and management skills mandated by the NAACLS, ASCP, and NCA. Its remarkably varied, interactive approach helps you master these skills to the fullest! Separate sections comprehensively address education and management. Every chapter features objectives, activities, discussion, references, and selected readings. This consistent structure simplifies learning. Activities challenge you to develop the critical thinking skills necessary for handling difficult situations and generating solutions to real-world issues. They also help you build your skills for communicating with students, co-workers, employees, and colleagues. User-friendly illustrations demonstrate important concepts and situations.
Download or read book Principles of Clinical Laboratory Management written by Jane Hudson and published by Prentice Hall. This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise summary of the most common clinical laboratory management topics emphasizes the need for the entry-level laboratory practictioner to be aware of the financial, personnel, operational, and marketing issues affecting the laboratory in order to successfully perform and compete in the rapidly changing health care environment. Using examples, case studies, and commentaries, this book covers all topics relevant to laboratory management, including professionalism, ethics, employment interviews and selection, diversity, stress management, team building, communication and interpersonal relationships, public relations, scheduling, quality control, information systems, and legal considerations. Medical technologists and clinical laboratory scientists with less than 3 years' experience would benefit from this discussion of basic management topics.
