As with other volumes in the Diagnostic Standards of Care series, Clinical Chemistry focuses specifically on understanding potential problems and sources of error in management of the clinical chemistry testing procedures, how to anticipate and avoid such problems, and how to manage them if they occur. The discussions are concise, practical, specific, and problem-based so the book directly addresses the situations and issues faced by the clinical pathologist or other manager or staff member of the chemistry team. Discussion of each problem is augmented by a case discussion giving a real-world example of how the issue can occur and how it can be effectively dealt with by the manager. The goal is to support the pathologist, manager or technologist in providing the highest possible quality of care and effective, timely consultation to the clinical staff.
Clinical Chemistry: Diagnostic Standards of Care features:
- Comprehensive coverage of key issues in achieving quality in all areas of clinical chemistry
- Includes chapters dedicated to point of care testing, pediatric testing, laboratory information systems and EHR integration, and outreach testing
- Numerous case examples and discussions give real-world illustrations of how problems occur and how to avoid them
- Coverage includes perspectives from the lab manager's and administrator's view
- An emphasis on identifying established, evidence-based standards in clinical chemistry
- Examples of errors which compromise patient safety across all major areas of clinical chemistry
- Pocket-sized for portability
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Author(s): James H. Nichols; Carol A. Rauch
Series: Diagnostic Standards of Care
Publisher: Demos Medical
Year: 2013
Language: English
City: New York
Cover
Title
Copyright
Contents
Series Foreword
Preface
Acknowledgments
Chapter 1: Specimen Receiving and Processing
Overview
Preanalytical Errors
Labeling Errors
Collection in the Incorrect Tube Additive
Errors in Specimen Transportation
Specimen Processing Errors
Standards of Care
Recommended Reading
Chapter 2: Core Chemistry
Overview
Preanalytical Errors
Specimen Collection Errors
Specimen Labeling Errors
Analytical Errors
Postanalytical Errors
Standards of Care
Recommended Reading
Chapter 3: Therapeutic Drug Monitoring/Toxicology
Overview
Preanalytical Errors
Test Ordering Errors
Specimen Collection Errors
Analytical Errors
Postanalytical Errors
Standards of Care
Chapter 4: Point-of-Care Testing
Overview
Implementation Mistakes
Failure to Recognize POCT Differences and Limitations
Using POCT to Solve Overly Complex System Problems
Misunderstanding Regulatory Requirements
Test Ordering Mistakes
Distinguishing POCT from Central Laboratory Tests
Overutilization of POCT
Preanalytical Errors
Collecting Samples through Indwelling Catheters
Use of POCT on Alternative Samples
Quality Control Mistakes
Sharing Operator Identifi cation Numbers
Analytical Errors
Data Entry Errors with Patient Identifi cation
Other Data Entry Errors
Blind Operators
Temperature Monitoring and Reagent Storage Errors
Failure to Follow Manufacturer’s Directions
Taking Procedural Shortcuts
Sample Application Mistakes
Postanalytical Errors
Infrequent Operators
Distinguishing POCT from Central Laboratory Results
Reassessing Need for POCT
Standards of Care
Recommended Reading
Chapter 5: Endocrine/Tumor Markers/Special Chemistry
Overview
Preanalytical Errors
Analytical Errors
Postanalytical Errors
Standards of Care
Recommended Reading
Chapter 6: Laboratory Information Systems/Informatics
Overview
Preanalytical Errors
Ordering Mistakes
Analytical Errors
Postanalytical Errors
Standards of Care
Chapter 7: Laboratory Safety
Overview
Preanalytical Errors
Food Risks
Chemical Hazards
Transportation and Processing
Standards of Care
Recommended Reading
Chapter 8: Outreach Testing
Overview
Preanalytical Errors
Postanalytical Errors
Standards of Care
Index
