Category Archives: Care Patient

The Evolving Regulatory Environment and Bedside Metabolic Monitoring of the Acute Care Patient (Part 5)

The fact that they must now apply for the right to provide alternative accreditation as a substitute for federal inspection makes it likely that JCAHO and CAP accredition standards will have to be revised to comply completely with the federal regulatory requirements based on CLIA ’88.
The inconsistent and demanding personnel standards in previous regulations are less explicit in CLIA ’88. The previous federal regulations had different personnel standards for hospital laboratories, independent laboratories engaged in interstate commerce, and laboratories at other testing sites. CLIA ’88 allows the Secretary of Health and Human Services to introduce personnel requirements based on the complexity of testing and the need for exercise of judgment. flovent inhaler

The Evolving Regulatory Environment and Bedside Metabolic Monitoring of the Acute Care Patient (Part 4)

The Evolving Regulatory Environment and Bedside Metabolic Monitoring of the Acute Care Patient (Part 4)Certified analysts are at lower risk of making errors. Regulations were intended to assure that only those individuals with adequate training would perform laboratory tests. Many of the regulations were written under the assumption that tests were complex processes requiring the exercise of independent judgment. A number of governmental and nongovernmental bodies certify or license analysts based on education and examination.
Complete records promote good testing practices and allow an inspector to assess quality. Most inspecting bodies have guidelines that specify necessary documentation for test results, quality assurance, and employee records. Buy Asthma Inhalers Online

The Evolving Regulatory Environment and Bedside Metabolic Monitoring of the Acute Care Patient (Part 3)

Assumptions of Current Regulatory Approaches
Regulation of laboratory testing was developed in the context of centralized testing. Most regulations have been written based on the following assumptions:
Quality control (QC) reduces errors or detects them prior to the reporting of test results. Quality control is the process of introducing a sample of known composition into the testing process at frequent periodic intervals. Statistical analysis of the QC sample results provides information about the test-to-test and day-to-day variability of testing. By applying certain “rules” to QC test results, one can obtain early warning of unacceptable test variability prior to the reporting of patient results. buy ortho tri-cyclen

The Evolving Regulatory Environment and Bedside Metabolic Monitoring of the Acute Care Patient (Part 2)

Random analytic errors occur unexpectedly, sporadically, and without pattern. They are the predominant type of error in out-of-laboratory testing performed by individuals without technical training. They occur, not because of instrument or reagent failure, but because of distraction, inattention, or lack of consistent technique on the part of the analyst.
Sampling errors occur when the patient has not been prepared appropriately prior to obtaining the specimen or when there is inappropriate timing of specimen collection in regard to giving of medication, change in respirator setting, or a meal. They also occur when a specimen is contaminated during collection, such as mixture with intravenous (IV) fluids during withdrawal through an IV tube.

The Evolving Regulatory Environment and Bedside Metabolic Monitoring of the Acute Care Patient (Part 1)

The Evolving Regulatory Environment and Bedside Metabolic Monitoring of the Acute Care Patient (Part 1)Medical laboratory testing is increasingly subjected to regulation by governmental and voluntary agencies and accrediting bodies. This report will examine current regulations that govern clinical testing with regard to patient care and consider the effectiveness of these regulations in assuring the reliability of the testing.
Why Regulation?
The often-stated reason for regulation of complex processes is “to prevent harm by promoting good practices that minimize error. The public, in fact, believes that it is possible to eliminate all risks of harm in the environment. Proponents of this “zero risk” approach hope that regulation can lead to a risk-free environment. There are frequently also other motives that drive legislators and other officials to institute regulation. Special interest groups frequently promote regulation as a means of gaining an advantage over the competition. In the laboratory field, this is generally done by introducing regulations requiring certification and barring those without specific education or certification from engaging in the practice being regulated.

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