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Accurate Results in the Clinical Laboratory

Accurate Results in the Clinical Laboratory
  • Author : Amitava Dasgupta,Jorge L. Sepulveda
  • Publisher :Unknown
  • Release Date :2013-01-22
  • Total pages :382
  • ISBN : 9780124158580
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Summary : This practical, easy-to-use guide, named to Doody’s Core Titles 2013, addresses interference issues in all laboratory tests, including patient epigenetics, process of specimen collection, enzymes, biomarkers. Clinicians and laboratory scientists can therefore rely on one reference which speaks to both their needs of accurate specimen analysis and optimal patient care. Erroneous hospital and pathology laboratory results can be confusing and problematic, especially in acute care situations. While some factors creating interference, can be identified in the laboratory, detecting many others is often dependent on clinical details unavailable to the laboratory scientists or pathologists. Therefore, clinicians must become proficient in identifying such erroneous reports, and working with pathologists and laboratory scientists so that they can understand the source of such interferences, correct the results, and then decide what course of action must be followed for proper patient management. Named to Doody’s Core Titles 2013, a collection development tool for health sciences libraries of all sizes, by Doody Enterprises Practical information for both clinicians and laboratory scientists, presented in the form of tables and charts for easy reference Focus on range and sources of interferences rather than details of toxicologic mechanisms which are well covered in toxicology textbooks Covers interferences across endocrine, oncology, hematology, immunohistochemistry, immunology, serology, microbiology, and molecular testing

Accurate Results in the Clinical Laboratory

Accurate Results in the Clinical Laboratory
  • Author : Amitava Dasgupta,Jorge L. Sepulveda
  • Publisher :Unknown
  • Release Date :2019-07-20
  • Total pages :510
  • ISBN : 9780128137772
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Summary : Accurate Results in the Clinical Laboratory: A Guide to Error Detection and Correction, Second Edition, provides a comprehensive review of the factors leading to errors in all areas of clinical laboratory testing. This trusted guide addresses interference issues in all laboratory tests, including patient epigenetics, processes of specimen collection, enzymes and biomarkers. Clinicians and laboratory scientists will both benefit from this reference that applies discussions to both accurate specimen analysis and optimal patient care. Hence, this is the perfect reference for clinical laboratorians, from trainees, to experienced pathologists and directors. Provides comprehensive coverage across endocrine, oncology, hematology, immunohistochemistry, immunology, serology, microbiology, and molecular testing Includes new case studies that highlight clinical relevance and errors to avoid Highlights the best titles published within a variety of medical specialties Reviewed by medical librarians and content specialists, with key selections compiled in their annual list

Endogenous Interferences in Clinical Laboratory Tests

Endogenous Interferences in Clinical Laboratory Tests
  • Author : Martin H. Kroll,Christopher R. McCudden
  • Publisher :Unknown
  • Release Date :2012-12-19
  • Total pages :155
  • ISBN : 9783110266221
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Summary : Clinical laboratories must provide accurate test results to protect patient safety. Clinical laboratory samples frequently contain high amounts of bilirubin or lipemia. This book provides the empirical and theoretical foundation for bilirubinemia or lipemia and the impact they have on the quality of results and patient safety. It discusses the origins of interferences and their proper evaluation.

Mass Spectrometry for the Clinical Laboratory

Mass Spectrometry for the Clinical Laboratory
  • Author : Hari Nair,William Clarke
  • Publisher :Unknown
  • Release Date :2016-11-02
  • Total pages :304
  • ISBN : 9780128009925
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Summary : Mass Spectrometry for the Clinical Laboratory is an accessible guide to mass spectrometry and the development, validation, and implementation of the most common assays seen in clinical labs. It provides readers with practical examples for assay development, and experimental design for validation to meet CLIA requirements, appropriate interference testing, measuring, validation of ion suppression/matrix effects, and quality control. These tools offer guidance on what type of instrumentation is optimal for each assay, what options are available, and the pros and cons of each. Readers will find a full set of tools that are either directly related to the assay they want to adopt or for an analogous assay they could use as an example. Written by expert users of the most common assays found in a clinical laboratory (clinical chemists, toxicologists, and clinical pathologists practicing mass spectrometry), the book lays out how experts in the field have chosen their mass spectrometers, purchased, installed, validated, and brought them on line for routine testing. The early chapters of the book covers what the practitioners have learned from years of experience, the challenges they have faced, and their recommendations on how to build and validate assays to avoid problems. These chapters also include recommendations for maintaining continuity of quality in testing. The later parts of the book focuses on specific types of assays (therapeutic drugs, Vitamin D, hormones, etc.). Each chapter in this section has been written by an expert practitioner of an assay that is currently running in his or her clinical lab. Provides readers with the keys to choosing, installing, and validating a mass spectrometry platform Offers tools to evaluate, validate, and troubleshoot the most common assays seen in clinical pathology labs Explains validation, ion suppression, interference testing, and quality control design to the detail that is required for implementation in the lab

Hematology and Coagulation

Hematology and Coagulation
  • Author : Amer Wahed,Amitava Dasgupta
  • Publisher :Unknown
  • Release Date :2015-01-21
  • Total pages :324
  • ISBN : 9780128003817
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Summary : Hematology and Coagulation is a clear and easy-to-read presentation of core topics and detailed case studies that illustrate the application of hematopathology knowledge to everyday patient care. In order to be successful, as well as to pass the American Board of Pathology examination, all pathology residents must have a good command of hematopathology, including the challenging topics of hematology and coagulation. Hematology and Coagulation meets this challenge head on. This basic primer offers practical examples of how things function in the hematopathology clinic as well as useful lists, sample questions, and a bullet-point format ideal for quick pre-board review. This book provides only the most clinically relevant examples designed to educate senior medical students, residents and fellows and "refresh" the knowledge base, without overwhelming students, residents, and clinicians. Takes a practical and easy-to-read approach to understanding hematology and coagulation at an appropriate level for both board preparation as well as a professional refresher course Covers all important clinical information found in larger textbooks in a more succinct and easy-to-understand manner Covers essential concepts in hematopathology in such a way that fellows and clinicians understand the methods without having to become specialists in the field

Mathematics for the Clinical Laboratory

Mathematics for the Clinical Laboratory
  • Author : Lorraine J. Doucette
  • Publisher :Unknown
  • Release Date :2010-03
  • Total pages :408
  • ISBN : 1437701795
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Summary : Mathematics for the Clinical Laboratory is a comprehensive text that teaches you how to perform the clinical calculations used in each area of the laboratory and helps you achieve accurate results. This second edition features even more examples and practice problems. This edition ensures your success by using proven learning techniques focused on practice and repetition to demonstrate how you will use math in the lab every day! New content increases the comprehensiveness of the text Charts and diagrams allow you to picture how calculations work and are applied to laboratory principles Chapter outlines show what to expect from each chapter and how the topics flow and connect to each other Practice problems act as a self-assessment tool to aid in reviewing the material. Significantly updated chapters include calculations that are currently in use in laboratories. More problems and examples applicable to real-life situations have been added to all chapters for additional practice. A companion Evolve website features a test bank, electronic image collection, PowerPoint slides, practice quizzes, additional examples of calculations, and student practice problems. Chapter on the molecular laboratory familiarizes you with the most current information about the critical area of clinical laboratory science.

Medicare Laboratory Payment Policy

Medicare Laboratory Payment Policy
  • Author : Institute of Medicine,Division of Health Care Services,Committee on Medicare Payment Methodology for Clinical Laboratory Services
  • Publisher :Unknown
  • Release Date :2000-12-04
  • Total pages :264
  • ISBN : 0309183618
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Summary : Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.

Clinical Laboratory Management

Clinical Laboratory Management
  • Author : Anonim
  • Publisher :Unknown
  • Release Date :2020-08-06
  • Total pages :1096
  • ISBN : 9781555817282
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Summary : This totally revised second edition is a comprehensive volume presenting authoritative information on the management challenges facing today's clinical laboratories. Provides thorough coverage of management topics such as managerial leadership, personnel, business planning, information management, regulatory management, reimbursement, generation of revenue, and more. Includes valuable administrative resources, including checklists, worksheets, forms, and online resources. Serves as an essential resource 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 management, for practitioners, managers, and individuals training to enter these fields.

Laboratory Quality Management System

Laboratory Quality Management System
  • Author : World Health Organization
  • Publisher :Unknown
  • Release Date :2011
  • Total pages :247
  • ISBN : 9241548274
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Summary : Achieving, maintaining and improving accuracy, timeliness and reliability are major challenges for health laboratories. Countries worldwide committed themselves to build national capacities for the detection of, and response to, public health events of international concern when they decided to engage in the International Health Regulations implementation process. Only sound management of quality in health laboratories will enable countries to produce test results that the international community will trust in cases of international emergency. This handbook was developed through collaboration between the WHO Lyon Office for National Epidemic Preparedness and Response, the United States of America Centers for Disease Control and Prevention (CDC) Division of Laboratory Systems, and the Clinical and Laboratory Standards Institute (CLSI). It is based on training sessions and modules provided by the CDC and WHO in more than 25 countries, and on guidelines for implementation of ISO 15189 in diagnostic laboratories, developed by CLSI. This handbook is intended to provide a comprehensive reference on Laboratory Quality Management System for all stakeholders in health laboratory processes, from management, to administration, to bench-work laboratorians. This handbook covers topics that are essential for quality management of a public health or clinical laboratory. They are based on both ISO 15189 and CLSI GP26-A3 documents. Each topic is discussed in a separate chapter. The chapters follow the framework developed by CLSI and are organized as the "12 Quality System Essentials".

Clinical Laboratory Improvement Act

Clinical Laboratory Improvement Act
  • Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment
  • Publisher :Unknown
  • Release Date :1988
  • Total pages :364
  • ISBN : PSU:000014268281
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Summary :

Clinical Laboratory Improvement Act of 1977

Clinical Laboratory Improvement Act of 1977
  • Author : United States. Congress. Senate. Committee on Human Resources. Subcommittee on Health and Scientific Research
  • Publisher :Unknown
  • Release Date :1977
  • Total pages :765
  • ISBN : UOM:39015078626226
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Summary :

Returning Individual Research Results to Participants

Returning Individual Research Results to Participants
  • Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on the Return of Individual-Specific Research Results Generated in Research Laboratories
  • Publisher :Unknown
  • Release Date :2018-09-23
  • Total pages :398
  • ISBN : 9780309475174
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Summary : When is it appropriate to return individual research results to participants? The immense interest in this question has been fostered by the growing movement toward greater transparency and participant engagement in the research enterprise. Yet, the risks of returning individual research resultsâ€"such as results with unknown validityâ€"and the associated burdens on the research enterprise are competing considerations. Returning Individual Research Results to Participants reviews the current evidence on the benefits, harms, and costs of returning individual research results, while also considering the ethical, social, operational, and regulatory aspects of the practice. This report includes 12 recommendations directed to various stakeholdersâ€"investigators, sponsors, research institutions, institutional review boards (IRBs), regulators, and participantsâ€"and are designed to help (1) support decision making regarding the return of results on a study-by-study basis, (2) promote high-quality individual research results, (3) foster participant understanding of individual research results, and (4) revise and harmonize current regulations.

Clinical Chemistry - E-Book

Clinical Chemistry - E-Book
  • Author : Donna Larson
  • Publisher :Unknown
  • Release Date :2015-12-17
  • Total pages :736
  • ISBN : 9780323292535
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Summary : Gain a clear understanding of pathophysiology and lab testing! Clinical Chemistry: Fundamentals and Laboratory Techniques prepares you for success as a medical lab technician by simplifying complex chemistry concepts and lab essentials including immunoassays, molecular diagnostics, and quality control. A pathophysiologic approach covers diseases that are commonly diagnosed through chemical tests — broken down by body system and category — such as respiratory, gastrointestinal, and cardiovascular conditions. Written by clinical chemistry educator Donna Larson and a team of expert contributors, this full-color book is ideal for readers who may have minimal knowledge of chemistry and are learning laboratory science for the first time. Full-color illustrations and design simplify complex concepts and make learning easier by highlighting important material. Case studies help you apply information to real-life scenarios. Pathophysiology and Analytes section includes information related to diseases or conditions, such as a biochemistry review, disease mechanisms, clinical correlation, and laboratory analytes and assays. Evolve companion website includes case studies and animations that reinforce what you’ve learned from the book. Laboratory Principles section covers safety, quality assurance, and other fundamentals of laboratory techniques. Review questions at the end of each chapter are tied to the learning objectives, helping you review and retain the material. Critical thinking questions and discussion questions help you think about and apply key points and concepts. Other Aspects of Clinical Chemistry section covers therapeutic drug monitoring, toxicology, transplantation, and emergency preparedness. Learning objectives in each chapter help you to remember key points or to analyze and synthesize concepts in clinical chemistry. A list of key words Is provided at the beginning of each chapter, and these are also bolded in the text. Chapter summaries consist of bulleted lists and tables highlighting the most important points of each chapter. A glossary at the back of the book provides a quick reference to definitions of all clinical chemistry terms.

Mathematics for the Clinical Laboratory - E-Book

Mathematics for the Clinical Laboratory - E-Book
  • Author : Lorraine J. Doucette
  • Publisher :Unknown
  • Release Date :2013-08-07
  • Total pages :424
  • ISBN : 9780323277006
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Summary : Mathematics for the Clinical Laboratory is a comprehensive text that teaches you how to perform the clinical calculations used in each area of the laboratory and helps you achieve accurate results. This second edition features even more examples and practice problems. This edition ensures your success by using proven learning techniques focused on practice and repetition to demonstrate how you will use math in the lab every day! New content increases the comprehensiveness of the text Charts and diagrams allow you to picture how calculations work and are applied to laboratory principles Chapter outlines show what to expect from each chapter and how the topics flow and connect to each other Practice problems act as a self-assessment tool to aid in reviewing the material. Significantly updated chapters include calculations that are currently in use in laboratories. More problems and examples applicable to real-life situations have been added to all chapters for additional practice. A companion Evolve website features a test bank, electronic image collection, PowerPoint slides, practice quizzes, additional examples of calculations, and student practice problems. Chapter on the molecular laboratory familiarizes you with the most current information about the critical area of clinical laboratory science.

Linne & Ringsrud's Clinical Laboratory Science E-Book

Linne & Ringsrud's Clinical Laboratory Science E-Book
  • Author : Mary Louise Turgeon
  • Publisher :Unknown
  • Release Date :2018-12-22
  • Total pages :704
  • ISBN : 9780323549837
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Summary : Thoroughly updated and easy-to-follow, Linne & Ringsrud's Clinical Laboratory Science: Concepts, Procedures, and Clinical Applications, 8th Edition offers a fundamental overview of the laboratory skills and techniques you’ll need for success in the clinical laboratory. Author Mary Louise Turgeon's simple and straightforward writing clarifies complex concepts, and her unique discipline-by-discipline approach helps you build knowledge and learn to confidently perform routine clinical laboratory tests with accurate, effective results. Topics like safety, measurement techniques, and quality assessment are woven throughout the various skills. The new eighth edition also features updated content including expanded information on viruses and automation. It’s the must-have foundation for anyone wanting to pursue a profession in the clinical lab. Broad content scope provides an ideal introduction to clinical laboratory science at a variety of levels, including CLS/MT, CLT/MLT, and Medical Assisting. Case studies include critical thinking and multiple-choice questions to challenge readers to apply the content to real-life scenarios. Expert insight from respected educator Mary Lou Turgeon reflects the full spectrum of clinical lab science. Detailed procedures guides readers through the exact steps performed in the lab. Vivid full-color illustrations familiarize readers with what they’ll see under the microscope. Review questions at the end of each chapter help readers assess your understanding and identify areas requiring additional study. Evolve companion website provides convenient online access to all of the procedures in the text and houses animations, flashcards, and additional review questions not found in the printed text. Procedure worksheets can be used in the lab and for assignment as homework. Streamlined approach makes must-know concepts and practices more accessible. Convenient glossary simplifies the process of looking up definitions without having to search through each chapter. NEW! Updated content throughout keeps pace with constant changes in clinical lab science. NEW! Consistent review question format ensures consistency and enables readers to study more efficiently. NEW! More discussion of automation familiarizes readers with the latest automation technologies and processes increasingly used in the clinical lab to increase productivity and elevate experimental data quality. NEW! Additional information on viruses keeps readers up to date on this critical area of clinical lab science.

Quality Control in Laboratory

Quality Control in Laboratory
  • Author : Gaffar Zaman
  • Publisher :Unknown
  • Release Date :2018-08-22
  • Total pages :158
  • ISBN : 9781789234121
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Summary : The book presents a qualitative and quantitative approach to understand, manage and enforce the integration of statistical concepts into quality control and quality assurance methods. Utilizing a sound theoretical and practical foundation and illustrating procedural techniques through scientific examples, this book bridges the gap between statistical quality control, quality assurance and quality management. Detailed procedures have been omitted because of the variety of equipment and commercial kits used in today's clinical laboratories. Instrument manuals and kit package inserts are the most reliable reference for detailed instructions on current analytical procedures.

Laboratory Medicine

Laboratory Medicine
  • Author : Michael Laposata
  • Publisher :Unknown
  • Release Date :2012-09-01
  • Total pages :600
  • ISBN : 9780071811521
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Summary : A complete full-color guide to selecting the correct laboratory test and interpreting the results –- covering the entire field of clinical pathology A Doody's Core Title ESSENTIAL PURCHASE for 2011! "The editor and authors are well respected in their fields of expertise - this is an all-star cast....This book nicely fills the gap between comprehensive clinical laboratory science texts and the traditional and well-recognized, definitive laboratory medicine texts....It would be perfect for medical students and practicing physicians and it would be a perfect companion textbook for those teaching laboratory medicine in a medical school curriculum. 3 Stars."--Doody's Review Service Laboratory Medicine is the most comprehensive, user-friendly, and well-illustrated guide available for learning how to order the correct laboratory test and understand the clinical significance of the results. The book features an easy-to-follow, consistent presentation for each disease discussed. Chapters begin with a brief description of the disorder followed by a discussion that includes tables detailing the laboratory evaluation of specific disorders, diagnosis, baseline tests to exclude diagnostic possibilities, and clinical indications that warrant further screening and special testing. With new, increasingly expensive and complicated tests appearing almost daily, Laboratory Medicine is required reading for students and physicians who want to keep abreast of the latest testing procedures and maximize accuracy and patient safety. Features 36 clinical laboratory methods presented in easy-to-understand illustrations that include information on the expense and complexity of the assays More than 200 tables and full-color algorithms that encapsulate important information and facilitate understanding Full-color blood-smear micrographs that demonstrate common abnormal morphologies of red blood cells Valuable learning aids in each chapter, including learning objectives, chapter outlines, and a general introduction Logical systems-based organization that complements most textbooks 13-page table of Clinical Laboratory Reference Values that show the conversions between U.S. and SI units for each value Coverage that spans ALL of clinical pathology: Concepts in Laboratory Medicine; Methods, Autoimmune Disorders Involving the Connective Tissue and Immunodeficiency Diseases; Histocompatibility Testing and Transplantation; Infectious Diseases; Toxicology, Diseases of Infancy and Childhood; Blood Vessels; The Heart; Diseases of Red Blood Cells; Bleeding and Thrombotic Disorders; Transfusion Medicine; Diseases of White Blood Cells, Lymph Nodes, and Spleen; The Respiratory System; The Gastrointestinal Tract; The Liver and Biliary Tract; Pancreatic Disorders; The Kidney; Male Genital Tract; Female Genital System; Breast; The Endocrine System.

Mathematics for the Clinical Laboratory - E-Book

Mathematics for the Clinical Laboratory - E-Book
  • Author : Lorraine J. Doucette
  • Publisher :Unknown
  • Release Date :2015-08-18
  • Total pages :408
  • ISBN : 9780323339971
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Summary : Filled with easy-to-follow explanations and loads of examples and sample problems, Mathematics for the Clinical Laboratory, 3rd Edition is the perfect resource to help you master the clinical calculations needed for each area of the laboratory. Content is divided into three sections: a review of math and calculation basics, coverage of particular areas of the clinical laboratory (including immunohematology and microbiology), and statistical calculations. This new third edition also includes a new full-color design, additional text notes, formula summaries, and the latest procedures used in today’s laboratories to ensure you are fully equipped with the mathematical understanding and application skills needed to succeed in professional practice. Examples of calculations for each different type of calculation are worked out in the chapters, step by step to show readers exactly what they’re expected to learn and how to perform each type of calculation. Practice problems at the ends of each chapter act as a self-assessment tool to help readers determine what they need to review. Example problems and answers throughout the text can also be used as templates for solving laboratory calculations. Quick tips and notes throughout the text help readers understand and remember pertinent information. Answer key to the practice problems appears in the back of the book. Updated content and calculations reflect the latest procedures used in today’s laboratories. Learning objectives at the beginning of each chapter provide a measurable outcome to achieve by the completing the chapter material. NEW! Summaries of important formulas are included at the ends of major sections. NEW! Full-color design creates a more accessible look and feel. NEW! Greek symbol appendix at the end of the book provides a quick place for readers to turn to when studying. NEW! Glossary at the back of the textbook includes definitions of important mathematical terms.

Improving Diagnosis in Health Care

Improving Diagnosis in Health Care
  • Author : National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care
  • Publisher :Unknown
  • Release Date :2016-01-29
  • Total pages :472
  • ISBN : 9780309377690
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Summary : 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.

Clinical Laboratory Reference

Clinical Laboratory Reference
  • Author : Anonim
  • Publisher :Unknown
  • Release Date :2004
  • Total pages :229
  • ISBN : UOM:39015045499699
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Summary : Laboratory products and services currently available in the United States. Product information section arranged alphabetically by companies. Entries include description and ordering information. Indexes by manufactures; brand names; and test, equipment, and services. Product photograph section.

Manual of Basic Techniques for a Health Laboratory

Manual of Basic Techniques for a Health Laboratory
  • Author : Organisation mondiale de la santé,WHO,STYLUS PUB LLC,World Health Organisation Staff,World Health Organization
  • Publisher :Unknown
  • Release Date :2003-09-20
  • Total pages :384
  • ISBN : 9789241545303
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Summary : This is the new edition of the WHO laboratory manual which incorporates recent developments in procedures and techniques useful to small laboratories in developing countries. It provides a practical guide to the safe and accurate performance of basic laboratory techniques and identifies simple, economical procedures that can yield accurate results with limited resources in hot, humid climates. Issues covered include: the use of a microscope and laboratory balances, centrifugation, measurement and dispensing of liquids, cleaning and sterilisation of equipment, disposal of laboratory waste, dispatch of specimens to reference laboratories and laboratory safety; examining different specimens for helminths, protozoa, bacteria and fungi, and techniques for the preparation, fixation and staining of smears; the examination of urine, cerebrospinal fluid and blood, including techniques based on immunological and serological principles.