Clinical Chemistry: Quality in Laboratory Diagnosis

Description

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 " 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