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At least 1,621 records · Page 90Linked to original sources
PubMed2007

Assessment monitoring of laboratory critical values: a College of American Pathologists Q-Tracks study of 180 institutions.

CONTEXT: Critical laboratory value reporting is a highly visible and essential key activity for clinical laboratories. OBJECTIVE: To measure critical laboratory value reporting in multiple institutions over time and to examine the practice patterns and demographic factors associated with sustained improvement in critical value reporting. DESIGN: A longitudinal cohort study of 180 clinical laboratories that provided quarterly critical values reporting data for 2 to 16 quarters was conducted using a uniform definition of successful caregiver notification. Mixed linear model analysis of the 2001 through 2004 dataset was performed. RESULTS: A decrease in total and inpatient rates of undocumented critical values per 1000 results was associated with (1) the American Association of Blood Banks inspection within the past 2 years (P = .01, for both total and inpatient rates); (2) unit secretary/clerical staff not authorized to accept inpatient critical value notification (P = .004 [total] and .001 [inpatient]); and (3) the mandatory practice of requiring notification of health care providers when handling inpatients known to have results repeatedly in the critical range (P = .01, for both total and inpatient rates). Continued participation in the Q-Tracks monitoring program was associated with significant and progressive improvement in total, inpatient, and outpatient critical value reporting (P = .02, .01, and .003, respectively). CONCLUSIONS: Critical value reporting improved as the duration of participation in the Q-Tracks monitoring program increased. Improved total and inpatient critical value reporting was associated with factors that may be markers for institutions with priorities of quality management and enhanced communication with responsible caregivers.

Benchmarking↗
PubMed1978

The Comprehensive Blood Bank Survey Program of the College of American Pathologists, 1976.

The Comprehensive Blood Bank Survey Program for 1976 still shows that the participants are performing well on ABO and Rh typing (accuracy greater than 96.6%), antibody detection (greater than 97.0%), and crossmatching (greater than 97.3%). The only problem with less accuracy than that stated involved a specimen with an extremely weak antibody. Some errors are still due to failure to fill out results. In the 1976 survey, four ungraded problems were included as attempts to study the "state of the art." The problems consisted of an antibody whose titer was to be determined, a mixture of Rh+ and Rh-- cells to be detected, and two multiple-antibody problems. The results obtained in these studies are discussed. Finally, the participants were asked questions about the amount of Rh immune globulin used and the indications for its use, the incidence and types of transfusion reactions seen, and the notations used by laboratories to record results. The answers to these questions are also documented.

ABO Blood-Group System↗
PubMed1976

[Certain results of training of physicians-pathologists through internship].

The article discusses the experience in the post-graduate training of medical personnel in pathological anatomy in internship organized at the centralized prosectorium of the Poltava Regional Clinical Hospital. The Base has been found to fulfil its task quite satisfactorily. The centralized prosectorium has been serving a hospital fund amounting to 2755 beds. Annually, over 700 autopsies and 30 000 investigations of operative, bioptic and section materials are being performed in the prosectorium. A close contact of the regional specialist with the regional (oblast) public health department and his personal participation in the oppointment of medical graduates as prosectors are of importance in adequate staffing of medical institutions with prosectors.

Autopsy↗