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At least 19 recordsLinked to original sources

Continual planning and scheduling for managing patient tests in hospital laboratories.

Hospital laboratories perform examination tests upon patients, in order to assist medical diagnosis or therapy progress. Planning and scheduling patient requests for examination tests is a complicated problem because it concerns both minimization of patient stay in hospital and maximization of laboratory resources utilization. In the present paper, we propose an integrated patient-wise planning and scheduling system which supports the dynamic and continual nature of the problem. The proposed combination of multiagent and blackboard architecture allows the dynamic creation of agents that share a set of knowledge sources and a knowledge base to service patient test requests.

Artificial Intelligence↗

[Staphylococcus aureus nasal carriage in the normal population and hospital laboratory personnel].

Hospital personnel may be nasal carriers of S.aureus in a higher percentage of cases than in the general population. The aim of the present study was to compare the rate of nasal carriage of S.aureus in general population and hospital laboratory personnel. 144 of patients sent to our Microbiology laboratory for other reasons (i.e., Urine Culture, serology, etc.) were taken as general population, and 38 person from Microbiology, Biochemistry, Hematology, Immunology and Pathology Laboratories of our hospital were included the study as hospital laboratory personnel. S.aureus nasal carriage rates were found 28% (41/144) in normal population, and 31.5% (12/38) in hospital laboratory personnel. These figures are between normal population range. Therefore the rate of nasal carriage of S.aureus in our hospital, reflects probably normal population carrier rate, not the hospital colonization.

Adult↗

Economics of outreach testing in the hospital laboratory: Part I.

Hospital laboratories are faced with the dilemma of needing to maintain a baseline of testing and staffing to meet patient and physician needs while facing personnel shortages, declining reimbursement, and excess personnel and equipment capacity. Because cost cannot be reduced past some basic minimum, laboratories must find ways to increase test volumes to use the excess capacity intrinsic in the system. One solution to this dilemma is to increase the number of outpatient tests performed by developing an outreach program. If carefully managed, this solution can improve productivity, allow laboratories to operate with a lower inpatient reimbursement infrastructure, and begin to balance the uneven economic equation faced by many laboratories. This two-part article presents three case studies that illustrate decision points and results in developing a hospital outreach program. In Part I, a case study for a 300-bed hospital in a rural community is presented.

Ambulatory Care↗

A survey measuring the degree of model compliance plan for clinical laboratories implementation in small/rural hospital laboratories.

The Office of the Inspector General published the Model Compliance Plan for Clinical Laboratories (MCPL) in February 1997. In March and April 1998, a survey of 200 Midwest hospital laboratory managers (hospital size < or = 200 beds) was performed to determine the degree to which their laboratories had implemented the various recommendations of the MCPL. Of the 200 surveys sent out, 76 were returned--a 38% response rate. Aspects of the survey were broken down into two categories: "Laboratory Manager Responsibility," those items that can be implemented independently by the laboratory manager; and "Administration Responsibility," those items requiring administration's direction. With the exception of rewriting job descriptions to include compliance issues, > or = 75% of the laboratory managers have implemented the items within their power.

Data Collection↗

Performance of a solid phase enzyme immunoassay for detection of group A streptococci in a pediatric office laboratory as refereed by a hospital laboratory.

We evaluated the performance of a new rapid solid phase enzyme immunoassay, SUDS Group A Strep (MUREX Corp., Norcross, GA) for the detection of Group A beta-hemolytic streptococci in a pediatric office practice. Duplicate throat swabs were obtained from 341 children with pharyngitis. One swab was used in the SUDS test and the other was cultured in the office laboratory. Office SUDS and culture (sheep blood agar plate, aerobic 24-hour incubation) were compared with culture using reference techniques (sheep blood agar plate, anaerobic 48-hour incubation) in a hospital laboratory. Compared with hospital laboratory culture, the sensitivity of office SUDS (73.8%) was superior to that of office culture (66.6%) at P = 0.05. Specificities were 93.1 and 98.6%, respectively; positive predictive values were 86.1 and 96.6%; and negative predictive values were 85.9 and 83.5%. The sensitivity and specificity of SUDS compared with office culture were 88.5 and 87.8%, respectively, but would have been 93 and 94% had hemolyzed media not been used on several occasions in the office culture procedure. We conclude that SUDS Group A Strep was significantly more sensitive than throat cultures as performed in a typical pediatric practice although the performance of office cultures could have been improved by standard quality control techniques.

Bacteriological Techniques↗

[Trend of health policy and hospital laboratory service--view from hospital management].

As a necessary consequence of deregulation which allows private enterprises to participate in hospital management, hospitals (non-profit-organization) are forced to become financially stable and to continuously improve the quality and standardize health care as well as to promote EBM which is scientifically justified. What is required of the laboratory department of hospital under such circumstance is described in this paper.

Health Policy↗