scholarly journals Evaluation of urinalysis pre-analytical phase in a private laboratory of Maringá city, Paraná, Brazil

2021 ◽  
Vol 57 ◽  
Author(s):  
Mariana M. Saramela ◽  
Talma R. L. Fernandes
Keyword(s):  
Private Laboratory ◽  
Analytical Phase

scholarly journals Clinical laboratory services for primary healthcare centers in urban cities: a pilot ACO model of ten primary healthcare centers

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Soha A. Tashkandi ◽  
Ali Alenezi ◽  
Ismail Bakhsh ◽  
Abdullah AlJuryyan ◽  
Zahir H AlShehry ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Quality Improvement ◽  
Primary Healthcare ◽  
Laboratory Testing ◽  
Gap Analysis ◽  
Reference Laboratory ◽  
Pilot Model ◽  
Laboratory Services ◽  
Analytical Phase ◽  
Primary Healthcare Centers

Abstract Background Primary healthcare centers (PHC) ensure that patients receive comprehensive care from promotion and prevention to treatment, rehabilitation, and palliative care in a familiar environment. It is designed to provide first-contact, continuous, comprehensive, and coordinated patient care that will help achieve equity in the specialty healthcare system. The healthcare in Saudi Arabia is undergoing transformation to Accountable Care Organizations (ACO) model. In order for the Kingdom of Saudi Arabia (KSA) to achieve its transformational goals in healthcare, the improvement of PHCs’ quality and utilization is crucial. An integral part of this service is the laboratory services. Methods This paper presents a pilot model for the laboratory services of PHC's in urban cities. The method was based on the FOCUS-PDCA quality improvement method focusing on the pre-analytical phase of the laboratory testing as well as the Saudi Central Board for Accreditation of Healthcare Institutes (CBAHI) gap analysis and readiness within the ten piloted primary healthcare centers. Results The Gap analysis, revealed in-consistency in the practice, lead to lower the quality of the service, which was seen in the low performance of the chosen key performance indicators (KPI's) (high rejection rates, lower turn-around times (TAT) for test results) and also in the competency of the staff. Following executing the interventions, and by using some of the ACO Laboratory strategies; the KPI rates were improved, and our results exceeded the targets that we have set to reach during the first year. Also introducing the electronic connectivity improved the TAT KPI and made many of the processes leaner. Conclusions Our results revealed that the centralization of PHC's laboratory service to an accredited reference laboratory and implementing the national accreditation standards improved the testing process and lowered the cost, for the mass majority of the routine laboratory testing. Moreover, the model shed the light on how crucial the pre-analytical phase for laboratory quality improvement process, its effect on cost reduction, and the importance of staff competency and utilization.

scholarly journals How to meet ISO15189:2012 pre-analytical requirements in clinical laboratories? A consensus document by the EFLM WG-PRE

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Pieter Vermeersch ◽  
Glynis Frans ◽  
Alexander von Meyer ◽  
Seán Costelloe ◽  
Giuseppe Lippi ◽  
...  
Keyword(s):  
Quality Management System ◽  
Clinical Chemistry ◽  
European Federation ◽  
Consensus Recommendation ◽  
Iso 15189 ◽  
Consensus Document ◽  
Analytical Phase ◽  
Total Testing Process ◽  
Analytical Requirements ◽  
Analytical Requirement

Abstract The International Organization for Standardization (ISO) 15189:2012 standard aims to improve quality in medical laboratories through standardization of all key elements in the total testing process, including the pre-analytical phase. It is hence essential that accreditation bodies, assessing laboratories against ISO15189:2012, pay sufficient attention to auditing pre-analytical activities. However, there are significant differences in how technical auditors interpret the pre-analytical requirements described in ISO15189:2012. In this consensus document, the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Working Group for Pre-analytical Phase (WG-PRE) sets out to review pre-analytical requirements contained in ISO15189:2012 and provide guidance for laboratories on how to meet these requirements. The target audience for this consensus document is laboratory professionals who wish to improve the quality of the pre-analytical phase in their laboratory. For each of the ISO requirements described in ISO15189:2012, members of EFLM WG-PRE agreed by consensus on minimal recommendations and best-in-class solutions. The minimal consensus recommendation was defined as the minimal specification which laboratories should implement in their quality management system to adequately address the pre-analytical requirement described in ISO15189:2012. The best-in-class solution describes the current state-of-the-art in fulfilling a particular pre-analytical requirement in ISO15189:2012. We fully acknowledge that not every laboratory has the means to implement these best-in-class solutions, but we hope to challenge laboratories in critically evaluating and improving their current procedures by providing this expanded guidance.

scholarly journals SPIDIA-RNA: Second External Quality Assessment for the Pre-Analytical Phase of Blood Samples Used for RNA Based Analyses

PLoS ONE ◽  
2014 ◽  
Vol 9 (11) ◽  
pp. e112293 ◽  
Author(s):  
Francesca Malentacchi ◽  
Mario Pazzagli ◽  
Lisa Simi ◽  
Claudio Orlando ◽  
Ralf Wyrich ◽  
...  
Keyword(s):  
Quality Assessment ◽  
External Quality Assessment ◽  
External Quality ◽  
Blood Samples ◽  
Analytical Phase

scholarly journals Awareness and reporting of notifiable diseases among private laboratory scientists in Lagos, Southwest Nigeria

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Magbagbeola D. Dairo ◽  
Salewa Leye-Adebayo ◽  
Abimbola F. Olatule
Keyword(s):  
Health Department ◽  
Cross Sectional Study ◽  
Medical Laboratory ◽  
Disease Notification ◽  
Chi Square ◽  
Cross Sectional ◽  
Reporting Practices ◽  
Notifiable Diseases ◽  
Private Laboratory ◽  
Lagos State

The availability of accurate, up-to-date, reliable and relevant health information on disease notification by medical laboratory practitioners is essential to detecting and responding to epidemic outbreaks. However, information on notification practices of private laboratory scientists are not well documented. This study was conducted to assess the level of awareness and knowledge of Integrated Diseases Surveillance and Response (IDSR), as well as its practice by private laboratory scientists in Lagos State, Nigeria. In a cross-sectional study, 190 respondents from 14 chapters of the Association of Medical Laboratory Scientists in Lagos state were interviewed using a pretested self-administered semistructured questionnaire to collect information on socio-demographic characteristics, awareness of IDSR and its policy, knowledge of notifiable diseases, practice of IDSR and constraints to reporting notifiable diseases. Data was analyzed using descriptive statistics, Chi-square test and logistic regression at P = 0.05. The mean age of the respondents was 34.0 years with a standard deviation (sd) of ±8.5 years and 65.3% were males. Half (50.0%) of them have ≤5 years of working experience with a mean of 7.5±5.8 years. About 8.9% had ever heard of IDSR. About 9.5% had ever seen a disease notification form and 51.1% had good knowledge of IDSR guidelines for the country. Most (86.3%) had never reported a notifiable disease. Lack of knowledge on how to report (56.8%) and inefficiency of the health department (44.7%) were the major reasons given for not reporting. A significant predictor of disease notification was awareness of IDSR (OR= 5.7, CI=1.9-16.7). Private medical laboratory practitioner’s awareness and practice of disease notification is poor. A range of interventions including awareness campaign, IDSR training, feedback and logistic support for reporting is recommended to improve reporting practices by private medical laboratory scientists.

The use of extra-analytical phase quality indicators by clinical laboratories: the results of an international survey

2016 ◽  
Vol 54 (11) ◽  
Author(s):  
Mario Plebani ◽  
Maurice O’Kane ◽  
Pieter Vermeersch ◽  
Janne Cadamuro ◽  
Wytze Oosterhuis ◽  
...  
Keyword(s):  
Quality Indicators ◽  
International Survey ◽  
Clinical Laboratories ◽  
Analytical Phase

Interactions of Nonlinear Waves in Fluid-Filled Elastic Tubes

2007 ◽  
Vol 62 (1-2) ◽  
pp. 21-28
Author(s):  
Hilmi Demiray
Keyword(s):  
Solitary Waves ◽  
Nonlinear Waves ◽  
Elastic Tube ◽  
Wave Number ◽  
Inviscid Fluid ◽  
Leading Order ◽  
Elastic Tubes ◽  
Longwave Approximation ◽  
Thin Walled ◽  
Analytical Phase

In this work, treating an artery as a prestressed thin-walled elastic tube and the blood as an inviscid fluid, the interactions of two nonlinear waves propagating in opposite directions are studied in the longwave approximation by use of the extended PLK (Poincaré-Lighthill-Kuo) perturbation method. The results show that up to O(k3), where k is the wave number, the head-on collision of two solitary waves is elastic and the solitary waves preserve their original properties after the interaction. The leading-order analytical phase shifts and the trajectories of two solitons after the collision are derived explicitly.

scholarly journals SPIDIA-RNA: First external quality assessment for the pre-analytical phase of blood samples used for RNA based analyses

Methods ◽  
2013 ◽  
Vol 59 (1) ◽  
pp. 20-31 ◽  
Author(s):  
M. Pazzagli ◽  
F. Malentacchi ◽  
L. Simi ◽  
C. Orlando ◽  
R. Wyrich ◽  
...  
Keyword(s):  
Quality Assessment ◽  
External Quality Assessment ◽  
External Quality ◽  
Blood Samples ◽  
Analytical Phase

scholarly journals Nasopharyngeal Samples Management Strategy During the COVID-19 Pandemic: Experience of the Pasteur Institute of Côte d'Ivoire (2020)

2021 ◽  
pp. 72-79
Author(s):  
Danielle Kpadraux Odegue ◽  
Guedé Kipré Bertin ◽  
Diane Kouao Maxime ◽  
Kolia Kouamé Innocent ◽  
Sina-Kouamé Sylvie Mireille ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Pasteur Institute ◽  
Cote D’Ivoire ◽  
Health Crisis ◽  
Efficient Management ◽  
Côte D'ivoire ◽  
Multiple Issues ◽  
Analytical Phase ◽  
And Control

Medical testing laboratories are an essential link in the efficient management of infectious diseases by the identification of the pathogens involved. However, the arrangements for their operation may appear more difficult in times of health crises and raise multiple issues that may compromise the usual level of quality assurance of biological analyses and the response to needs. The smooth running and control of laboratory activities in a health crisis situation requires the implementation of a management system that allows the federation of all available energies. We report here on the experience of the Pasteur Institute of Côte d'Ivoire, in charge of nasopharyngeal samples management during the COVID 19 pandemic, describing the assessment of pre-analytical activities in the first quarter of the crisis (March to May 2020). We then present the implemented strategy and the results obtained from June to September 2020. This article proposes a framework for sharing experiences to contribute to a better preparation of the pre-analytical phase of laboratory samples during health crises.

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