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Laboratory Test requesting Appropriateness and Patient Safety
The global medical process is a chain of different medical multidisciplinary procedures. The success in global Patient Safety will depend on the Safety of the consecutive medical processes that intervene in this complex system. Laboratory data is an essential part of health care, indeed it is used in 70% of clinical decisions. Inappropriate laboratory test over requesting is extremely frequent. The prevalence of under requesting has been less studied. The consequences of under requesting are clear, we are missing a diagnosis. Inappropriate over requesting can result not only in a problem of cost but also in a problem regarding patient safety. Additionally, another important consequence of inappropriate tests over requesting is that such amount of unnecessary tests has probably contributed to a significant increase in the volume of those over the last years. In all, there is general consensus that the inadequacy of test requesting must be corrected through strategies and monitored over time through indicators to assure the optimal laboratory contribution to clinical decision-making and patient safety.
Laboratory Test requesting Appropriateness and Patient Safety
The global medical process is a chain of different medical multidisciplinary procedures. The success in global Patient Safety will depend on the Safety of the consecutive medical processes that intervene in this complex system. Laboratory data is an essential part of health care, indeed it is used in 70% of clinical decisions. Inappropriate laboratory test over requesting is extremely frequent. The prevalence of under requesting has been less studied. The consequences of under requesting are clear, we are missing a diagnosis. Inappropriate over requesting can result not only in a problem of cost but also in a problem regarding patient safety. Additionally, another important consequence of inappropriate tests over requesting is that such amount of unnecessary tests has probably contributed to a significant increase in the volume of those over the last years. In all, there is general consensus that the inadequacy of test requesting must be corrected through strategies and monitored over time through indicators to assure the optimal laboratory contribution to clinical decision-making and patient safety.
Bioinspired Applications in Artificial and Natural Computation
The two-volume set LNCS 5601 and LNCS 5602 constitutes the refereed proceedings of the Third International Work-Conference on the Interplay between Natural and Artificial Computation, IWINAC 2009, held in Santiago de Compostela, Spain, in June 2009. The 108 revised papers presented are thematically divided into two volumes. The first volume includes papers relating the most recent collaborations with Professor Mira and contributions mainly related with theoretical, conceptual and methodological aspects linking AI and knowledge engineering with neurophysiology, clinics and cognition. The second volume contains all the contributions connected with biologically inspired methods and techniques for solving AI and knowledge engineering problems in different application domains.
Methods and Models in Artificial and Natural Computation. A Homage to Professor Mira's Scientific Legacy
The two-volume set LNCS 5601 and LNCS 5602 constitutes the refereed proceedings of the Third International Work-Conference on the Interplay between Natural and Artificial Computation, IWINAC 2009, held in Santiago de Compostela, Spain, in June 2009. The 108 revised papers presented are thematically divided into two volumes. The first volume includes papers relating the most recent collaborations with Professor Mira and contributions mainly related with theoretical, conceptual and methodological aspects linking AI and knowledge engineering with neurophysiology, clinics and cognition. The second volume contains all the contributions connected with biologically inspired methods and techniques for solving AI and knowledge engineering problems in different application domains.
Endogenous Interferences in Clinical Laboratory Tests
The goal of clinical laboratories is to produce accurate information for clinical decision making in medicine. More than half of the medical decisions made depend on clinical laboratory tests. Patient safety represents an important and critical problem for laboratories. They need to assure that the information they deliver to physicians is accurate, and therefore safe for clinicians to use. Endogenous compounds can interfere with laboratory tests, decreasing accuracy and threatening patient safety. Elevated bilirubin (bilirubinemia) and elevated lipids (lipemia) are common conditions that cause significant interferences with laboratory results. Clinicians depend on laboratories to detect the...
Malnutrition in the Elderly
H. B. Stahelin "Under-or malnutrition is a frequent and serious problem in geriatric patients" (8). Today there is no doubt that malnutrition contributes significantly to morbidity and mortality in the aged. The immune function is impaired, the risk for falls and fractures increases, in acute illness, recovery is delayed, and complications are frequent. Acute and chronic illnesses lead to a catabolic metabolism and hence increase the signs and symptoms of malnutrition. Cytokines related to inflamma tion block the synthesis of albumin and shift protein synthesis to acute phase pro teins. The activation of the ubiquitine-proteasome pathway leads to a degradation of muscle protein, which leads ...
The Veterinary ICU Book
This book is dedicated to the fundamental clinical signs of astute observation, careful differential diagnosis and analytical therapeutic decision-making in emergency veterinary settings. It clearly defines the physiological and clinical principles fundamental to the management of the critically ill small animal patient. With clear guidelines for organizing an emergency/critical care unit, the book also discusses ethical and legal concerns. The 80 expert authors have created a clinically specific resource for the specialist, residents in training, veterinary practitioners, technicians and students.Published by Teton New Media in the USA and distributed by CRC Press outside of North America.
Phlebotomy Handbook
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Acupuncture and Moxibustion as an Evidence-Based Therapy for Cancer
Required reading for professionals needing a contemporary overview of the wealth of research on acupuncture and moxibustion in cancer care, this survey includes opinions from key experts and is the first to examine in depth the latest scientific evidence.
Applied Phlebotomy
Geared specifically to short courses in blood collection, this concise full-color text teaches the skills necessary to obtain blood specimens effectively and safely, in accordance with Clinical and Laboratory Standards Institute (formerly NCCLS) and Occupational Safety and Health Administration guidelines. The book presents step-by-step procedure instructions and explains why these procedures are important to blood specimen collections. It Could Happen To You case studies discuss actual phlebotomy-related injuries. Tips From the Trenches offer practical phlebotomy pointers. In the Lab describes what happens to blood in the lab and underscores the importance of key collection concepts. Each chapter ends with multiple-choice review questions.
