Clinical laboratory management review : official publication of the Clinical Laboratory Management Association最新文献_第10页

Reengineering the mind, career, system, department. 重新设计思想、职业、系统、部门。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-05-01

C A Holland

{"title":"Reengineering the mind, career, system, department.","authors":"C A Holland","doi":"","DOIUrl":"","url":null,"abstract":"In 1993, Hammer and Champy inspired many health-care institutions to initiate reengineering projects with their prediction that America's largest corporations would fail if they did not apply the principles of business reengineering. Many of these companies reengineered to simplify their processes but did not achieve radical gains. Who or what is to blame for the failures? Does health care's complexity play a role in these failures? A 1981 study found that health care is more than 2,000% more complex than the standard business. It concluded that \"routine\" management strategies do not provide a sufficiently comprehensive theory for managing health care's complexity. This article addresses the need to reengineer on four levels--the mind, career, system, and department--to circumvent these complexities. Reengineering on each level enhances the chances for success on the other levels. In today's tumultuous health-care environment, you need to understand your role in reengineering at each level so you can implement it, support it, and live it. If you succeed, you will achieve radical gains, add a valuable tool to your repertoire, enhance your self-confidence, and become a leader in the industry.","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 3","pages":"169-75"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21053412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Management strategies for encouraging creativity. 鼓励创造力的管理策略。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-05-01

P Preston

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The clinical services manager: a curriculum for the 21st century. 临床服务经理:面向21世纪的课程。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-05-01

J Lien, J W Steiner, M G Bissell

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As we see it. A savory mix: multidepartmental management. 正如我们所看到的。一个令人愉快的组合:多部门管理。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-05-01

I Lutinger, D Stokes, S Wilson, M Hockenberry, L Wells, L Krznarich, R Teixeira

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Performance and retention of professional employees who work in teams: the effects of commitment and support. 在团队中工作的专业员工的表现和保留:承诺和支持的影响。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-05-01

J W Bishop

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Power planning, accelerated implementation, and orchestration management. 电源规划、加速实施和业务流程管理。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-05-01

M H Smythe

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Timeliness and best demonstrated practices. 及时性和最佳演示实践。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-05-01

K L Cruse

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Recent trends in clinical laboratory automation. 临床实验室自动化的最新趋势。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-05-01

R S Markin

{"title":"Recent trends in clinical laboratory automation.","authors":"R S Markin","doi":"","DOIUrl":"","url":null,"abstract":"A convergence of concepts has allowed clinical laboratory automation to proceed in a greater number of laboratories: developing automation control interfaces, direct track sampling, and adopting a universal interface. The laboratory automation system (LAS) must interface to the laboratory information system (LIS), which provides the information necessary for routing and scheduling and for future rules-based processing, an important component of the LAS. The automation system also must operate in a real-time or near real-time environment and use the single tube per carrier paradigm. LAS capabilities should span the clinical laboratory and run parallel to the LIS with respect to information flow. The laboratory automation software will control the automated technology and the transportation system that binds clinical laboratory instruments together. It must be able to both drive the hardware components and interface with patient information sources, and it should further the goals of the health-care delivery system by supporting outcomes optimization and utilization management of laboratory resources. The development of workcells based on disciplines such as chemistry or hematology is having and will continue to have a significant effect on the acceptance of clinical laboratory automation technologies.","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 3","pages":"176-80"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21053413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Development of a quantitative weighted scoring instrument to evaluate bedside blood glucose testing programs. 开发一种定量加权评分仪器来评估床边血糖测试程序。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-03-01

J T Barr, C N Otto

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Outcome-based justification for implementing new point-of-care tests: there is no difference between magnesium replacement based on ionized magnesium and total magnesium as a predictor of development of arrhythmias in the postoperative cardiac surgical patient. 基于结果的实施新的即时检测的理由:基于离子镁和总镁的镁替代作为心脏手术术后患者心律失常发展的预测指标之间没有差异。

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association Pub Date : 1998-03-01

H A Steinberger, C W Hanson

{"title":"Outcome-based justification for implementing new point-of-care tests: there is no difference between magnesium replacement based on ionized magnesium and total magnesium as a predictor of development of arrhythmias in the postoperative cardiac surgical patient.","authors":"H A Steinberger, C W Hanson","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine whether introducing a new laboratory test, ionized magnesium (iMg++), would affect outcome, where outcome was defined as the rate of arrhythmias in a population of postoperative cardiopulmonary bypass (CPB) patients.Design: A prospective randomized trial.Setting: Cardiothoracic surgical intensive care unit of a university hospital.Patients: One hundred fifty consecutive post-CPB patients with randomized to two groups, one of which received routine reporting of iMg++ levels on all postoperative electrolyte requests while the other had access to total magnesium (tMg++) levels on demand and no access to iMg++ levels. Groups were compared for rate of arrhythmias, total amount of magnesium repleted, and demographics.Measurements and main results: Eighty-five patients were randomized to the tMg++ group and 65 to the iMg++ group. The two groups did not differ in the rate of arrhythmias (chi-square test): 13/85 (15%) of the tMg++ patients and 12/65 (18%) of the iMg++ patients developed an arrhythmia. The groups also did not differ in the amount of magnesium sulfate (MgSO4) administered (2 tailed t-test): tMg++ patients received 1.5 +/- 0.15 (SEM) gm of MgSO4, whereas iMg++ patients received 1.3 +/- 0.15 gm.Conclusion: The study does not support the hypothesis that magnesium repletion titrated to iMg++ reduces arrhythmia development in post-CPB patients. The lack of a difference in the amount of magnesium replacement between the two groups suggests that tMg++ level is a reasonable indicator of iMg++ level. Routine measurement of iMg++ does not, therefore, appear to have advantages over tMg++ in the postoperative management of CPB patients.","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 2","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21051201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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