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    872 results match your criteria Clinical Laboratory Science [Journal]

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    Guidelines for Initiating a Research Agenda: Research Design and Dissemination of Results.
    Clin Lab Sci 2014 ;27(4):237-44
    Successful research outcomes require selection and implementation of the appropriate research design. A realistic sampling plan appropriate for the design is essential. Qualitative or quantitative methodology may be utilized, depending on the research question and goals. Read More

    Guidelines for Initiating a Research Agenda: Topic Selection and Evidence of Impact.
    Clin Lab Sci 2014 ;27(4):231-6
    The focus on scholarly productivity as an outcome measure for performance evaluations of personnel and/or units and benchmarking purposes is increasing in both the academic and clinical settings. This article presents avenues for identifying achievable research projects in both the academic and clinical settings. Factors for consideration when selecting a project include its significance or impact on the profession, feasibility for implementing the project, and ethical issues related to human subjects protection. Read More

    Autonomy and Privacy in Clinical Laboratory Science Policy and Practice.
    Clin Lab Sci 2014 ;27(4):222-30
    Rapid advancements in diagnostic technologies coupled with growth in testing options and choices mandate the development of evidence-based testing algorithms linked to the care paths of the major chronic diseases and health challenges encountered most frequently. As care paths are evaluated, patient/consumers become partners in healthcare delivery. Clinical laboratory scientists find themselves firmly embedded in both quality improvement and clinical research with an urgent need to translate clinical laboratory information into knowledge required by practitioners and patient/consumers alike. Read More

    From Technical Assistants to Critical Thinkers: From World War II to 2014.
    Clin Lab Sci 2014 ;27(4):209-19
    A review of professional literature was conducted to examine the history of the education of medical laboratory practitioners. This comprehensive review included historical educational milestones from World War II to present day. During this time period the standard of two years of college required for matriculation into a medical technology program increased to four years. Read More

    From Technical Assistants to Critical Thinkers: The Journey to World War II.
    Clin Lab Sci 2014 ;27(4):204-8
    A review of professional literature was conducted to examine the history of the education of medical laboratory practitioners. This comprehensive review included historical educational milestones from the birth of medical technology to the advent of World War II. During this time period standards were developed by clinical pathologists for laboratory personnel and training programs. Read More

    Incorporating A Structured Writing Process into Existing CLS Curricula.
    Clin Lab Sci 2014 ;27(4):194-203
    Good communication and critical thinking are essential skills for all successful professionals, including Clinical Laboratory Science/Medical Laboratory Science (CLS/MLS) practitioners. Professional programs can incorporate writing assignments into their curricula to improve student written communication and critical thinking skills. Clearly defined, scenario-focused writing assignments provide student practice in clearly articulating responses to proposed problems or situations, researching and utilizing informational resources, and applying and synthesizing relevant information. Read More

    Personalized medicine and ethics.
    Clin Lab Sci 2014 ;27(3):185-90
    An entire series could be dedicated to the topic of ethics in personalized medicine. Due to the advancements in NGS and genetic testing, personalized medicine is no longer something that will occur in the future, the reality is upon us now. Sequencing an individual's genome can have a substantial impact on the patient's treatment and overall quality of life. Read More

    Applications.
    Clin Lab Sci 2014 ;27(3):179-84
    Next generation sequencing platforms and the applications that are offered have revolutionized the way a physician will treat and monitor a patient based on the individual's own genetic make-up. Whether whole genome sequencing, exome sequencing, or targeted sequencing is performed, the information generated must be analyzed, interpreted, and reported correctly. Since the various platforms and application panels are not FDA cleared (with the exception of the Illumina MiSeqDx Cystic Fibrosis Clinical Sequencing Assay and the Illumina MiSeqDx Cystic Fibrosis 139-Variant Assay) clinical laboratorians are faced with the challenge of standardizing and validating the various panels and platforms for appropriate quality management. Read More

    Platforms.
    Clin Lab Sci 2014 ;27(3):173-8
    The advent of DNA sequencing technologies and the various applications that can be performed will have a dramatic effect on medicine and healthcare in the near future. There are several DNA sequencing platforms available on the market for research and clinical use. Based on the medical laboratory scientist or researcher's needs and taking into consideration laboratory space and budget, one can chose which platform will be beneficial to their institution and their patient population. Read More

    Retaining experts: administrators' views on retention incentives and older employees.
    Clin Lab Sci 2014 ;27(3):162-8
    A survey of members of the American Society for Clinical Laboratory Science (ASCLS) in 2012 examined laboratory administrators' views on retention incentives and older Clinical Laboratory Professionals (CLP). Results indicated that retention strategies currently in place are not concordant with the ones CLP think are important. Further, with the exception of ergonomic equipment, administrators reported low feasibility for the workplace changes favored by practitioners. Read More

    Retaining experts: retention incentives of clinical laboratory professionals.
    Clin Lab Sci 2014 ;27(3):150-61
    A survey of members of the American Society for Clinical Laboratory Science (ASCLS) was taken in May, 2012 to study workplace incentives and personal factors that could encourage clinical laboratory professionals (CLP) to continue working past retirement eligibility. Benefits, compensation, and opportunity for part-time work were key retention incentives identified by CLP in all age and job function groups. Career stage was shown to play a significant role in how CLP rated the importance of several retirement incentives, suggesting that age differences exist in workplace factors and personal motivators for continuing to work. Read More

    Retaining experts: retirement plans of clinical laboratory professionals.
    Clin Lab Sci 2014 ;27(3):143-9
    A survey to assess the retirement plans of clinical laboratory professionals (CLP) and the factors that would influence those plans was distributed to members of the American Society for Clinical Laboratory Science (ASCLS) in May, 2012. A majority of respondents (65%) between 50-62 years indicated that there was a greater than 50% chance they would be working after age 62. Only 15. Read More

    Assessing the delivery of patient critical laboratory results to primary care providers.
    Clin Lab Sci 2014 ;27(3):139-42
    Approximately 60% to 70% of all health care decisions are based on laboratory test results; therefore, it is important to ensure that patient laboratory results are communicated to the physician in a timely fashion. The objective of this study was to assess the delivery of critical laboratory results in outpatient physician offices in Delaware. Contact information for physician offices was obtained using the Highmark. Read More

    Healthcare reform 101.
    Clin Lab Sci 2014 ;27(2):107-11
    The intent of the Affordable Care Act is to ensure that all Americans have access to quality, affordable healthcare while significantly reducing the cost burden for this country. It is estimated that an additional 32 million individuals will be covered. The Congressional Budget Office (CBO) estimates this legislation will reduce the deficit by $143 billion in the first 10 years (2011-2020) with an additional $1. Read More

    Developing a theory of clinical instructor identity using the experiences of medical laboratory science practitioners.
    Clin Lab Sci 2014 ;27(2):97-104
    This study investigated medical laboratory science clinical instructors' beliefs about teaching and how they viewed themselves as teachers. The first phase of the study included an integrative literature review, which suggested that the development of teacher identity in school-based educators, and to a lesser extent higher education faculty, is dependent on four dimensions: personal factors, training factors, contextual factors, and reflective practice. The second phase of this study began qualitative inquiry into the ways that these participants described their teaching and professional identity. Read More

    Does race alter the relationship between Hba1c and glucose in type 2 diabetes?
    Clin Lab Sci 2014 ;27(2):89-96
    Objective: Hemoglobin Alc (HbAlc) is the standard measurement of glycemic control, and the HbAlc value can be used to estimate average glucose using a formula. Several studies suggest that the relationship between average glucose and HbAlc may be different for Blacks. This project enrolled non-Hispanic black and white individuals with type 2 diabetes and evaluated the relationship between HbAlc and blood glucose. Read More

    Notorious anti-Jk3 in a pregnant woman.
    Clin Lab Sci 2014 ;27(2):78-82
    This is a case study of a 23-year-old pregnant Polynesian woman with anti-Jk3 identified in her plasma during her third visit to a hospital. This patient, with a history of mild anemia due to beta-thalassemia minor and two known transfusion of packed red cells came to an emergency room complaining of severe abdominal cramps. Her hemoglobin during her second hospital visit was 7. Read More

    Clinical utility of the erythrocyte sedimentation rate: a case study.
    Clin Lab Sci 2014 ;27(2):72-7
    Erythrocyte Sedimentation Rate (ESR) is a laboratory test of historical significance and broad applicability. Its current role in medical diagnostics, however, is often debated due to a lack of specificity in the results and the emergence of more up-to-date alternatives. This case study, however, illustrates a clinical scenario where the ESR was utilized on more than one occasion to significantly aid the diagnostic process and ultimately, improve patient care. Read More

    A survey study of benefits and limitations of using CellaVision DM96 for peripheral blood differentials.
    Clin Lab Sci 2014 ;27(1):32-9
    In most clinical laboratories, hematologists rely on the microscopic analysis of stained blood films to accurately classify cells, aiding in the diagnosis and monitoring of a variety of disorders and conditions. Use of the microscope, although considered the gold standard in performing white blood cell differentials, presents a variety of limitations Digital image technology can facilitate a variety of essential job functions in clinical hematology such as: consulting with colleagues, improving training, referencing an abnormal cell, and utilizing archived images for quality assurance and competency assessment. A questionnaire was developed to survey medical laboratory professionals about their perceptions regarding the benefits and limitations for using digital images in clinical hematology. Read More

    Staphylococcus, not MRSA? A final report of carriage and conversion rates in nursing students.
    Clin Lab Sci 2014 ;27(1):21-31
    Objective: To evaluate and characterize staphylococcal carriage, possibly including methicillin-resistant Staphylococcus aureus (MRSA), and conversion rates in nursing students across clinical semester rotations and to describe risk factors.

    Design: A prospective longitudinal cohort design with six times of measurement. Data collected August 2010 to May 2012. Read More

    Cost-benefit and effectiveness analysis of rapid testing for MRSA carriage in a hospital setting.
    Clin Lab Sci 2014 ;27(1):13-20
    A cost-effectiveness analysis was conducted comparing the polymerase chain reaction assay and traditional microbiological culture as screening tools for the identification of methicillin-resistant Staphylococcus aureus (MRSA) in patients admitted to the pediatric and surgical intensive care units (PICU and SICU) at a 722 bed academic medical center. In addition, the cost benefits of identification of colonized MRSA patients were determined. The cost-effectiveness analysis employed actual hospital and laboratory costs, not patient costs. Read More

    Evidenced based practice: classroom to clinical laboratory.
    Clin Lab Sci 2013 ;26(4):212-5; quiz 216-8
    Marquette University, Schroeder Health Complex, 264D, 561 N. 15th Street, Milwaukee, WI 53233, USA.
    Evidence based practice (EBP) can be incorporated into the curriculum of Medical Laboratory Science (MLS) Programs. Current components of curriculum can include EBP in pre-analytic, analytic, and post-analytic topics. Discussion of EBP topics in the classroom using practices assessed through the Laboratory Medicine Best Practices Initiative (LMBP) of the U. Read More

    Using performance tasks employing IOM patient safety competencies to introduce quality improvement processes in medical laboratory science education.
    Clin Lab Sci 2013 ;26(4):205-11
    St. Luke's Magic Valley Medical Center, Twin Falls, ID 40205, USA.
    In order to contribute to improved healthcare quality through patient-centered care, laboratory professionals at all levels of practice must be able to recognize the connection between non-analytical factors and laboratory analysis, in the context of patient outcomes and quality improvement. These practices require qualities such as critical thinking (CT), teamwork skills, and familiarity with the quality improvement process, which will be essential for the development of evidence-based laboratory science practice. Performance tasks (PT) are an educational strategy which can be used to teach and assess CT and teamwork, while introducing Medical Laboratory Science (MLS) students at both baccalaureate and advanced-practice levels to the concepts of quality improvement processes and patient outcomes research. Read More

    Improving patient safety and healthcare quality in the 21st century--competencies required of future medical laboratory science practitioners.
    Clin Lab Sci 2013 ;26(4):200-4
    Bellarmine University, Medical Laboratory Science Department, Louisville KY, USA.
    Healthcare quality has yet to meet the aims of the Institute of Medicine (IOM) with respect to safety, effectiveness, patient-centeredness, efficiency, timeliness and equity. No professional curricula adequately prepare future healthcare practitioners-including medical laboratory science professionals-with all competencies necessary to deliver quality healthcare. Practicing evidence-based medicine, focusing on quality improvement, using information technology, delivering patient-centered care and working as part of interdisciplinary teams are identified by the IOM as the five core competencies that every healthcare practitioner needs to effectively provide healthcare. Read More

    Evaluation of a cost effective broth and selective agar combination for the detection of MRSA and Staphylococcus aureus from surveillance specimens using regular workflow.
    Clin Lab Sci 2013 ;26(4):175-80
    Clinical Laboratories, Department of Pathology, Trinity Medical Center, 800 Montclair Road, Birmingham, Alabama 35213, USA.
    Objective: To evaluate the use of selective agar and broth combination in a regular laboratory daily workflow.

    Design: Swabs from 173 surveillance specimens were inoculated onto half of the Bio-Rad MRSASelect (M), SaSelect (S) and Sheep Blood agars (SBA) and the swab placed in the LIM broth. After overnight incubation, 10 microL of the LIM broth was inoculated onto the other half of the three agars and incubated overnight. Read More

    Simultaneous infection with Shigella sonnei and Vibrio cholerae in a young child.
    Clin Lab Sci 2013 ;26(4):165-70
    Clinical Laboratory Sciences Program, Department of Pharmacy Administration and Allied Health Sciences, College of Pharmacy and Health Sciences, St. John's University, Queens, NY 11365, USA.
    A 20-month-old infant presented to the emergency department with diarrhea and vomiting of six days duration. Blood, stool and urine specimens were collected for both bacteriological culture and parasitic workup. Concurrent infections with both Shigella sonnei and Vibrio cholerae were determined to be the cause of the infectious diarrhea. Read More

    Sedimentation by gravity stabilizes plasma glucose for up to 60 minutes.
    Clin Lab Sci 2013 ;26(3):158-61
    Clinical Laboratory Sciences Program, University of West Florida, Pensacola, FL 32514, USA.
    Objective: Glucose levels decrease in whole blood in vitro, but there are several methods that minimize the loss, including special tubes and ice. This study evaluated whether sedimentation by gravity in an upright position was a viable alternative.

    Design: Lithium heparinized blood was collected from 20 individuals without a diagnosis of diabetes. Read More

    A novel approach to managing hemolyzed specimens.
    Clin Lab Sci 2013 ;26(3):153-7
    Department of Medical Laboratory, Imaging and Radiologic Sciences, College of Allied Health Sciences, Georgia Regents University, Augusta, GA 30912, USA.
    Hemolyzed specimens continue to cost the laboratory time and money. However, the core laboratory at Georgia Regents Health System, Inc. has instituted a novel approach to managing this problem. Read More

    Fecal transplant for recurrent Clostridium difficile infection.
    Clin Lab Sci 2013 ;26(3):131-5
    Atlantic State University, Department of Medical Laboratory Science, Savannah, GA 31419, USA.
    Clostridium difficile infection (CDI) results in clinical manifestations ranging from mild diarrhea to life-threatening pseudomembranous colitis. Infection is most often initiated by antimicrobial therapy which causes an imbalance in normal colonic microflora. The pathogenesis of C. Read More

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