51
|
Spyropoulos AC, Haire W. The Clinical Thrombosis Center and Clinical Thrombologist: A New US Health Systems Paradigm for the Management of Venous Thromboembolic Disease. J Thromb Thrombolysis 2003; 15:227-32. [PMID: 14739633 DOI: 10.1023/b:thro.0000011378.16223.e4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
New paradigms for the diagnosis, prophylaxis, acute treatment, and ongoing management of patients with venous thromboembolic disease (VTE), a better understanding of the genotypic and phenotypic mechanisms of thrombophilic states, and the possibility of a greatly expanded armamentarium of antithrombotic therapies are necessitating a more formalized and systematic approach to VTE management. This has required many US healthcare institutions to develop piecemeal approaches in management models for VTE utilizing local champions from a variety of subspecialties. Development of a formalized Clinical Thrombosis Center from an already established Anticoagulant Management Service utilizing a clinical thrombologist, a new role for a physician who has developed expertise in anticoagulation and VTE management, presents a new paradigm in which this disease may be approached at a formalized, institutional level. Thus the clinical thrombologist working through a Clinical Thrombosis Center can develop a system-of-care approach to link the rapid advances in the field of thromboembolism to clinical applications, formulate evidence-based disease management guidelines, and conduct patient-oriented translational clinical research in VTE.
Collapse
|
52
|
Tsyba NN. [Organization of hematologic work in a day hospital]. TERAPEVT ARKH 2003; 75:19-23. [PMID: 12652949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
|
53
|
Ballester Satovenia JM. [The transfusion medicine program in Cuba]. Rev Panam Salud Publica 2003; 13:160-4. [PMID: 12751464 DOI: 10.1590/s1020-49892003000200019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Cuba's Transfusion Medicine Program (TMP) is a subsystem of the country's National Health System. The TMP's objective is to ensure hemotherapy with blood that is safe and sufficient for all the individuals who need it. The TMP subsystem is made up of the National Commission on Transfusion Medicine, the Institute of Hematology and Immunology, 37 clinical services, 44 blood banks, 120 collection centers, 19 mobile units, and 37 blood certification laboratories. Additional facilities include a laboratory for plasma separation, a laboratory that produces leukocyte interferon and transfer factor, and two laboratories that produce reagents for blood classification and blood diagnosis symptoms. In Cuba, blood donation is voluntary. Since 1997 approximately 5% of the population per year has donated blood, thus meeting the goal recommended by the Pan American Health Organization of one voluntary blood donation annually for every 20 persons. During 2002, 563,204 blood donations were received, and there were 445,898 transfusions of blood or blood components. All donations are individually screened for HIV 1 and 2, hepatitis B, hepatitis C, and syphilis, thus meeting the country's current regulations. In 2002 these screening measures led to discarding, respectively, 0.12%, 0.60%, 0.71%, and 1.8% of the blood donations. Although the prevalence of human T-cell lymphotropic virus I and II in Cuba is very low, this test will soon be added to the screening process.
Collapse
|
54
|
Ribera Salcedo JF, Roca Valencia O. [Peru's experience with a national blood banking program]. Rev Panam Salud Publica 2003; 13:165-71. [PMID: 12751465 DOI: 10.1590/s1020-49892003000200020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023] Open
Abstract
This paper describes Peru's experiences with its National Blood Banking Program. Until the mid-1990s, the country faced a host of problems, including the lack of a legal framework to regulate blood banks, a high maternal mortality rate due to a shortage of blood, virtually no voluntary donations, a high risk of infection from transfusions, the use of only whole blood for transfusion, serious disorganization in the blood banks, deficiencies in blood bank supervision and control, no training programs, indifference on the part of health officials, frequent selling of blood, and limited community awareness. Subsequently, a strategic plan was prepared that made it possible to solve many of those problems. Legal instruments were prepared; the rate of voluntary donations rose from 0% to 19.5%; the safety of the blood was improved through compulsory screening of all donated blood units for seven markers of infectious diseases, as well as by placing a national seal of quality on all screened units. The availability of blood doubled, thus meeting 70% of the need; sales of blood decreased; and the use of blood components was improved, with 80% of the blood being fractionated. In addition, supervisory control of 100% of the blood banks in the country was achieved, a national registry was established, the cost-benefit relationship for blood units was improved through centralized screening, internal and external quality control was made mandatory, and pro-donation campaigns led to commitments from civil society. While important, all these achievements represent just a first step. This is especially true given that developing the National Blood Banking Program required the participation of outside organizations, such as the Pan American Health Organization, whose support, together with the experience provided by other countries, was key. The Program is facing a number of new challenges, and the progress that has been achieved could be threatened if current activities stagnate or if officials become complacent.
Collapse
|
55
|
Gallagher C. Leading a velvet revolution. NURSING TIMES 2002; 98:18-9. [PMID: 12244662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
|
56
|
Tatsumi N, Lewis SM. Restructuring of international council for standardization in haematology (ICSH) in Asia. Int J Hematol 2002; 76 Suppl 1:281-5. [PMID: 12430865 DOI: 10.1007/bf03165263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Standardization and harmonization in Laboratory testing are a key issue in the midst of globalization era, because most of laboratory testing has been currently achieved with various kinds of automated systems. In the developed countries, automated systems with highly-regulated principles are commonly used in the routine laboratory. However, there are so many undeveloped and developing countries in Asia that diversity of testing levels can be observed in the area. Some laboratories use glass chamber method for blood cell counting, while other laboratory use semi-automated or fully automated analyzers for complete blood count. International standardization on Hematology is focused on the developed system but not for the developing system. Established standardized documents therefore whould not be unsuitable for Asian societies. In the context, International Council for Standardization in Hematology (ICSH) changed its rules to adjust our Asian Societies and ICSH started to restructure the body. International ICSH society is divided into 5 region sub-groups. Asian area is able to possess one new sub-society, ICSH-Asia. Its reconstruction work has been just started with Asain colleagues, and we are now extending the new societies to discuss Asian problems on the quality of hematology testing.
Collapse
|
57
|
Kiss C. Third joint meeting of Rumanian and Hungarian pediatric hematologists/oncologists. MEDICAL AND PEDIATRIC ONCOLOGY 2002; 38:368. [PMID: 11979464 DOI: 10.1002/mpo.1347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
58
|
Will S, Will A. Consultants' hours. A day in the life. THE HEALTH SERVICE JOURNAL 2002; 112:24-5. [PMID: 11905100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
Many NHS consultants are working more than their contracted hours. Diaries kept by 32 consultants in one trust revealed an average working week of 50 hours. A pilot scheme rescheduling the work patterns in a haematology department to include a rest day has reduced the number of hours worked. The scheme is popular with consultants and could be transferable to other teams.
Collapse
|
59
|
Luke KH. Hemophilia centre twinning with Nanfang Hospital, Guangzhou, China. Challenges and opportunities. Transfus Apher Sci 2001; 25:83-7. [PMID: 11761278 DOI: 10.1016/s1473-0502(01)00105-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
60
|
Wilimas JA, Ribeiro RC. Pediatric hematology-oncology outreach for developing countries. Hematol Oncol Clin North Am 2001; 15:775-87, x. [PMID: 11676283 DOI: 10.1016/s0889-8588(05)70246-x] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Health care in some developing countries is now at a level that makes programs for care of children with cancer feasible. Examples of successful international programs in this field include twinning programs, nongovernmental assistance organizations, such as the National Children's Cancer Society, and committees of professional organizations, such as the International Society of Pediatric Oncology (SIOP). The international outreach program at St. Jude Children's Research Hospital includes training programs within the hospital, partner sites in 13 countries, a school for Latin American nurses, a distance learning website, and telecommunications programs, which are described in detail. Future programs should be designed to maximize and evaluate impact, report accomplishments and failures, and avoid duplication.
Collapse
|
61
|
Tatsumi N. [Standardization in hematology]. RINSHO BYORI. THE JAPANESE JOURNAL OF CLINICAL PATHOLOGY 2001; Suppl 115:1-5. [PMID: 11391925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
The International Council for Standardization in Hematology(ICSH) is a non-governmental and non-profit body devoting to standardization work on hematology tests. It has publicized over 100 standardization documents on the subjects in the past 30 years. The ICSH is currently extending its activities to cooperative work with WHO, CEN, NCCLS, ICTH, ISBT, IFCC and ISLH. ICSH-Asia has also been founded to discuss local issues on standardization in hematology among Asian countries.
Collapse
|
62
|
Brown AD. Implementing information technology in the NHS: the role of narrative. Health Serv Manage Res 1999; 12:109-20. [PMID: 10537612 DOI: 10.1177/095148489901200204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This paper analyses how groups use narratives in social processes of sensemaking and identity construction and in the pursuit and legitimation of their selfish interests. It does so through an examination of the narrativity of the experiences reported by the developers and users of an information technology (IT) system linking a haematology laboratory and a specialist haematology ward in a large acute hospital. The research contribution the paper makes is twofold. First, it illustrates the importance of group-level narratives in enacting organizational realities and especially in the social construction of IT systems. Second, it suggests that the narrative understanding of groups is a significant domain of organizational inquiry because it is through the spread and acceptance of their narratives that groups exercise their most profound influence.
Collapse
|
63
|
Vorob'ev AI, Kravchenko SK. [Russian hematological school]. TERAPEVT ARKH 1998; 70:19-22. [PMID: 9821219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
64
|
Fitzmaurice DA, Murray ET, Hobbs FD. Decentralised anticoagulant care. J Clin Pathol 1998; 51:711-2. [PMID: 9930082 PMCID: PMC500915 DOI: 10.1136/jcp.51.9.711b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
65
|
Zentsova OA, Sveshchinskiĭ ML. [Characteristics of the organization of clinical laboratory using modern hematological analyzers]. Klin Lab Diagn 1998:38-41. [PMID: 9644925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Large treatment and prophylaxis multiprofile centers should be equipped with several devices with different potentials. Rational use of the potentials of modern hematological analyzers requires use of venous blood samples. Complete hematological analyzers, such as Cobas Vega, can minimize visual assessment of the leukocytic formula. Effective clinical application of the entire complex of parameters offered by the analyzers and introduction of these devices in practice involve upgrading of all laboratory workers.
Collapse
|
66
|
Cruse KL. Timeliness and best demonstrated practices. CLINICAL LABORATORY MANAGEMENT REVIEW : OFFICIAL PUBLICATION OF THE CLINICAL LABORATORY MANAGEMENT ASSOCIATION 1998; 12:159-68. [PMID: 10181488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
Significant changes have occurred in many hospital-based laboratories over the past few years. The demands from the medical staff to deliver the highest quality test results in the shortest possible time coupled with the mandates from hospital administration to become cost efficient have given laboratory managers many challenging opportunities. Information management is a basic component of the process required to meet the timeliness goal. Best demonstrated practices for the various sections within our laboratory resulted when combining five components of daily management. These are instrument automation, using a laboratory information system to auto-merge and auto-release tests, consolidating workstations, redistributing work among the technical and nontechnical personnel, and implementing key indicators to follow improvement.
Collapse
|
67
|
Abstract
The diagnosis of haematological malignancies has undergone major conceptual changes in the past decade. Accurate diagnosis now depends on a combination of morphological examination, cell marker studies, and molecular biological techniques. Specialist haematopathology diagnostic services are best provided in an integrated laboratory, able to carry out the full range of techniques and staffed by pathologists and scientists with expertise in the investigation of leukaemia and lymphoma.
Collapse
|
68
|
Nişli G. Pediatric Hematology and Oncology Department of EGE University, Izmir, Turkey. Pediatr Hematol Oncol 1997; 14:395-8. [PMID: 9267871 DOI: 10.3109/08880019709028769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
|
69
|
Hobbs FD, Fitzmaurice DA. Where should oral anticoagulation monitoring take place? Br J Gen Pract 1997; 47:479-80. [PMID: 9302785 PMCID: PMC1313075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
|
70
|
Giralt M. [Hematologists, the administration, and the future]. SANGRE 1997; 42:153-4. [PMID: 9381253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
|
71
|
Collins NH. Multinational, multicultural, and multiprofessional lessons. JOURNAL OF HEMATOTHERAPY 1997; 6:189-90. [PMID: 9234173 DOI: 10.1089/scd.1.1997.6.189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
|
72
|
Dellagi K, Guermazi S. [Hematology laboratory]. ARCHIVES DE L'INSTITUT PASTEUR DE TUNIS 1997; 74:75-9. [PMID: 15945180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
|
73
|
Cornbleet J, Fernandes BJ, Miers M. Streamline your automated hematology laboratory. Roundtable discussion. MLO: MEDICAL LABORATORY OBSERVER 1997; 29:58-63. [PMID: 10164271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
|
74
|
Cornbleet J, Fernandes BJ, Miers M. Streamline your automated hematology laboratory. Roundtable discussion. MLO: MEDICAL LABORATORY OBSERVER 1996; 28:50-3. [PMID: 10163265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
How three hematology laboratories improved efficiency by automating the preanalytical process, reorganizing lab workspace, using data management systems to identify which samples need further verification, and setting strict criteria limiting the need for nonautomated processes.
Collapse
|
75
|
Zipursky A. Hematology and oncology at the Hospital for Sick Children. Pediatr Hematol Oncol 1996; 13:391-5. [PMID: 10897809 DOI: 10.3109/08880019609030849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
MESH Headings
- Child
- Child, Preschool
- Hematologic Diseases/nursing
- Hematologic Diseases/therapy
- Hematology/organization & administration
- Hospital Bed Capacity, under 100
- Hospital Departments/organization & administration
- Hospital Departments/statistics & numerical data
- Hospitals, Pediatric/organization & administration
- Hospitals, Pediatric/statistics & numerical data
- Hospitals, University/organization & administration
- Hospitals, University/statistics & numerical data
- Hospitals, Urban/organization & administration
- Hospitals, Urban/statistics & numerical data
- Humans
- Infant
- Laboratories, Hospital/organization & administration
- Medical Oncology/organization & administration
- Neoplasms/nursing
- Neoplasms/therapy
- Oncology Service, Hospital/organization & administration
- Oncology Service, Hospital/statistics & numerical data
- Ontario
- Outpatient Clinics, Hospital
- Patient Care Team/organization & administration
- Personnel, Hospital/statistics & numerical data
- Research/organization & administration
- Research Personnel/statistics & numerical data
Collapse
|