Abstract：
BACKGROUND:The University of Maryland Medical System, like all other medical systems, is faced with providing the highest quality care in an environment of increased demands and competition for resources. Some responses to this pressure include improved integration, coordination, and efficiency. Laboratory integration has been highlighted by our medical system as a promising area for improvement. Standardization of practices, including job descriptions, is an important step on this journey. METHODS:With the help of the Human Resources department and the laboratory directors, we conducted an assessment of existing titles and practices from across our medical system. Analysis and evaluation of job descriptions demonstrated some inconsistencies and opportunities for standardization. Discussion and dialogue allowed us to reach consensus on a standard philosophy, format, and approach. RESULTS:We created a system wide Phlebotomist job description, based on current practice, which reflected the needs of our medical system. We will be able to use this tool to standardize other job titles, as well as for recruitment and as a basis for retention. CONCLUSION:This methodology can be easily duplicated and followed to evaluate and design job descriptions, as well as to reach consensus in an efficient and organized approach to job standardization in the laboratory.
journal_name
Lab Medjournal_title
Laboratory medicineauthors
Cook Jdoi
10.1093/labmed/lmw051subject
Has Abstractpub_date
2017-02-01 00:00:00pages
e4-e13issue
1eissn
0007-5027issn
1943-7730pii
lmw051journal_volume
48pub_type
杂志文章abstract：OBJECTIVE:Inflammation of the small intestine may occur in type 2 diabetes. This study aimed to investigate whether ATP-binding cassette transporter A1 (ABCA1) and G1 (ABCG1) were altered in chronic inflammation of the small intestine of type 2 diabetic rats. METHODS:Thirty-two male Sprague-Dawley rats were used. Eigh...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1309/lmo485spyxbqanxj
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:The production of 2 monoclonal proteins characterizes biclonal gammopathic manifestations (BGMs). The available medical literature from India is chiefly restricted to case reports. OBJECTIVE:To study the incidence of BGMs in a tertiary care center in Chandigarh, India, during a 4-year period. We evaluated t...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz006
更新日期：2019-10-10 00:00:00
abstract：BACKGROUND:Multirules are often employed to monitor quality control (QC). The performance of multirules is usually determined by simulation and is difficult to predict. Previous studies have not provided computer code that would enable one to experiment with multirules. It would be helpful for analysts to have computer...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz038
更新日期：2020-01-02 00:00:00
abstract：:Myeloperoxidase (MPO) deficiency, one of the most common inherited phagocyte defects, and may exist as a transient phenomenon in combination with some clinical condition. Hematological analyzer ADVIA 2120i is used to identify the different types of leukocytes based on their size and staining properties, and by mean pe...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz060
更新日期：2020-03-10 00:00:00
abstract：:Hormographiella is a rare fungal pathogen in humans; however, case reports have described disseminated infection in immunocompromised hosts. This pathogen has been described to yield poor prognosis in patients who harbor it. Herein, we present a case report of autopsy-proven disseminated Hormographiella aspergillata i...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz018
更新日期：2019-10-10 00:00:00
abstract：Objective:To determine the effect of presence of high concentrations of nicotinamide adenine dinucleotide (NADH)- and nicotinamide adenine dinucleotide phosphate (NADPH)-consuming enzymes on the accuracy of glutamate dehydrogenase (GLDH) assay for ammonia. Methods:We measured ammonia concentrations using GLDH and NADH...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmx053
更新日期：2017-11-08 00:00:00
abstract：Background:When unpredicted surgical blood loss occurs, it is essential that blood arrive from the blood bank in a timely manner. Objective:To evaluate the turnaround time (TAT) for red blood cells (RBCs) from the blood bank to the operating suite. Cases with delayed TATs were further analyzed to determine potential c...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmx016
更新日期：2017-08-01 00:00:00
abstract：:The three major causes of anemia in neonates are blood loss, decreased red blood cell production, and increased degradation of erythrocytes. Establishing the cause of anemia in a neonate born prematurely can be challenging. Clinically, fetomaternal hemorrhage (FMH) can be difficult to diagnose-the condition often pres...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmy026
更新日期：2018-07-05 00:00:00
abstract：:In the past few years, interest has increased in cell-derived microparticles (MPs), which are defined by their size of from 0.1 to 1 μm, and can be derived from various cell types, including endothelial cells, leukocytes, red blood cells (RBCs), and platelets. These MPs carry negatively charged phosphatidylserine (PS)...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmaa043
更新日期：2020-08-20 00:00:00
abstract：BACKGROUND:Preparation of the patient for laboratory tests is crucial. Our aim was to investigate the current practice and regional variability of recommendations regarding patient preparation for laboratory testing. METHODS:A call for data was posted by email. Spanish laboratories were invited to fill out and submit ...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz092
更新日期：2020-05-06 00:00:00
abstract：OBJECTIVE:To test a hybrid polyethylene glycol (PEG)/gel method, specifically to attempt to increase reaction strength of accidentally overdiluted anti-Cob and broadly for proof of concept. METHODS:Methods were divided into 2 basic steps: sensitization and antiglobulin (AHG) testing. Sensitization was performed with P...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz015
更新日期：2020-03-10 00:00:00
abstract：:Extremely low hemoglobin A1c (HbA1c) results below reference range are rare, and the causes and clinical implications associated with low HbA1c results are not well understood among clinical laboratorians. A case of extremely low HbA1c results was reported, in which liver cirrhosis, subacute hemorrhage and recent tran...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmw050
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To analyze the performance characteristics, stability, and clinical value of lipoprotein-associated phospholipase A2 (Lp-PLA2) using an enzymatic kinetic method. METHODS:The performance characteristics included reference intervals, precision, and accuracy. We assessed Lp-PLA2 stability by comparing Lp-PLA2 c...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmy086
更新日期：2019-07-16 00:00:00
abstract：OBJECTIVE:To evaluate the association of S-adenosylmethionine (SAM) and S-adenosylhomocysteine (SAH) in urine with chronic kidney disease (CKD). METHODS:Case-control study including 50 patients with CKD and 20 healthy volunteers. RESULTS:SAM level and SAM/SAH ratio in urine were significantly lower in patients than i...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz035
更新日期：2020-01-02 00:00:00
abstract：OBJECTIVES:To determine the effect of a modified request form on the total use of γ-glutamyl transferase (GGT) usage and the ratio of inappropriate testing. METHODS:We modified a test request form by moving GGT from the "Liver profile" to the "Other" section. The criteria for appropriate GGT ordering were developed ba...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1309/LM7E5LG6PWJYEFUJ
更新日期：2015-07-01 00:00:00
abstract：BACKGROUND:Currently, more than 45 mathematical formulas based on simple red blood cell (RBC) parameters have been proposed for differentiating between iron deficiency and thalassemia in microcytic anemia, of which 20 are relatively new and have not been thoroughly independently verified. The study goal was to verify t...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmaa030
更新日期：2020-11-02 00:00:00
abstract：:Cording is a phenomenon in which acid fast bacilli grow in parallel and was previously used as a means of presumptive microscopic identification of Mycobacterium tuberculosis (TB). However, this process has been shown in multiple other nontuberculous mycobacterial (NTM) species. Here we present the case of an immunoco...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmaa082
更新日期：2020-09-21 00:00:00
abstract：:Cell-derived microparticles (MPs) are small fragments released from various cells when they are activated or undergo apoptosis. In the field of transfusion medicine, a number of studies have documented increased levels of MPs in blood products, which have been associated with multiple factors, including donor variabil...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz100
更新日期：2020-09-01 00:00:00
abstract：:Herein, we present a case of extensive lymph node involvement by disseminated Cryptococcus infection developing in the immediate period after liver transplantation and initiation of immunosuppressive therapy. The patient, a 56 year old ethnicity unknown man, received a liver transplant for acute decompensated liver. B...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmy021
更新日期：2018-07-05 00:00:00
abstract：:Rhizobium radiobacter is an opportunistic, usually saprophytic, gram-negative bacillus found in agricultural soil. Isolation from blood has been reported most often in hospitalized patients harboring malignant neoplasms or human immunodeficiency virus (HIV) associated immunosuppression, who have catheter or medical de...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmw019
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:Consanguineous marriage, a common practice in South India, increase the incidence of autosomal recessive diseases such as nonsyndromic hearing loss (NSHL) in offspring. This trend was noted in the children with hearing impairment (HI) who received cochlear implants (CI) at our University hospital in Porur, C...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmz027
更新日期：2020-01-02 00:00:00
abstract：PATIENT:78-year-old African-American man. PAST MEDICAL HISTORY:Chronic lymphocytic leukemia first diagnosed in 2003, with a subsequent relapse in 2006 and another in 2010. HISTORY OF PRESENT ILLNESS:In late 2011, the patient was admitted to the hospital for cholelithiasis, at which time his treating physician inciden...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1309/LMLWQDB2Q6LS7VQG
更新日期：2014-07-01 00:00:00
abstract：:Non-specific antibodies or antibodies of undetermined significance (AUS) often pose problems for a blood bank technologist and physician. It is well known that antibodies can weaken and evanesce over time, thus eluding detection by routine blood bank techniques. Special enhancement techniques exist (eg, ficin treatmen...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmw062
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:Platelet counts generated by automated analyzers on blood specimens that contain platelet clumps are often inaccurate and require verification by blood-smear review. In this study, we assessed the reliability of the Sysmex XE-5000 instrument to detect platelet clumps. METHOD:We reviewed automated complete bl...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmw016
更新日期：2016-08-01 00:00:00
abstract：:We report a case of a false-positive HIV result in an apparently healthy pregnant woman. Since no prenatal HIV testing had been performed, we screened for HIV reactivity utilizing the Architect HIV-Ag/Ab Combo assay. Results obtained were inconsistent in that they were repeatedly HIV reactive on a single serum sample ...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1309/LMAAGVXK05LUWOQN
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:Auramine-phenol stain was compared with Kinyoun's acid-fast stain to detect coccidia parasites in fecal samples from immunocompromised patients. The comparison was based on the number of detected cases, sensitivity, specificity, time required for the procedure, ease of use, interpretation, and cost. METHODS:...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1309/lms0wn7k7ukzcpmi
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Oxidative stress has been associated with the progression of atherosclerosis and activation of genes that lead to increased deposition of proteins in the extracellular matrix. Bone sialoprotein (BSP) and osteonectin are proteins involved in the initiation and progression of vascular calcification. OBJECTIVE...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1309/LMUJWVQFW6CJMSOQ
更新日期：2014-10-01 00:00:00
abstract：:The COVID-19 pandemic has led to a major setback in both the health and economic sectors across the globe. The scale of the problem is enormous because we still do not have any specific anti-SARS-CoV-2 antiviral agent or vaccine. The human immune system has never been exposed to this novel virus, so the viral interact...
journal_title：Laboratory medicine
pub_type： 杂志文章,评审
doi：10.1093/labmed/lmaa049
更新日期：2021-01-04 00:00:00
abstract：Objective:To assess the effects of depression and anxiety on serum cytokine levels in patients with chronic hepatitis B (CHB) infection. Methods:In this cross-sectional study, 60 healthy control individuals and 60 patients with CHB participated after filling out standard questionnaires. We examined their serum interle...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmx064
更新日期：2017-12-22 00:00:00
abstract：:Waldenström macroglobulinemia (WM) is a form of lymphoplasmacytic lymphoma that can cause hyperviscosity syndrome due to unchecked monoclonal antibody production. Some patients are also found to have associated cryoglobulinemia, which can cause systemic complications including vasculitis, renal disease, and pulmonary ...
journal_title：Laboratory medicine
pub_type： 杂志文章
doi：10.1093/labmed/lmy073
更新日期：2019-07-16 00:00:00
