Category Archives: Quality management

NAMS Nepal presentations 2018 (R Martin)

Here are the four presentations given to National Academy of Medical Sciences, Bir Hospital Pathology and Medicine Residents over the week commencing 7/5/18  by Emeritus Professor Robert Martin, President of the Diagnostic Microbiology Development Program. Laboratory Strengthening and the Diagnostic … Continue reading

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Blood culture liaison process – advice by organism type- Gram positives

SECOND CLINICIAN CALL: Confirmed culture identification with susceptibility available Prior to calling, check the isolate antibiogram to see that species and susceptibility are consistent – see EUCAST Expert rules which provide intrinsic resistance characters by species, including unusual phenotypes. If … Continue reading

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Example template for documenting significant bloodstream infections

Suggested format for documenting significant BSI for later analyses.  Sub documents with key definitions will be provided soon. Print this sheet onto a single A4 page and maintain a records folder. Include documentation of the clinical liaison process as below. … Continue reading

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How well is your lab performing antimicrobial susceptibility testing?

Production of reliable AST results is critical for clinicians and their patients. AST results enable correct antibiotic therapy to be directed against the specific pathogen(s). Please review this brief presentations from our bacteriology scientist Fiona Oehme.  EUCAST AST Quality Control F Courtney 2016 … Continue reading

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ISBAR – an essential process for improving clinical handover and liaison by pathology services

Structured conversations between clinicians or between pathologists and clinicians are a good idea – poor communication risks patient safety and contributes to adverse outcomes.  The ISBAR framework enables clear, focused and information relevant clinical communications.  Photo – blue ‘ISBAR’ species of chicken!

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Laboratory quality systems and lab capacity building programs

The WHO 2011 Handbook for laboratory quality management systems is the central resource used in developing laboratory systems for quality management. Print it out and get to know every section (below)! Expert Panel: Building Capacity for Diagnostics, GHDONLINE  Boston-based international expert led … Continue reading

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Blood transfusion standards and resources – Australia

There has been much effort to rationalise the use of blood products and ensure patient safety. The current Australian national standard is available here and perhaps serves as a useful guide for countries like Nepal, PNG and the other nations … Continue reading

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