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2.
Lab Med ; 50(2): e23-e35, 2019 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-30726943

RESUMO

BACKGROUND: In most clinical laboratories, examination quality is considered excellent, whereas pre-/postexamination quality is an area for focused improvement. In our organization, 1 pre-/postexamination quality metric, namely, lost specimens, as tracked continuously for 27 years, has demonstrated steady improvement. During this period, many of our processes transitioned to highly automated effectors. Concurrently, we implemented behavioral controls and reengineered error-prone processes. We believe that this bilateral approach has conclusively lowered our lost specimen rates. METHODS: Using data spanning 27 years, we plotted the correlation between lost specimens and the implementation dates for 8 major phases of automation, as well as 19 process improvements and engineering controls. RESULTS: The lost specimen rate decreased nearly 100-fold. In Six Sigma terms, the 12 month moving average for lost specimens currently hovers at approximately 5.94 sigma, with 11 months at or better than 6 sigma. Although the combination of implementation of process improvements, engineering controls, and automation contributed to the reduction, automation was the most significant contributor. CONCLUSIONS: The custom automation in use by our laboratory has led to improved pre-/postexamination quality. Although this automation may not be possible for all laboratories, our description of 19 behavior and engineering controls may be useful to others seeking to design high quality pre-/postexamination processes.


Assuntos
Automação Laboratorial , Serviços de Laboratório Clínico , Laboratórios , Melhoria de Qualidade , Engenharia Biomédica/organização & administração , Engenharia Biomédica/normas , Serviços de Laboratório Clínico/organização & administração , Serviços de Laboratório Clínico/normas , Humanos , Laboratórios/organização & administração , Laboratórios/normas , Gestão da Qualidade Total
4.
Australas Phys Eng Sci Med ; 41(4): 781-808, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30361918

RESUMO

The Australasian College of Physical Scientists and Engineers in Medicine (ACPSEM) Radiation Oncology Specialty Group (ROSG) formed a series of working groups to develop recommendations for guidance of radiation oncology medical physics practice within the Australasian setting. These recommendations provide a standard for safe work practices and quality control. It is the responsibility of the medical physicist to ensure that locally available equipment and procedures are sufficiently sensitive to establish compliance. The recommendations are endorsed by the ROSG, have been subject to independent expert reviews and have also been approved by the ACPSEM Council. For the Australian audience, these recommendations should be read in conjunction with the Tripartite Radiation Oncology Practice Standards and should be read in conjunction with relevant national, state or territory legislation which take precedence over the ACPSEM publication Radiation Oncology Reform Implementation Committee (RORIC) Quality Working Group, RANZCR, 2011a; Kron et al. Clin Oncol 27(6):325-329, 2015; Radiation Oncology Reform Implementation Committee (RORIC) Quality Working Group, RANZCR, 2018a, b).


Assuntos
Saúde do Trabalhador/normas , Garantia da Qualidade dos Cuidados de Saúde/normas , Radiometria/normas , Radioterapia/normas , Australásia , Engenharia Biomédica/organização & administração , Engenharia Biomédica/normas , Física Sanitária/organização & administração , Física Sanitária/normas , Humanos , Guias de Prática Clínica como Assunto
11.
IEEE Pulse ; 9(4): 30-31, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30028683

RESUMO

In the 1950s and 1960s, there was a popular television show called To Tell the Truth, on which three contestants claimed to be a person with an unusual occupation or distinction. Two of them were impostors, and the other was telling the truth. Four panelists asked the contestants questions to determine who was being truthful. After each panelist chose the contestant he or she thought was telling the truth, the host would ask "Will the real _____ please stand up?" To create drama, each contestant would rise at different times and then sit, leaving the contestant with the unusual occupation or distinction standing.


Assuntos
Engenharia Biomédica , Desenho de Equipamento/tendências , Engenharia Biomédica/organização & administração , Engenharia Biomédica/tendências , Humanos , Resolução de Problemas , Smartphone , Estudantes , Universidades , Wisconsin
18.
Trends Cancer ; 4(4): 260-264, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29606307

RESUMO

To address cancer as a multifaceted adaptive system, the increasing momentum for cross-disciplinary connectivity between cancer biologists, physical scientists, mathematicians, chemists, biomedical engineers, computer scientists, clinicians, and advocates is fueling the emergence of new scientific frontiers, principles, and opportunities within physical sciences and oncology. In parallel to highlighting the advances, challenges, and acceptance of advocates as credible contributors, we offer recommendations for addressing real world hurdles in advancing equitable partnerships among advocacy stakeholders.


Assuntos
Engenharia Biomédica/organização & administração , Oncologia/organização & administração , Neoplasias/terapia , Física/organização & administração , Controle Social Formal , Engenharia Biomédica/métodos , Engenharia Biomédica/tendências , Pesquisa Biomédica/métodos , Pesquisa Biomédica/organização & administração , Pesquisa Biomédica/tendências , Humanos , Oncologia/métodos , Oncologia/tendências , National Cancer Institute (U.S.)/organização & administração , National Cancer Institute (U.S.)/tendências , Física/métodos , Física/tendências , Projetos de Pesquisa/tendências , Estados Unidos
19.
Disabil Rehabil Assist Technol ; 13(1): 66-77, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28286994

RESUMO

Summative content analysis was used to define methods and heuristics from each case study. The review process was in two parts: (1) A literature review to identify conventional research methods and (2) a summative content analysis of published case studies, based on the identified methods and heuristics to suggest an order and priority of where and when were used. Over 200 research and design methods and design heuristics were identified. From the review of the 20 case studies 42 were identified as being applied. The majority of methods and heuristics were applied in phase two, market choice. There appeared a disparity between the limited numbers of methods frequently used, under 10 within the 20 case studies, when hundreds were available. Implications for Rehabilitation The communication highlights a number of issues that have implication for those involved in assistive technology new product development: •The study defined over 200 well-established research and design methods and design heuristics that are available for use by those who specify and design assistive technology products, which provide a comprehensive reference list for practitioners in the field; •The review within the study suggests only a limited number of research and design methods are regularly used by industrial design focused assistive technology new product developers; and, •Debate is required within the practitioners working in this field to reflect on how a wider range of potentially more effective methods and heuristics may be incorporated into daily working practice.


Assuntos
Engenharia Biomédica/organização & administração , Desenho de Equipamento , Equipamentos de Autoajuda , Humanos , Cultura Organizacional , Percepção , Reprodutibilidade dos Testes
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