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Journal articles on the topic 'Medical / Laboratory Medicine'

Author: Grafiati

Published: 4 June 2021

Last updated: 4 March 2023

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1

Smith, Brian R., Maria Aguero-Rosenfeld, John Anastasi, Beverly Baron, Anders Berg, Jay L. Bock, Sheldon Campbell, et al. "Educating Medical Students in Laboratory Medicine." American Journal of Clinical Pathology 133, no. 4 (April 2010): 533–42. http://dx.doi.org/10.1309/ajcpqct94sferlni.

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2

Wilson, Michael L. "Educating Medical Students in Laboratory Medicine." American Journal of Clinical Pathology 133, no. 4 (April 2010): 525–28. http://dx.doi.org/10.1309/ajcpqia4fugmvht8.

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3

Arora, DR, and B. Arora. "Ethics in laboratory medicine." Indian Journal of Medical Microbiology 25, no. 3 (2007): 179. http://dx.doi.org/10.4103/0255-0857.34756.

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4

Arora, DR, and B. Arora. "ETHICS IN LABORATORY MEDICINE." Indian Journal of Medical Microbiology 25, no. 3 (July 2007): 179–80. http://dx.doi.org/10.1016/s0255-0857(21)02103-4.

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5

Smith, Brian R., Malek Kamoun, and John Hickner. "Laboratory Medicine Education at U.S. Medical Schools." Academic Medicine 91, no. 1 (January 2016): 107–12. http://dx.doi.org/10.1097/acm.0000000000000817.

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6

Rodriguez, Fred H. "Why Medical Students Should Study Laboratory Medicine." Critical Values 4, no. 3 (July 1, 2011): 18–21. http://dx.doi.org/10.1093/criticalvalues/4.3.18.

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7

Steiner, M. "Tietz's Applied Laboratory Medicine." LaboratoriumsMedizin 32, no. 2 (January 1, 2008): 118–19. http://dx.doi.org/10.1515/jlm.2008.012i.

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8

Majkić-Singh, Nada. "Laboratory Medicine Management: Leadership Skills for Effective Laboratory." Journal of Medical Biochemistry 36, no. 3 (September 1, 2017): 207–10. http://dx.doi.org/10.1515/jomb-2017-0034.

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SummaryForum of the European Societies of Clinical Chemistry (FESCC) decided that the FESCC Symposium for Balkan Region would be held each year in Belgrade and organized by the Society of Medical Biochemists of Serbia and Montenegro (SMBSM). Professor Victor Blaton, at the time President of the FESCC, supported the organization of the Symposium. Purpose of these Symposia has been to educate clinical biochemists from Balkan region to improve management, leadership skills for effective laboratories. As a result of these decision twelve symposia have been organized thus far very successfully. Here the most important Symposium topics will be reviewed. Also, the 13thEFLM Symposium for Balkan Region under the title »Laboratory Medicine Management: Leadership Skills for Effective Laboratory«(Belgrade, September 2017) is organized by EFLM and SMBS under the Auspices of the International Federation of Clinical Chemistry (IFCC), Ministry of Education, Science and Technological Development of Serbia and Ministry of Health of Serbia with participation of the European and domestic specialists in field of Laboratory Medicine.

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9

England, J. "Medical Laboratory Haematology." Journal of Clinical Pathology 38, no. 3 (March 1, 1985): 358. http://dx.doi.org/10.1136/jcp.38.3.358-a.

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10

Wood, J. "Medical Laboratory Haematology." Journal of Clinical Pathology 44, no. 10 (October 1, 1991): 879–80. http://dx.doi.org/10.1136/jcp.44.10.879-d.

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11

Gronowski, Ann M., Melissa M. Budelier, and Sheldon M. Campbell. "Ethics for Laboratory Medicine." Clinical Chemistry 65, no. 12 (December 1, 2019): 1497–507. http://dx.doi.org/10.1373/clinchem.2019.306670.

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Abstract BACKGROUND Laboratory medicine, like other areas of medicine, is obliged to adhere to high ethical standards. There are particular ethical issues that are unique to laboratory medicine and other areas in which ethical issues uniquely impact laboratory practice. Despite this, there is variability in ethics education within the profession. This review provides a foundation for the study of ethics within laboratory medicine. CONTENT The Belmont Report identifies 3 core principles in biomedical ethics: respect for persons (including autonomy), beneficence (and its corollary nonmalfeasance), and justice. These core principles must be adhered to in laboratory medicine. Informed consent is vital to maintain patient autonomy. However, balancing patient autonomy with the desire for beneficence can sometimes be difficult when patients refuse testing or treatment. The use of leftover or banked samples is fundamental to the ability to do research, create reference intervals, and develop new tests, but it creates problems with consent. Advances in genetic testing have created unique ethical issues regarding privacy, incidental findings, and informed consent. As in other professions, the emergence of highly contagious and deadly infectious diseases poses a difficult ethical dilemma of helping patients while protecting healthcare workers. CONCLUSIONS Although many clinical laboratorians do not see or treat patients, they must be held accountable to the highest ethical and professional behavior. Recognition and understanding of ethical issues are essential to ethical practice of laboratory medicine.

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12

McQueen, Matthew J. "Ethics and Laboratory Medicine." Clinical Chemistry 36, no. 8 (August 1, 1990): 1404–7. http://dx.doi.org/10.1093/clinchem/36.8.1404.

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Abstract Ethical issues have been given limited attention by professionals in laboratory medicine. Professional ethics is the moral bond that links a profession, the people it serves, and society. Understanding the complexities of individual and common good is essential for full professional participation in major issues in health care. Specific issues that challenge laboratory professionals in clinical research are allocation of health-care resources, testing conducted nearer the patient, confidentiality, screening tests, and molecular biology. A voice in ethical issues is an essential element of professional independence. The ethical attitudes we display influence the kind of people who choose to work in our profession. More open discussion about ethics is necessary in our professional literature.

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Bonini, Pierangelo, Mario Plebani, Ferruccio Ceriotti, and Francesca Rubboli. "Errors in Laboratory Medicine." Clinical Chemistry 48, no. 5 (May 1, 2002): 691–98. http://dx.doi.org/10.1093/clinchem/48.5.691.

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Abstract Background: The problem of medical errors has recently received a great deal of attention, which will probably increase. In this minireview, we focus on this issue in the fields of laboratory medicine and blood transfusion. Methods: We conducted several MEDLINE queries and searched the literature by hand. Searches were limited to the last 8 years to identify results that were not biased by obsolete technology. In addition, data on the frequency and type of preanalytical errors in our institution were collected. Results: Our search revealed large heterogeneity in study designs and quality on this topic as well as relatively few available data and the lack of a shared definition of “laboratory error” (also referred to as “blunder”, “mistake”, “problem”, or “defect”). Despite these limitations, there was considerable concordance on the distribution of errors throughout the laboratory working process: most occurred in the pre- or postanalytical phases, whereas a minority (13–32% according to the studies) occurred in the analytical portion. The reported frequency of errors was related to how they were identified: when a careful process analysis was performed, substantially more errors were discovered than when studies relied on complaints or report of near accidents. Conclusions: The large heterogeneity of literature on laboratory errors together with the prevalence of evidence that most errors occur in the preanalytical phase suggest the implementation of a more rigorous methodology for error detection and classification and the adoption of proper technologies for error reduction. Clinical audits should be used as a tool to detect errors caused by organizational problems outside the laboratory.

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Vesper, Hubert W., and Linda M. Thienpont. "Traceability in Laboratory Medicine." Clinical Chemistry 55, no. 6 (June 1, 2009): 1067–75. http://dx.doi.org/10.1373/clinchem.2008.107052.

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Abstract Background: In patient and population samples, generation of analytical results that are comparable and independent of the measurement system, time, and location is essential for the utility of laboratory information supplied in healthcare. Obtaining analytical measurement results with such characteristics is the aim of traceability in laboratory medicine. As awareness of the benefits of having traceable measurement results has increased, associated efforts have been directed toward making traceability a regulatory requirement and developing approaches to enable and facilitate the implementation of traceability. Although traceability has been a main focus of many laboratory standardization activities in the past, discussions are still ongoing with regard to traceability and its implementation. Content: This review provides information about the traceability concept and what needs can be fulfilled and benefits achieved by the availability of traceable measurement results. Special emphasis is given to the new metrological terminology introduced with this concept. The review addresses and describes approaches for technical implementation of traceable methods as well as the associated challenges. Traceability is also discussed in the context of other activities to improve the overall measurement process. Summary: Establishing metrological traceability of measurement results satisfies basic clinical and public health needs, thus improving patient care and disease control and prevention. Large advances have been made to facilitate the implementation of traceability. However, details in the implementation process, such as lack of available commutable reference materials and insufficient resources to develop new reference measurement systems continue to challenge the laboratory medicine community.

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Bertholf, Roger L. "Laboratory Medicine Turns 50!" Laboratory Medicine 51, no. 1 (December 13, 2019): 5–6. http://dx.doi.org/10.1093/labmed/lmz097.

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16

Gottfried, Eugene L., Malek Kamoun, and M. Desmond Burke. "Laboratory Medicine Education in United States Medical Schools." American Journal of Clinical Pathology 100, no. 6 (December 1, 1993): 594–98. http://dx.doi.org/10.1093/ajcp/100.6.594.

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17

Park, Yara A., and Marisa B. Marques. "Teaching Medical Students Basic Principles of Laboratory Medicine." Clinics in Laboratory Medicine 27, no. 2 (June 2007): 411–24. http://dx.doi.org/10.1016/j.cll.2007.03.011.

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18

Laessig, Ronald H. "Medical Need for Quality Specifications within Laboratory Medicine." Upsala Journal of Medical Sciences 95, no. 3 (January 1990): 233–44. http://dx.doi.org/10.3109/03009739009178595.

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19

Randell, Edward, and Wolfgang Schneider. "Medical errors in laboratory medicine: Pathways to improvement." Clinical Biochemistry 46, no. 13-14 (September 2013): 1159–60. http://dx.doi.org/10.1016/j.clinbiochem.2013.07.006.

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20

Ledesma, C. J. "Integrating Transgender Medicine Curriculum in Medical Laboratory Sciences." American Journal of Clinical Pathology 158, Supplement_1 (November 1, 2022): S53. http://dx.doi.org/10.1093/ajcp/aqac126.104.

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Abstract Introduction/Objective Transgender, non-binary, and other gender-diverse individuals experience poor health outcomes as a result of discrimination in health care settings. In order to develop a competent and knowledgeable workforce, a curriculum that will promote the understanding of the health needs of patients with gender incongruence is imperative. Developing a curriculum and its integration into medical laboratory science will increase competency and develop a knowledgeable and culturally-competent workforce of medical laboratory professionals. Methods/Case Report To increase the competency of medical laboratory professionals, a 2-part training program will be developed to help address medical laboratory professionals' healthcare encounters with persons who identify as lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI). The curriculum developed will help learners understand the effects of gender-affirming care as it relates to laboratory medicine. Curriculum Outline Sex and Gender Orientation Historical Perspectives in Transgender Health Epidemiology and Health Outcomes of Transgender Patients Transgender Medicine Transgender Medicine in Medical Laboratory Sciences. Results (if a Case Study enter NA) NA Conclusion Future considerations related to the development of a curriculum to understand the effects of transgender medicine in medical laboratory sciences will include Increased awareness of transgender medicine for all levels of laboratory staff. Ability to understand the needs of the patient population and be patient advocates to improve health outcomes. Understand the physiologic effects of gender-affirming care and its impact on medical lab tests. Determine inadequacies in an institution and help develop processes to help improve data collection important to understand the health care needs of demographic. Update the knowledge base of practitioners to further enhance laboratory services and promote healthcare equity.

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21

Collinson, Paul. "Laboratory Medicine is Faced with the Evolution of Medical Practice." Journal of Medical Biochemistry 36, no. 3 (September 1, 2017): 211–15. http://dx.doi.org/10.1515/jomb-2017-0032.

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SummaryLaboratory medicine and clinical medicine are co-dependent components of medicine. Laboratory medicine functions most effectively when focused through a clinical lens. Me dical practice as a whole undergoes change. New drugs, treatments and changes in management strategies are introduced. New techniques, new technologies and new tests are developed. These changes may be either clinically or laboratory initiated, and so their introduction requires dialogue and interaction between clinical and laboratory medicine specialists. Treatment monitoring is integral to laboratory medicine, varying from direct drug measurement to monitoring cholesterol levels in response to treatment. The current trend to »personalised medicine« is an extension of this process with the development of companion diagnostics. Technological innovation forms part of modern laboratory practice. Introduction of new technology both facilitates standard laboratory approaches and permits introduction of new tests and testing strategies previously confined to the research laboratory only. The revolution in cardiac biomarker testing has been largely a laboratory led change. Flexibility in service provision in response to changing clinical practice or evolving technology provides a significant laboratory management challenge in the light of increasing expectations, shifts in population demographics and constraint in resource availability. Laboratory medicine practitioners are adept at meeting these challenges. One thing remains constant, that there will be a constant need laboratory medicine to meet the challenges of novel clinical challenges from infectious diseases to medical conditions developing from lifestyle and longevity.

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22

Burke, M. Desmond. "Clinical laboratory consultation: appropriateness to laboratory medicine." Clinica Chimica Acta 333, no. 2 (July 2003): 125–29. http://dx.doi.org/10.1016/s0009-8981(03)00176-1.

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23

Korita, Irena, and Victor Blaton. "Challenges of Laboratory Medicine: European Answers." Journal of Medical Biochemistry 30, no. 4 (October 1, 2011): 273–78. http://dx.doi.org/10.2478/v10011-011-0011-9.

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Challenges of Laboratory Medicine: European Answers Medical laboratories play a vital role in modern healthcare, and qualified specialists in Clinical Chemistry and Laboratory Medicine are essential for the provision of high-quality preanalytical, analytical and consultative services. Laboratory medicine has undergone major transformations during the last decade. Ongoing technological developments have considerably improved the productivity of clinical laboratories. Information on laboratory services is globally available, and clinical laboratories worldwide face international competition and there is a huge pressure to reduce costs. To be prepared for the future, clinical laboratories should enhance efficiency and reduce the cost increases by forming alliances and networks, consolidating, integrating or outsourcing, and more importantly create additional value by providing knowledge services related to in vitro diagnostics. Therefore, business models that increase efficiency such as horizontal and vertical integration are proposed, based on collaborative networks for the delivery of clinical laboratory services. Laboratories should cooperate, consolidate and form strategic alliances to enhance efficiency and reduce costs. There is a growing conflict between the science and the art of clinical practice and on the role of the biomedical sciences in medical practice. We have a dehumanizing effect on medical care. Disease is defined at the level of sick molecules and cells and curative medicine is being replaced by the preventive care of the disease. Undoubtedly all those questions will raise considerable problems and challenges for the medical educators.

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24

Dujmovic, Ferenc, Mirjana Djeric, and Zoran Stosic. "Laboratory medicine today." Medical review 60, no. 11-12 (2007): 543–48. http://dx.doi.org/10.2298/mpns0712543d.

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Introduction. Laboratory medicine today is a well-established branch of medicine which has an important role in improving of diagnostics, research and all forms and levels of education at the Faculty of Medicine in Novi Sad. The value of laboratory medicine is particularly important in team work within the Clinical Center of Novi Sad, nowadays - Clinical Center of Vojvodina. Institute of Laboratory Medicine of the Clinical Center of Vojvodina. The institute of Laboratory Medicine of the Clinical Center of Vojvodina is a contemporary organized, integrated system of laboratories, employing highly educated professional staff, and with the exception of the nuclear-medicine laboratory, has all necessary equipment for providing the highest level of laboratory diagnostics. The Institute is a part of the international RIQAS (Randox International Quality Assessment Scheme) quality control and in the process of getting and accreditation. Today, the Institute offers a variety of over 400 different laboratory analyses and functional tests. The capacity of laboratory services is being significantly increased and is permanently growing. In addition, it is necessary to establish a PCR laboratory and a Department of Microbiology. Contemporary trends in organization of laboratory services. The Institute of Laboratory Medicine is also engaged in research, publishing and projects. It is a teaching hospital for the Department of Pathophysiology. This kind of approach to education of medical students ensures that pathophysiology provides a solid foundation for clinical studies at the Faculty of Medicine in Novi Sad.

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Komatireddy, Ravi, and Eric J. Topol. "Medicine Unplugged: The Future of Laboratory Medicine." Clinical Chemistry 58, no. 12 (December 1, 2012): 1644–47. http://dx.doi.org/10.1373/clinchem.2012.194324.

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26

Bertholf, Roger L. "The History of Laboratory Medicine Part 1: 1970–1977; Laboratory Medicine Moves Ahead." Laboratory Medicine 51, no. 1 (December 30, 2019): 7–11. http://dx.doi.org/10.1093/labmed/lmz093.

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27

Balows, Albert. "Antibiotics in laboratory medicine." Diagnostic Microbiology and Infectious Disease 5, no. 4 (November 1986): 352–53. http://dx.doi.org/10.1016/0732-8893(86)90044-1.

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28

Kessimian, Noubar. "Laboratory Medicine and Diagnostic Testing." Journal of the American Podiatric Medical Association 94, no. 2 (March 1, 2004): 194–97. http://dx.doi.org/10.7547/87507315-94-2-194.

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The clinical laboratory is a vital component of modern podiatric medical practice. In order to interpret laboratory data correctly, the practitioner must understand the essentials of diagnostic testing. These essentials include precision, accuracy, sensitivity, specificity, and prevalence-based values of a given test. In addition, the podiatric physician should be aware of the limitations, variations, and interferences that can spuriously alter test results. (J Am Podiatr Med Assoc 94(2): 194-197, 2004)

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Molinaro, Ross J., Anne M. Winkler, Colleen S. Kraft, Corinne R. Fantz, Sean R. Stowell, James C. Ritchie, David D. Koch, et al. "Teaching Laboratory Medicine to Medical Students: Implementation and Evaluation." Archives of Pathology & Laboratory Medicine 136, no. 11 (November 1, 2012): 1423–29. http://dx.doi.org/10.5858/arpa.2011-0537-ep.

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Context.—Laboratory medicine is an integral component of patient care. Approximately 60% to 70% of medical decisions are based on laboratory results. Physicians in specialties that order the tests are teaching medical students laboratory medicine and test use with minimal input from laboratory scientists who implement and maintain the quality control for those tests. Objective.—To develop, implement, and evaluate a 1.5-day medical student clinical laboratory experience for fourth-year medical students in their last month of training. Design.—The experience was devised and directed by laboratory scientists and included a panel discussion, laboratory tours, case studies that focused on the goals and objectives recently published by the Academy of Clinical Laboratory Physicians and Scientists, and medical-student presentations highlighting salient points of the experience. The same knowledge quiz was administered at the beginning and end of the experience and 84 students took both quizzes. Results.—A score of 7 or more was obtained by 16 students (19%) on the initial quiz, whereas 34 (40%) obtained the same score on the final quiz; the improvement was found to be statistically significant (P = .002; t = 3.215), particularly in 3 out of the 10 questions administered. Conclusions.—Although the assessment can only measure a small amount of knowledge recently acquired, the improvement observed by fourth-year medical students devoting a short period to learning laboratory medicine principles was encouraging. This medical student clinical laboratory experience format allowed teaching of a select group of laboratory medicine principles in 1.5 days to an entire medical school class.

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Jovičić, Snežana, and Nada Majkić-Singh. "Medical Biochemistry as Subdiscipline of Laboratory Medicine in Serbia." Journal of Medical Biochemistry 36, no. 2 (April 1, 2017): 177–86. http://dx.doi.org/10.1515/jomb-2017-0010.

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SummaryMedical biochemistry is the usual name for clinical biochemistry or clinical chemistry in Serbia, and medical biochemist is the official name for the clinical chemist (or clinical biochemist). This is the largest sub-discipline of the laboratory medicine in Serbia. It includes all aspects of clinical chemistry, and also laboratory hematology with coagulation, immunology, etc. Medical biochemistry laboratories in Serbia and medical biochemists as a profession are part of Health Care System and their activities are regulated through: the Health Care Law and rules issued by the Chamber of Medical Biochemists of Serbia. The first continuous and organized education for Medical Biochemists (Clinical Chemists) in Serbia dates from 1945, when the Department of Medical Biochemistry was established at the Pharmaceutical Faculty in Belgrade. In 1987 at the same Faculty a five years undergraduate study program was established, educating Medical Biochemists under a special program. Since the academic year 2006/2007 the new five year undergraduate (according to Bologna Declaration) and four-year postgraduate program according to EC4 European Syllabus for Postgraduate Training in Clinical Chemistry and Laboratory Medicine has been established. The Ministry of Education and Ministry of Public Health accredited these programs. There are four requirements for practicing medical biochemistry in the Health Care System: University Diploma of the Faculty of Pharmacy (Study of Medical Biochemistry), successful completion of the professional exam at the Ministry of Health after completion of one additional year of obligatory practical training in the medical biochemistry laboratories, membership in the Serbian Chamber of Medical Biochemists and licence for skilled work issued by the Serbian Chamber of Medical Biochemists. In order to present laboratory medical biochemistry practice in Serbia this paper will be focused on the following: Serbian national legislation, healthcare services organization, sub-disciplines of laboratory medicine and medical biochemistry as the most significant, education in medical biochemistry, conditions for professional practice in medical biochemistry, continuous quality improvement, and accreditation. Serbian healthcare is based on fundamental principles of universal health coverage and solidarity between all citizens.

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31

McQueen, Matthew J. "Evidence-Based Medicine: Its Application to Laboratory Medicine." Therapeutic Drug Monitoring 22, no. 1 (February 2000): 1–9. http://dx.doi.org/10.1097/00007691-200002000-00001.

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32

Valdiguié, Pierre Marie, Jacques Serge de Graeve, and Jean Paul Guerre. "Laboratory medicine in France." Clinica Chimica Acta 267, no. 1 (November 1997): 51–62. http://dx.doi.org/10.1016/s0009-8981(97)00177-0.

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33

Lippi, Giuseppe, and Camilla Mattiuzzi. "Project management in laboratory medicine." Journal of Medical Biochemistry 38, no. 4 (July 30, 2019): 401–6. http://dx.doi.org/10.2478/jomb-2019-0021.

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SummaryThe role and responsibilities of laboratory managers have considerably evolved during the past decades. This revolution has been mostly driven by biological, technical, economic and social factors, such as deepened understanding of the pathophysiology of human diseases, technical innovations, renewed focus on patient safety, cost-containment strategies and patient empowerment. One of the leading consequences is an ongoing process of reorganization, consolidation and automation of laboratory services, whose propitious realization strongly relies on establishing an efficient project management plan. In a practical perspective, the leading drivers of project management in laboratory medicine encompass various activities supporting a clear definition of the local environment, an accurate planning of technical resources, the acknowledgement of staff availability and qualification, along with the establishment of a positive and constructive interplay with hospital administrators. Therefore, the aim of this article is to provide a personal overview on the main drivers and outcomes of project management in laboratory medicine, which will expectedly contribute to construct a new consciousness and an innovative and multifaceted job description of laboratory professionals worldwide.

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34

Rifai, Nader, Eric Topol, Eugene Chan, Y. M. Dennis Lo, and Carl T. Wittwer. "Disruptive Innovation in Laboratory Medicine." Clinical Chemistry 61, no. 9 (September 1, 2015): 1129–32. http://dx.doi.org/10.1373/clinchem.2015.243667.

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Tolan, Nicole V., M. Laura Parnas, Linnea M. Baudhuin, Mark A. Cervinski, Albert S. Chan, Daniel T. Holmes, Gary Horowitz, Eric W. Klee, Rajiv B. Kumar, and Stephen R. Master. "“Big Data” in Laboratory Medicine." Clinical Chemistry 61, no. 12 (December 1, 2015): 1433–40. http://dx.doi.org/10.1373/clinchem.2015.248591.

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Fell, Linda. "Opportunities in Rural Laboratory Medicine." Laboratory Medicine 29, no. 11 (November 1, 1998): 665–67. http://dx.doi.org/10.1093/labmed/29.11.665.

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37

Bianco, Emidio A., Richard C. Froede, Janet B. Seifert, and James G. Zimmerly. "Legal Aspects of Laboratory Medicine." Clinics in Laboratory Medicine 9, no. 4 (December 1989): 785–806. http://dx.doi.org/10.1016/s0272-2712(18)30606-1.

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38

Scott, Mitchell G., and David E. Bruns. "Improving Training in Laboratory Medicine." Clinical Chemistry 52, no. 6 (June 1, 2006): 915–16. http://dx.doi.org/10.1373/clinchem.2006.068551.

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39

Bossuyt, Xavier, Kurt Verweire, and Norbert Blanckaert. "Laboratory Medicine: Challenges and Opportunities." Clinical Chemistry 53, no. 10 (October 1, 2007): 1730–33. http://dx.doi.org/10.1373/clinchem.2007.093989.

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Abstract Technologic innovations have substantially improved the productivity of clinical laboratories, but the services provided by clinical laboratories are increasingly becoming commoditized. We reflect on how current developments may affect the future of laboratory medicine and how to deal with these changes. We argue that to be prepared for the future, clinical laboratories should enhance efficiency and reduce costs by forming alliances and networks; consolidating, integrating, or outsourcing; and more importantly, create additional value by providing knowledge services related to in vitro diagnostics.

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40

Laposata, Michael. "Insufficient Teaching of Laboratory Medicine in US Medical Schools." Academic Pathology 3 (March 3, 2016): 237428951663410. http://dx.doi.org/10.1177/2374289516634108.

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41

Bissell, M. G. "Educating Medical Students in Laboratory Medicine: A Proposed Curriculum." Yearbook of Pathology and Laboratory Medicine 2011 (January 2011): 239–40. http://dx.doi.org/10.1016/s1077-9108(10)79496-2.

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42

Orth, Matthias, Maria Averina, Stylianos Chatzipanagiotou, Gilbert Faure, Alexander Haushofer, Vesna Kusec, Augusto Machado, et al. "Opinion: redefining the role of the physician in laboratory medicine in the context of emerging technologies, personalised medicine and patient autonomy (‘4P medicine’)." Journal of Clinical Pathology 72, no. 3 (December 22, 2017): 191–97. http://dx.doi.org/10.1136/jclinpath-2017-204734.

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The role of clinical pathologists or laboratory-based physicians is being challenged on several fronts—exponential advances in technology, increasing patient autonomy exercised in the right to directly request tests and the use of non-medical specialists as substitutes. In response, clinical pathologists have focused their energies on the pre-analytical and postanalytical phases of Laboratory Medicine thus emphasising their essential role in individualised medical interpretation of complex laboratory results. Across the European Union, the role of medical doctors is enshrined in the Medical Act. This paper highlights the relevance of this act to patient welfare and the need to strengthen training programmes to prevent an erosion in the quality of Laboratory Medicine provided to patients and their physicians.

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Martin, B. J., J. B. Watkins, and J. Ramsey. "Venipuncture in the medical physiology laboratory." Advances in Physiology Education 274, no. 6 (June 1998): S62. http://dx.doi.org/10.1152/advances.1998.274.6.s62.

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Medical physiology laboratories, traditionally devoted to animal experimentation, face unprecedented difficulties linked to cost, staffing, instrumentation, and the use of animals. At the same time, laboratory experiences with living creatures play a unique role in medical education. In this article we describe the use of venipuncture and subsequent blood analysis, with medical students serving as both subjects and experimenters, in a sequence of first-year physiology laboratories. These experiments are safe, robust, inexpensive, and time efficient, and they teach the principles of cardiovascular, respiratory, renal, nutritional, and gastrointestinal physiology. In addition, they enhance medical education in several other important dimensions. First, they teach safe venous blood collection and handling, a training appropriate for students at this level. Second, by serving each week as subjects as well as experimenters, students experience aspects of both sides of the doctor-patient relationship. Third, the laboratories can be used to teach fundamentals of research design and analysis. Finally, because blood analysis is central to medicine, and because the student's own blood data are discussed, students are enthusiastic and cooperative, and the clinical relevance of the data is clear.

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Trancheva, Denitsa. "LABORATORY MEDICINE-PROSPECTS FOR DEVELOPMENT." Knowledge International Journal 34, no. 4 (October 4, 2019): 1117–20. http://dx.doi.org/10.35120/kij34041117t.

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Keeping the traditions of its founders, clinical laboratory activity is constantly expanding the spectrum of laboratory testing, introducing new hardware technologies, increasing the number of laboratory specialists and the servicing of patients who need an accurate, timely and reliable diagnosis. Overthe years, medical science is undergoing a remarkable evolution, as the diagnosis and treatment of many diseases goes from a generalized concept of health and disease to a personalized approach involving solutions tailored to the specific needs of a patientaccording to the individual needs or to an existing risk of disease. Also, the so-called 'Precision' or 'Personalized' Medicine leads to various change strategies in Clinical Laboratories aimed at cost containment, consolidation of structures, changes in management, introduction of new technologies and standards. The ‘Consolidation’ paradigm is not new to healthcare. Theexistence of many laboratories located within one geographical area that carry out similar activities and provide the same laboratory tests is considered as unjustified. Therefore, the so-called ‘Consolidation’ of Clinical Laboratories withinone and the same geographical area is proposed. The model for consolidation of healthcare activities is derived from the aviation industry in 1955, thus optimizing both human and technical resources and generating significant cost savings. In recent decades, the introduction of new technologies, the consolidation of laboratories and the limitation of "pointless costs" leadto more rapid development of Personalized Medicine in healthcare. An indisputable fact is the tendency for the development of Laboratory Medicine from a classical discipline into a science that studies the basic biochemical processes in the body within the scope of health and disease, discovering and implementing new biomarkers and developing innovative and more efficient technologies. Most forecasts for the development of Laboratory Medicine are optimistic, targeting more effective treatments, eradication of diseases, and increasing of life expectancy. Prospects for the future of the Clinical Laboratory continue to be a source of interest for the healthcare professionals. Different concepts for the future of Laboratory Medicine exist. Some are already a reality, and others are expected to play an important role in the development of this medical specialty.

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Diouny, S., K. Balar, and M. Bennani Othmani. "Medical Informatics in Morocco: Casablanca Medical Informatics Laboratory." Yearbook of Medical Informatics 16, no. 01 (August 2007): 138–40. http://dx.doi.org/10.1055/s-0038-1638537.

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SummaryIn 2005, Medical Informatics Laboratory (CMIL) became an independent research unit within the Faculty of Medicine and Pharmacy of Casablanca. CMIL is currently run by three persons (a university professor, a data processing specialist and a pedagogical assistant). The objectives of CMIL are to promote research and develop quality in the field of biomedical data processing and health, and integrate new technologies into medical education and biostatistics. It has four units: Telehealth Unit, Network Unit, Biostatistics Unit, Medical data processing Unit.The present article seeks to give a comprehensive account of Casablanca Medical informatics laboratory (CMIL) activities. For ease of exposition, the article consists of four sections: Section I discusses the background of CMIL; section II is devoted to educational activities; section III addresses professional activities; and section IV lists projects that CMIL is involved in.Since its creation, CMIL has been involved in a number of national and international projects, which have a bearing on Telemedicine applications, E-learning skills and data management in medical studies in Morocco.It is our belief that the skills and knowledge gained in the past few years would certainly enrich our research activities, and improve the situation of research in Medical informatics in Morocco.

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Shcherbo, SN, and DS Shcherbo. "Laboratory diagnostics as a basis for 5P medicine." Вестник Российского Государственного медицинского университета, no. 1 (February 14, 2019): 5–12. http://dx.doi.org/10.24075/brsmu.2018.095.

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As public health systems are being modernized across the world, conventional medicine is undergoing a serious transformation and new medical models are emerging based on personalized, predictive, participatory, precision, mobile, and digital approaches. So far, there is no consensus in the literature and the medical community about the goals, objectives and applications of these models, particularly precision medicine, which is sometimes perceived as merely a fancier term for personalized medicine. The role of laboratory diagnostics in precision medicine is also a matter of intense debate. This review analyzes the currently available information about precision medicine and gives examples of how 5P approaches can be used in clinical practice.

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Furukawa, Taiji. "7. New Trends in Laboratory Medicine - Act and Medical Insurance on Clinical Laboratory Test -." Nihon Naika Gakkai Zasshi 109, no. 3 (March 10, 2020): 584–89. http://dx.doi.org/10.2169/naika.109.584.

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Sepetiene, Ramune. "Quality Indicators in Laboratory Medicine." American Journal of Biomedical Science & Research 14, no. 6 (November 30, 2021): 571–72. http://dx.doi.org/10.34297/ajbsr.2021.14.002059.

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Weiss, Ronald L. "Training in Laboratory Management and the MBA/MD in Laboratory Medicine." Clinics in Laboratory Medicine 27, no. 2 (June 2007): 381–95. http://dx.doi.org/10.1016/j.cll.2007.03.009.

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Milinković, Neda, Svetlana Ignjatović, Zorica Šumarac, and Nada Majkić-Singh. "Uncertainty of Measurement in Laboratory Medicine." Journal of Medical Biochemistry 37, no. 3 (July 1, 2018): 279–88. http://dx.doi.org/10.2478/jomb-2018-0002.

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SummaryAn adequate assessment of the measurement uncertainty in a laboratory medicine is one of the most important factors for a reliable interpretation of the results. A large number of standards and guidelines indicate the need for a proper assessment of the uncertainty of measurement results in routine laboratory practice. The available documents generally recommend participation in the proficiency schemes/ external quality control, as well as the internal quality control, in order to primarily verify the quality performance of the method. Although all documents meet the requirements of the International Standard, ISO 15189, the standard itself does not clearly define the method by which the measurement results need to be assessed and there is no harmonization in practice regarding to this. Also, the uncertainty of measurement results is the data relating to the measured result itself, but all factors that influence the interpretation of the measured value, which is ultimately used for diagnosis and monitoring of the patient's treatment, should be taken into account. So in laboratory medicine, an appropriate assessment of the uncertainty of the measurement results should have the ultimate goal of reducing diagnostic uncertainty. However, good professional laboratory practice and understanding analytical aspects of the test for each individual laboratory is necessary to adequately define the uncertainty of measurement results for specific laboratory tests, which helps to implement good clinical practice. Also, setting diagnoses in medicine is a decision with a certain degree of uncertainty, rather than statistically and mathematically calculated conclusion.

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