hospital laboratories


Summary: Hospital facilities equipped to carry out investigative procedures.

Top Publications

  1. Jones B, Walsh M, Ruby S. Hospital nursing satisfaction with clinical laboratory services: a College of American Pathologists Q-Probes study of 162 institutions. Arch Pathol Lab Med. 2006;130:1756-61 pubmed
    ..College of American Pathologists Q-Probes laboratory quality improvement study in 162 hospital laboratories. Nursing overall satisfaction score (ranging from 1, not satisfied, to 5, very satisfied) and satisfaction ..
  2. Crawford J, Stallone R, Zhang F, Gerolimatos M, Korologos D, Sweetapple C, et al. Laboratory surge response to pandemic (H1N1) 2009 outbreak, New York City metropolitan area, USA. Emerg Infect Dis. 2010;16:8-13 pubmed publisher
    ..The ability of System laboratories to rapidly increase to high-volume comprehensive diagnostics, including influenza A subtyping, provided key epidemiologic information for local and state public health departments. ..
  3. Zarbo R. Determining customer satisfaction in anatomic pathology. Arch Pathol Lab Med. 2006;130:645-9 pubmed
  4. Novis D, Walsh M, Wilkinson D, St Louis M, Ben Ezra J. Laboratory productivity and the rate of manual peripheral blood smear review: a College of American Pathologists Q-Probes study of 95,141 complete blood count determinations performed in 263 institutions. Arch Pathol Lab Med. 2006;130:596-601 pubmed
    ..By adopting certain laboratory practices, it may be possible to reduce the rates of manual reviews of peripheral blood smears and increase the efficiency of generating CBC results. ..
  5. Schrag S, Shay D, Gershman K, Thomas A, Craig A, Schaffner W, et al. Multistate surveillance for laboratory-confirmed, influenza-associated hospitalizations in children: 2003-2004. Pediatr Infect Dis J. 2006;25:395-400 pubmed
    ..Hospitalizations were particularly common among children <6 months of age, a group for whom influenza vaccine is not licensed. Continued surveillance for laboratory-confirmed influenza could inform prevention strategies. ..
  6. Lake R, King N, Sexton K, Bridgewater P, Campbell D. Acute gastrointestinal illness in New Zealand: information from a survey of community and hospital laboratories. N Z Med J. 2009;122:48-54 pubmed
    ..Postal survey of community and hospital laboratories throughout New Zealand conducted in mid-2006, requesting data from the 2005 calendar year...
  7. Steindel S, Howanitz P. Physician satisfaction and emergency department laboratory test turnaround time. Arch Pathol Lab Med. 2001;125:863-71 pubmed
    ..Participants were drawn from the 952 hospital laboratories enrolled in the 1998 College of American Pathologists Q-Probes study on ED TAT...
  8. Chin A, Hedberg K, Cieslak P, Cassidy M, Stefonek K, Fleming D. Tracking drug-resistant Streptococcus pneumoniae in Oregon: an alternative surveillance method. Emerg Infect Dis. 1999;5:688-93 pubmed
    ..We compared 1996 active surveillance data with antibiogram data from hospital laboratories in Portland, Oregon. Of the 178 S...
  9. Saarela U, Kivinen T, Sarkkinen H. External failures as descriptor of quality in clinical microbiology laboratory services. Clin Chem Lab Med. 2005;43:54-63 pubmed
    ..The most essential point is to monitor the effects of the quality measures taken to reduce the number of failures. ..

More Information


  1. Mundy C, Bates I, Nkhoma W, Floyd K, Kadewele G, Ngwira M, et al. The operation, quality and costs of a district hospital laboratory service in Malawi. Trans R Soc Trop Med Hyg. 2003;97:403-8 pubmed
    ..Inadequate quality of haemoglobin estimations is a particular problem. The findings of this study are likely to be relevant to other low-income countries with similar disease burdens. ..
  2. Kazmierczak S. Laboratory quality control: using patient data to assess analytical performance. Clin Chem Lab Med. 2003;41:617-27 pubmed
    ..More recent applications include the correlation of laboratory test results, the average of normals procedure, and the Bhattacharya method. ..
  3. Hageman J, Fridkin S, Mohammed J, Steward C, Gaynes R, Tenover F. Antimicrobial proficiency testing of National Nosocomial Infections Surveillance System hospital laboratories. Infect Control Hosp Epidemiol. 2003;24:356-61 pubmed identify test methods that tend to produce errors, we conducted proficiency testing among NNIS System hospital laboratories. NNIS System hospital laboratories in the United States...
  4. Lee Lewandrowski E, Corboy D, Lewandrowski K, Sinclair J, McDermot S, Benzer T. Implementation of a point-of-care satellite laboratory in the emergency department of an academic medical center. Impact on test turnaround time and patient emergency department length of stay. Arch Pathol Lab Med. 2003;127:456-60 pubmed
    ..001). The POCT satellite laboratory decreased test TAT and decreased ED LOS. There was excellent satisfaction with test accuracy and TAT. ..
  5. Schrag S, Zell E, Schuchat A, Whitney C. Sentinel surveillance: a reliable way to track antibiotic resistance in communities?. Emerg Infect Dis. 2002;8:496-502 pubmed
    ..Sentinel surveillance for resistant pneumococci can detect important trends over time but rarely detects newly emerging resistance profiles. ..
  6. Shimo M. [Consulting work of local hospital--participation in department without expert physician, and clinical training]. Rinsho Byori. 2005;53:832-6 pubmed
    ..Moreover, clinical laboratory physicians, as members of a central clinical department, must participate in other hospital activities, for example, auditing hospital infections, blood supply. ..
  7. Marchevsky A, Khurana R, Thomas P, Scharre K, Farias P, Bose S. The use of virtual microscopy for proficiency testing in gynecologic cytopathology: a feasibility study using ScanScope. Arch Pathol Lab Med. 2006;130:349-55 pubmed
    ..This preliminary study shows that virtual microscopy and virtual Papanicolaou tests prepared using ScanScope may provide effective tools for PT. Technical issues that require further investigation are discussed. ..
  8. Sachs C. [Pneumatic tube net conveying systems in the hospital environment]. Ann Biol Clin (Paris). 2007;65:107-15 pubmed
    ..Implanting such a net in newly constructed structures is generally easy, while connecting the net into old buildings might meet some space limiting difficulties. Detailed prior planning of the network is a major issue for success. ..
  9. Crothers B, Tench W, Schwartz M, Bentz J, Moriarty A, Clayton A, et al. Guidelines for the reporting of nongynecologic cytopathology specimens. Arch Pathol Lab Med. 2009;133:1743-56 pubmed publisher
    ..The intent is to improve communication with the health care team while remaining in compliance with federal mandates and accreditation guidelines. ..
  10. Simson E, Gascon Lema M, Brown D. Performance of automated slidemakers and stainers in a working laboratory environment - routine operation and quality control. Int J Lab Hematol. 2010;32:e64-76 pubmed publisher
  11. Singer A, Viccellio P, Thode H, Bock J, Henry M. Introduction of a stat laboratory reduces emergency department length of stay. Acad Emerg Med. 2008;15:324-8 pubmed publisher
    ..Introduction of a Stat lab dedicated to the ED within the central laboratory was associated with shorter laboratory TATs and shorter ED LOS for admitted patients, by approximately 1 hour. ..
  12. Escobar G, Greene J, Scheirer P, Gardner M, Draper D, Kipnis P. Risk-adjusting hospital inpatient mortality using automated inpatient, outpatient, and laboratory databases. Med Care. 2008;46:232-9 pubmed publisher
    ..Efforts to support improvement of hospital outcomes can take advantage of risk-adjustment methods based on automated physiology and diagnosis data that are not confounded by information obtained after hospital admission. ..
  13. Bekeris L, Jones B, Walsh M, Wagar E. Urine culture contamination: a College of American Pathologists Q-Probes study of 127 laboratories. Arch Pathol Lab Med. 2008;132:913-7 pubmed publisher
    ..Specimen refrigeration is associated with lower overall urine culture specimen contamination rate. Providing patient instruction is also associated with lower contamination rates under specific circumstances. ..
  14. Harty Golder B. Removing ID before discarding slides. MLO Med Lab Obs. 2008;40:36 pubmed
  15. Kamei K. [Identification of clinically isolated fungi and their culture collection system in Japan]. Nihon Ishinkin Gakkai Zasshi. 2008;49:187-9 pubmed
    ..For the smooth and accurate identification of the fungi, formation of a collaborative network among hospital laboratories, private clinical laboratory test centers and university research laboratories is now required...
  16. Codina Grau M, Tórtola Fernández M. [Diagnostic utility of nucleic acid detection by real-time polymerase chain reaction]. Enferm Infecc Microbiol Clin. 2006;24:539-40 pubmed
  17. Ramsay A, Cuevas L, Mundy C, Nathanson C, Chirambo P, Dacombe R, et al. New policies, new technologies: modelling the potential for improved smear microscopy services in Malawi. PLoS ONE. 2009;4:e7760 pubmed publisher
  18. Blattner K, Nixon G, Dovey S, Jaye C, Wigglesworth J. Changes in clinical practice and patient disposition following the introduction of point-of-care testing in a rural hospital. Health Policy. 2010;96:7-12 pubmed publisher
    ..POC testing helps address inequity in acute health care provision for a disadvantaged rural community by allowing rural clinicians access to necessary and critical investigations in a clinically relevant turn-around time. ..
  19. Dalpino F, Sodré F, de Faria E. The use of a hospital laboratory cohort to estimate the prevalence of dyslipidemia in an adult Brazilian population. Clin Chim Acta. 2006;367:189-91 pubmed
    ..The mixed phenotype of hypercholesterolemia and hypertriglyceridemia was the most prevalent. The results of this study were validated by their agreement with previously studied non-hospital Brazilian populations. ..
  20. Nkoy F, Hammond M, Rees W, Belnap T, Rowley B, Catmull S, et al. Variable specimen handling affects hormone receptor test results in women with breast cancer: a large multihospital retrospective study. Arch Pathol Lab Med. 2010;134:606-12 pubmed publisher
    ..More studies are needed to confirm these findings. ..
  21. Theodorsson E. [Point-of-care laboratory analyses increase quality and efficiency of health care. Quality systems are necessary]. Lakartidningen. 2008;105:111-2 pubmed
  22. Uike Y, Ohkubo K, Matsuzaki T, Yamashita T, Harada S, Futata Y, et al. [Clinical trial and evaluation of a direct report system of panic values at Fukuoka University Hospital]. Rinsho Byori. 2007;55:1067-74 pubmed
    ..In conclusion, we established a new system, which made it possible for panic values to be directly reported to the doctor in charge and this system was then evaluated for its clinical usefulness. ..
  23. Niedrig M, Donoso Mantke O, Schädler R. The European Network for Diagnostics of Imported Viral Diseases (ENIVD)--12 years of strengthening the laboratory diagnostic capacity in Europe. Euro Surveill. 2007;12:E070419.5 pubmed
  24. Valenstein P, Wagar E, Stankovic A, Walsh M, Schneider F. Notification of critical results: a College of American Pathologists Q-Probes study of 121 institutions. Arch Pathol Lab Med. 2008;132:1862-7 pubmed publisher
    ..Although failure to notify caregivers of critical results may represent an important patient safety vulnerability, the timeliness of laboratory notification is a minor contributor to total test turnaround time at most institutions. ..
  25. Hayward C, Moffat K, Raby A, Israels S, Plumhoff E, Flynn G, et al. Development of North American consensus guidelines for medical laboratories that perform and interpret platelet function testing using light transmission aggregometry. Am J Clin Pathol. 2010;134:955-63 pubmed publisher
    ..The recommendations adopted provide North American laboratories with additional guidance on platelet function testing, including how to interpret LTA abnormalities. ..
  26. Ho D. Experience of implementing a quality management system in an Ontario hospital laboratory. Clin Leadersh Manag Rev. 2005;19:E3 pubmed
    ..The entire project took approximately two-and-a-half years to complete and required teamwork, personal commitment, and professional sacrifices by key personnel. ..
  27. Peerschke E, Agrawal Y, Alexander C, Bovill E, Laposata M. Proposed research training guidelines for residents in laboratory medicine. Clin Lab Med. 2007;27:241-53; abstract v-vi pubmed
    ..The proposed curricula are purposely unstructured to allow maximum flexibility for training programs to meet the needs and career goals of individual residents. ..
  28. Poutanen S. Do your biohazard, bioterror, and emergency planning NOW. MLO Med Lab Obs. 2007;39:38, 40-1 pubmed
  29. Ishiyama N, Murakami M. [Present state of outpatient consultation in Gunma University Hospital]. Rinsho Byori. 2006;54:237-42 pubmed
    ..We hope that our consulting work by clinical laboratory physicians will become widely known to patients and doctors. ..
  30. Takahashi T. [Management and accounting solution required in clinical laboratory department in the hospital and the balanced scorecard (BSC)]. Rinsho Byori. 2006;54:1114-26 pubmed
    ..Especially, the necessity and the efficacy of the BSC implementation in the clinical laboratory department are being explained. ..
  31. Jensen A, Milner R, Achildi O, Gaughan J, Wilhite D, Grewal H. Effective instruction of vascular anastomosis in the surgical skills laboratory. Am J Surg. 2008;195:189-94 pubmed
    ..Laboratory-based training can effectively improve the ability of residents to perform vascular anastomosis immediately after training. Junior residents may gain a greater advantage from laboratory teaching. ..
  32. Conway Klaassen J, Keil D. Discouraging academic dishonesty in online courses. Clin Lab Sci. 2010;23:194-200 pubmed
    ..Enhancing quiz formats and educating faculty and students about academic integrity policies has minimized the situation in our program. ..
  33. Anand M, Kumar R, Sharma O. Economical choices in setting up a diagnostic myeloma laboratory. Indian J Pathol Microbiol. 2004;47:506-8 pubmed
    ..We show that by simply employing well established techniques and doing them properly, one can get results of excellent quality at minimum cost and minimum dependence on costly imports. ..
  34. Soffiati G, Giavarina D. Stat laboratory testing: integration or autonomy?. Clin Chem Lab Med. 2010;48:927-30 pubmed publisher
    ..Although there is no clear evidence that laboratory TAT could be directly related to patient care, we need to continuously evaluate each laboratories performance by comparing them to patient outcomes. ..
  35. Haugh R. The demand for more exacting test results--fast!--reformulates hospital labs. Hosp Health Netw. 2006;80:46-8, 50, 52, 2 pubmed
    ..Lab staffs--already in short supply--need to be technically adept to administer and interpret the test results, and, in some cases, become more involved with clinicians. ..
  36. Szekendi M, Sullivan C, Bobb A, Feinglass J, Rooney D, Barnard C, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15:184-90 pubmed
    ..It provides a unique opportunity to review events at or near the time of their occurrence and to intervene and prevent harm. ..
  37. Lafeuillade A, Cheret A, Hittinger G, Bernardini D, Cuquemelle C, Jullian E, et al. Rectal cell-associated HIV-1 RNA: a new marker ready for the clinic. HIV Clin Trials. 2009;10:324-7 pubmed publisher
    ..5% with median levels of 5.17 log(10) copies/million CD4. Consequently, we propose to use this marker in future clinical trials targeting "residual" HIV-1 in patients with viremia below the detection limit. ..
  38. Wallin O, Sundberg E, Van Guelpen B, Grankvist K. [Venous blood sample collection and handling errors can affect test results. A questionnaire study of pre-analytical factors at a somatic hospital ward]. Lakartidningen. 2006;103:1613-6 pubmed
  39. Ryan F, O SHEA S, Byrne S. The reliability of point-of-care prothrombin time testing. A comparison of CoaguChek S and XS INR measurements with hospital laboratory monitoring. Int J Lab Hematol. 2010;32:e26-33 pubmed publisher
  40. Carre J. [Computer-assisted management of depots for blood products in health establishments]. Transfus Clin Biol. 2008;15:197-200 pubmed publisher
  41. Signori C, Ceriotti F, Sanna A, Plebani M, Messeri G, Ottomano C, et al. Process and risk analysis to reduce errors in clinical laboratories. Clin Chem Lab Med. 2007;45:742-8 pubmed
    ..Five Italian hospital laboratories cooperated in a project in which methodologies for process and risk analysis, usually applied in fields ..
  42. Herlong J, Reubish K, Higdon H, Boone W. Quantitative and qualitative analysis of microorganisms in an assisted reproductive technology facility. Fertil Steril. 2008;89:847-53 pubmed
    ..The data herein suggest that the increased positive control measures used in the embryology clean room are effective in minimizing environmental biologic contamination. ..
  43. Oghagbon E, Okesina A, Oparinde D. Clinical laboratory in the biochemical evaluation of hypertension in Nigeria. Afr J Med Med Sci. 2007;36:77-85 pubmed
    ..This will assist in justifying the addition of such investigations in laboratory tests repertoire, when laboratory budgets are prepared. ..
  44. Almirante B, Pahissa A. [For whom the bell tolls]. Enferm Infecc Microbiol Clin. 2007;25:556; author reply 556-7 pubmed
  45. Scott M, Morin S, Hock K, Seyoum M, Ladenson J. Establishing a simple and sustainable quality assurance program and clinical chemistry services in Eritrea. Clin Chem. 2007;53:1945-53 pubmed
    ..A simple but sustainable national laboratory system has been established in the developing nation of Eritrea. ..
  46. Pretlow L, Gandy T, Leibach E, Russell B, Kraj B. A quality improvement cycle: hemolyzed specimens in the emergency department. Clin Lab Sci. 2008;21:219-24 pubmed
    ..More training of medical center departments in phlebotomy and periodic proficiency evaluation of the all staff was indicated as a possible long-term solution. ..
  47. Citro R, Bossone E, Kuersten B, Gregorio G, Salustri A. Tissue Doppler and strain imaging: anything left in the echo-lab?. Cardiovasc Ultrasound. 2008;6:54 pubmed publisher
    ..Finally, this review explores the reasons why these technologies are still defined "new technologies" and the impact of their implementation on the current clinical activity of an echocardiography laboratory. ..
  48. Obayashi K, Teramoto K, Yamamoto K, Ikeda K, Ando Y. [Accreditation of ISO 15189 in the Department of Laboratory Medicine, Kumamoto University Hospital: successful cases]. Rinsho Byori. 2009;57:156-60 pubmed
    ..A laboratory cafe, which we are preparing in our hospital now, may be a new unique trial of how to apply ISO 15189. In conclusion, ISO 15189 may become an effective tool to develop and advance medical laboratories. ..
  49. Lippi G, Bassi A, Brocco G, Montagnana M, Salvagno G, Guidi G. Preanalytic error tracking in a laboratory medicine department: results of a 1-year experience. Clin Chem. 2006;52:1442-3 pubmed
  50. Leung A, Li S, Tsang R, Tsao Y, Ma E. Audit of phlebotomy turnaround time in a private hospital setting. Clin Leadersh Manag Rev. 2006;20:E3 pubmed
    ..This study may help hospital management identify possible bottlenecks that delay phlebotomy TAT, thus improving service standards in this area. ..
  51. Setoyama T, Yamauchi K, Katsuyama T. [What's the point of cost management in clinical laboratories?]. Rinsho Byori. 2006;54:1127-35 pubmed
    ..This check list was established using only one data from our hospital. So, we suggest the benchmarking laboratory test costs between laboratories of the same type of hospitals or various laboratories. ..
  52. Jones S, Evans R, Allen T, Thomas A, Haug P, Welch S, et al. A multivariate time series approach to modeling and forecasting demand in the emergency department. J Biomed Inform. 2009;42:123-39 pubmed publisher
    ..Our results suggest that multivariate time series models can be used to reliably forecast ED patient census; however, forecasts of the demands for diagnostic resources were not sufficiently reliable to be useful in the clinical setting. ..
  53. Kitagawa M. [Merits of acquiring ISO15189 accreditation]. Rinsho Byori. 2010;58:73-7 pubmed
    ..Thus, I have introduced the merits of ISO15189 acquisition. I hope that our experience will contribute to future ISO activities. ..