HIS FINALS Module 4 Components of an LIS Flashcards

1
Q

it determines how the user will interact with the system

A

LIS software user interface

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2
Q

It will have specific screens for entering data, sending reports, reporting results, etc. The software will have features such as security, access control, file maintenance, etc.

A

User Interface

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3
Q

It will have specific screens for entering data, sending reports, reporting results, etc. The software will have features such as security, access control, file maintenance, etc.

A

User Interface

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4
Q

request entry

A
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5
Q

when can requests be entered when the patient arrives at the laboratory.

A

In cases of outpatient

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6
Q

between an LIS and a clinical instrument allow automatic transfer of patient test results to the LIS.

A

Electronic data interface (EDI) connections

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7
Q

Laboratory scientist enters patient results at a client

A

Manual data entry

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8
Q

The results are added to the LIS, but they are not released to clients outside the laboratory until the results and quality control are reviewed and verified

A

release patient results

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9
Q

In this case, the computer uses a set of instructions to determine if the results should be released.

A

Autoverification in release patient results

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10
Q

Portable laboratory instruments, like handheld analyzers, can connect to an LIS via a wireless connection.

A

point of care testing

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11
Q

the Food and Drug Administration regulates LISs, and they are required to have mirrored hard drives. Data are stored on two separate hard drives of the LIS server.

A

redundant arrays od independent disks

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12
Q

Data are stored on two separate hard drives of the LIS server.

A

RAID

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13
Q

Each day, the data are to be copied to a tape, or other portable storage devices, and removed from the laboratory.

A

System Backup

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14
Q

Ongoing procedures to ensure the security of patient data and user profiles
(usernames and passwords) to prevent unauthorized access must be in place

A

system security

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15
Q

Users should have access only to the patient information and LIS functions needed to perform their job (minimum necessary use).

A

system security

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16
Q

it should be installed to protect the system from harmful malware, especially for networks with a Windows operating system

A

antiviral software

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17
Q

facilitate the processing of clinical specimens.

A

barcoding

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18
Q

The patient number, patient demographics, time/date, and test are written in normal readable letters.

A

barcoding

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19
Q

The LIS can be connected to clinical instruments and other information systems
through an EDI.

A

interface

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20
Q

typically bidirectional, meaning information is sent to and from the instruments and the information systems

A

interface

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21
Q

analyte results from an instrument are sent to the LIS, but the LIS cannot send requests to the instrument.

A

unidirectional interface

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22
Q

it was adopter So that instruments and computers used in healthcare can communicate with each other

A

Health Level 7

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23
Q

is an international committee formed in 1987 to formulate data standards, a set of rules that allow healthcare information to be shared and processed in a uniform and consistent way.

A

HL7

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24
Q

it needs to be in place if the computer system goes down

A

a contingency plan for manual procedures

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25
Q

LISs need to be shut down (taken offline) periodically for——–

A

software upgrades and other maintenance

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26
Q

Occasionally, the system will become nonresponsive (crash) so it shoul dbe done.

A

system maintenance

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27
Q

Every laboratory needs a plan to restore the system after system disruption by a storm, fire, or other hardware damaging situation.

A

disaster recovery

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28
Q

LIS software integrates laboratory instruments

A

LIS COMPONENTS

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29
Q

Minimum requirements for LIS

A

a. Access codes or passwords per user for access to the system
b. Assign a unique accession number
c. Provide a unique file for each assay (sample type, the volume required, ranges)
d. Record time collected, received, and unique identifier of who received it, and who released results
e. Print barcode labels (ISBT for immunohematology/transfusion services)
f. Interface with instruments and other information systems

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30
Q

Specien management and tracking

A

pre analytical

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31
Q

patient management

A

pre ana

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32
Q

physician management

A

pre ana

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33
Q

testing management

A

pre ana

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34
Q

test order referral system

A

pre ana

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35
Q

electronic transfer of data

A

ana

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36
Q

test queue

A

ana

37
Q

test performed

A

ana

38
Q

test result/ QC data from instrument to LIS

A

ana

39
Q

test results verified and released

A

ana

40
Q

reports management

A

post ana

41
Q

types of reports

A

post ana

42
Q

report distribution

A

post ana

43
Q

long term result storage

A

post ana

44
Q

data exchange with other systems

A

post ana

45
Q

billing

A

post ana

46
Q

reduces costs, improves workflow, and
eliminates preventable medical errors

A

hand held technology

47
Q

unique identification number to each patient and also enter other demographic information about the patient in the information database

A

patient demographics

48
Q

This information is collected at admission to the facility and entered into the HIS.

A

pateint demographics

49
Q

essential first step in the use of the LIS

A

test order or order entry

50
Q

Specific data that are needed during the order entry process:

A

a patient number and a patient name,
name of ordering physician(s),
name of the physician(s) to receive the report,
test request time and date,
time the specimen was or will be collected,
name of the person entering the request,
tests to be performed,
a priority of the test request (e.g., “stat” or routine),
and any other specimen comments about the request.

51
Q

Preanalytical Core Functions:

A

• Reduces log in time
• Ensures correct identification of specimens
• Creates a database of patients
• Creates and maintains a unique specimen ID
• Helps identify mislabeled specimens
• Barcodes samples

52
Q

it must link each specimen to its specific test
request.

A

automated analyzer

53
Q

linking f specimen to specific test is best done automatically through the use of ——- on the specimen label but can be done manually by the laboratory staff, who can link the sample at the instrument to the specimen number in the computer.

A

barcodes

54
Q

Analytical Core Functions

A

• Enables correct specimen and test identification through the use of preanalytical data available in the LIS
• Assists in workload management by automated capture of results from instruments
• Reduces transcription errors from instrument data
• Validates results
• Assists in quality control (QC) management

55
Q

Any results generated must be verified (approved or reviewed) by the
laboratory staff before the data are released to the patient report.

A

autoverifictaion

56
Q

it is a process where computer-based algorithms automatically perform actions on a defined subset of laboratory results without the need for
manual intervention.

A

autoverification

57
Q

Useful data fr verification

A

display of “flags” signifying results that are outside the reference range values,
the presence of critical values or panic values (possible life-threatening values),
values out of the technical range for the analyzer,
or results that fail other checks and balances built into the system.

58
Q

three kinds of autoverification

A

1) Rules-based systems – most traditional
2) Pattern recognition – the most complex
3) Neural networks – midway between the above types

59
Q

The end product of the work done by the clinical laboratory consists of
the testing results produced by the particular methodology used, which are provided in the:

A

laboratory report

60
Q

It contains all the test information generated by the various laboratories that have performed analyses for a single patient.

A

Laboratory reposrt

61
Q

The data can be electronically transmitted to printers, computer terminals, or handheld pager terminals, giving rapid access to the test information for the user.

A

laboratory report

62
Q

If the diagnosis has already been made, the information on the report
form can be used for other purposes, such as:

A

managing the patient’s treatment plan

63
Q

must know the result of the most recent laboratory test, what clinically significant changes have occurred since the last test (through the retrieval of current and historical data), whether changes in therapy are indicated, and when the test should be performed next

A

physician

64
Q

should give information about the range of
reference values, flag any abnormal values, and provide these data in a readily accessible format to support laboratories in the interpretation of clinical results in specific diagnostic areas such as cerebrospinal fluid (CSF) testing, urine assessment, and protein profiling.

A

interpretative report form

65
Q

Besides the graphical presentation of patient results and the calculation of formulas, this program provides suggestions for the clinical interpretation of specific protein results.

A

interpretative report form

66
Q

must be communicated immediately

A

critical patient result

67
Q

An automated process that supports critical result reporting with a manual call center backup system error-proofs critical laboratory assay communication and improves the quality of patient care and laboratory staff productivity.

A

critical patient result

68
Q

Patient registration (if not received from an external system)

A

pre analysis

69
Q

test ordering

A

pre analysis

70
Q

Customized requisitions (e.g., outreach clients)

A

pre analysis

71
Q

phlebotomy draw lists

A

pre analysis

72
Q

Bar-coded collection labels and aliquot labels

A

pre analysis

73
Q

Specimen tracking/ racking system

A

pre analysis

74
Q

Instrument worklist (via an interface and automatic download)

A

analysis

75
Q

Manual worklist
Manual results entry

A

analysis

76
Q

Automated results entry via interface

A

analysis

77
Q

Result validation and manual or automatic release

A

analysis

78
Q

Quality control

A

analysis

79
Q

Requisition-based patient reports (final, partial)

A

post analysis

80
Q

Cumulative patient reports

A

post analysis

81
Q

Cumulative patient reports

A

post analysis

82
Q

Corrected report

A

post analysis

83
Q

Results inquiry

A

post analysis

84
Q

Electronic reporting to external interfaced systems (e.g., CIS, billing)

A

post analysis

85
Q

Pending (incomplete) list

A

managemnet

86
Q

Turnaround time reports

A

management

87
Q

Workload statistics

A

management

88
Q

Ad hoc report writer

A

management

89
Q

CIS and instrument integrity monitoring tools

A

management