info mgmt Flashcards
a system
that incorporates all the processes
needed for effectively managing
data – both incoming and outgoing
patient information. The information
management system may be entirely
paper-based, computer-based, or a
combination of both.
information management
need to ensure
that the laboratory has an effective
information management system in
place in order to achieve accessibility,
confidentiality, and privacy of patient
information.
lab directors
12 qms elements
read
important elements when planning and developing an
information management system
o Unique identifiers samples,
patients
o Standardized request forms
(requisitions)
o Logs, worksheets
o Checking processes to
assure accuracy of data
recording and transmission
o Data protection
o Confidential
o Effective communication
important
tool for managing information, and
careful thought should be given for
how best to assign identifiers to
patients and samples within the
information management system
Unique Identifiers
numeric or alphanumeric string
that is associated with a single
entity within a given system. UIDs
make it possible to address that
entity, so that it can be accessed and
interacted with
unique identifier (UID)
Sometimes hospitalized patients are
assigned a unique identifier upon
admission, to be used for the duration
of the hospital stay.
Patient Identifiers
Laboratories need to assign unique
identifiers to patient samples so they
can be tracked throughout the
laboratory
Sample Identifiers
used by
healthcare professionals to request
laboratory tests such as urine or
blood testing.
Test Request Form
Test requisition forms
are often called
lab forms.
s where the
entire testing process begins, and is
important for both paper and
electronic systems
test request form
form should indicate all
information that needs to be provided
when ordering and submitting a test
request, and sufficient space for
recording the information; (ISO
15189 requirements for the request
form are addressed in Module 16,
Documents and Records)
Standardize the Test Form
When the request form is incomplete,
communicate with the requestor to try
to secure the needed information. It
may become necessary to refuse nonurgent test examination until the form
is completed
Ensure the Request Form is Completed
pre-printed forms on which raw data
and other necessary information
for a given analytical test are
recorded.
Laboratory worksheets
allow for recording data at
the time of arrival of the sample in the
laboratory are very important,
logs