Laboratory Information Management Flashcards

1
Q

Facts provided or learned about something or someone.

A

Information

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2
Q

The resolution of uncertainty.

A

Information

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3
Q

What is conveyed or represented by a particular arrangement or sequence of things

A

Information

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4
Q

collecting, examining, reporting, and storing large complex sets of data derived from tests performedin clinical laboratories, anatomic pathology laboratories,or research laboratories in order to improve patient care and enhance our understanding of disease-related processes

A

Pathology Informatics

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5
Q

a cycle of processes that support the organization’slearning activities: identifying information needs,acquiring information, organizing and storinginformation,developing information products andservices, distributing information, and usinginformation

A

Information Management

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6
Q

Provide written information about policies, processes, and procedures

A

Documents

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7
Q

Documented statement of overall intentions and direction defined by organization

A

Policies

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8
Q

What to do?

A

Policies

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9
Q

Set of interrelated or interacting activities that transform inputs into outputs

A

Processes

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10
Q

How it happens?

A

Processes

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11
Q

Specific activities of a process

A

Procedures

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12
Q

How to do it?

A

Procedures

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13
Q

• communicate information to all persons who need it, including laboratory staff
• users and laboratory management personnel
• need to be updated or maintained
• must be changed when a policy, process or procedure changes
• establish formats for recording and reporting information by the use of standardized forms
• once the forms are used to store information, theybecome records

A

Characteristics of Documents

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14
Q

What makes a good document?

A

Written clearly and concisely
Written in a user-friendly style
Written so as to be explicit and accurate
Maintained to ensure that it is always up to date

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15
Q

Documents inside the Laboratory

A

Laboratory Manual

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16
Q

Document that describes quality management system of an organization

A

Quality Manual

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17
Q

Describes how all related quality processes occur

A

Quality Manual

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18
Q

Purpose of Quality Manual

A

Clearly communicate information
Serve as framework for meeting quality system requirements
Convey managerial commitment to the quality system

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19
Q

Derived from operators manual

A

Standard Operating Procedures

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20
Q

Written step-by-step instructions one should follow when performing a procedure

A

Standard Operating Procedures

21
Q

What SOP’s ensures?

A

Consistency
Accuracy
Quality

22
Q

Shortened version of SOP; allows for easier access and reference for procedures

A

Job Aids

23
Q

Allows for easier identification of pertinent information

A

SOP Header

24
Q

Two types of Header

A

Complete Standardized Header
Reduced Standardized Header (Simplified Header)

25
Q

What should be included in SOP?

A

Title
Purpose
Instructions
Name of the person preparing the SOP
Signature of approving officials and dates of approval

26
Q

Uniform and standardized formatting system

A

Document Control

27
Q

Process for format approvap, distribution and updating and revising laboratory documents

A

Document Control

28
Q

Process to ensure availability of documents and for document archiving

A

Document Control

29
Q

Texts, Articles, and books that are referenced in laboratory documents

A

Controlled Documents

30
Q

It is based from SOP

A

Records

31
Q

It involves continuous monitoring, data storage, tracking of samples, evaluating processes and management

A

Records

32
Q

Type of Records

A

•Sample logbook
• Internal and external audits
• Laboratory worksheets
• Instrument printouts
• Quality control data
• External quality assessment or proficiency testing
• Continuouss improvement projects
• Incident reports
• User survey and customer feedback
• Patient test records
• Personnel records
• Critical Communications

33
Q

Test Report Contents

A

• Test identification
• ldentification of laboratory
• Patient identification
• Name of requestor
• Date and time of collection
• Time of receipt in laboratory
• Primary sample type
• Date and time of collection
• Time of receipt in laboratory report
• Results, in Sl units
• Reference intervals
• Interpretation of results
• Comments about sample, methodology limitations, or other issues
• ldentification and signature of releasing
person
• Original and corrected results

34
Q

Used in Document and Record Storage

A

Paper System
Electronic System

35
Q

It involves manual method, logbooks and worksheets, copy of patient result, reagent/equipment inserts, posters

A

Paper System

36
Q

Utilized computer system, laboratory information system and cloud storage

A

Electronic System

37
Q

Proof that you have document

A

Record Retention

38
Q

It includes:

• Time interval between laboratory assessments
• Involvement in ongoing research
• Government requirements
• Length of time required for access or audits

A

Record Retention

39
Q

Most famous LIMS

A

Bizbox

40
Q

Elements of LIMS

A
  • Unique identifiers for patients and sample
  • standardized test request forms (requisition)
  • log and worksheets
  • checking processes to assure accuracy of data recording and transmission
  • protection against lost of data
  • protection of patient confidentiality and privacy
  • effective reporting systems
  • effective and timely communication
41
Q

Assigned to patients for the duration of their hospital stay

A

Patient Identifiers

42
Q

Assigned to each sample sent to the laboratory

A

Sample Identifiers

43
Q

Proper Data Handling

A

•Test request forms must be standardized and completed
• Presence of safeguarding processes
-Review of data transcription by two people
- Electronic checks requiring duplicate data entry
•Usage of safe, durable materials and having routine backup processes ensure data security
• Degree of access to data must be established to ensure patient privacy

44
Q

Common Problems in Data Handling

A
  • Incomplete data for test interpretation or insufficient or illegible identification
  • inadequately designed forms
  • standardized forms not suitable for laboratory settin
  • poor archiving or back up processes
  • poor data organization
  • incompatibility between computerized information system and equipment
45
Q

Manual, Paper Based Systems
ADVANTAGES

A
  • Financially viable (Economical)
  • Easily accessible
  • Little learning curve
  • Less prone to digital compromise
  • Portable
46
Q

Manual, Paper Based Systems
DISADVANTAGES

A
  • Vulnerable to physical elements
  • Handwriting concerns
  • Storage and Space
47
Q

Computerized Systems
ADVANTAGES

A
  • Error reductio
  • Quality control management
  • Easier data searching
  • Easier patient data access
  • computerized reports
  • report tracking
  • analysis of trends
  • increase patient confidentiality
  • financial management
  • Offsite integration
48
Q

Computerized Systems
DISADVANTAGES

A
  • Training
  • Cost
  • Adjustment Period
  • Physical restrictions
  • Need for backup systems