Solving Coagulation Mysteries One Patient at a Time
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
3w ago
Diagnosis involves much more than a number on a lab report. This is particularly true when the patient has disordered bleeding or clotting. In this interview, Dr. Karen Moser from the University of Utah Department of Pathology describes some of the ways she works with her laboratory and clinician colleagues to ensure that patients get the answers and the therapies they need ..read more
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The Human Side of Quality Management
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
2M ago
What does it mean to have a quality culture? Technical competence and strict adherence to protocols are certainly part of the story. But so are factors such as workforce engagement and customer service. In this interview, Nancy Ross, assistant director of clinical pathology and quality at Montefiore Medical System and the founder of Improov, a laboratory improvement consulting company, draws on her diverse career experience to argue for a holistic and people-centered approach to quality management ..read more
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Why Quality Management Is Critical to the Long-Term Success of Healthcare AI
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
3M ago
A public debate is raging around the regulation of artificial intelligence (AI). One side argues that AI is potentially dangerous and needs to be carefully controlled, whereas the other side argues that any regulation would slow innovation. In this interview, Dr. Ryan Metcalf, section chief of Transfusion Medicine and medical director of Transfusion Service/Blood Bank at ARUP Laboratories, makes a strong case for a safety-first approach to healthcare AI. He also explains why embedding AI development and use within a strong quality management framework could actually lead to more innovation ove ..read more
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How FDA Restrictions on Laboratory-Developed Tests Will Harm Patients and Increase Costs
ARUP Scientific Resource for Research and Education » Pathology
by Drs. Brian Jackson, and Jonathan Genzen
3M ago
The FDA recently announced a plan to regulate laboratory-developed tests (LDTs) as medical devices. In this interview, Dr. Meghan Delaney from Children’s National Hospital and Dr. Eric Konnick from the University of Washington explain why many tests that are critical to patient care, particularly in the areas of pediatrics, transplantation, and rare diseases, are likely to become unavailable as a result. Other tests may remain available, but at a significantly increased cost and/or lower quality. Dr. Jonathan Genzen, ARUP’s chief medical officer and cohost of this episode, describes how labora ..read more
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What the TRUU-Lab Initiative Has Taught Us About Laboratory Test Names
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
4M ago
Dr. Ila Singh, chief of laboratory medicine at Texas Children’s Hospital, founded the Test Renaming for Understanding and Utilization in the Laboratory (TRUU-Lab) initiative several years ago to tackle challenges related to the nonstandardized and uninformative naming of laboratory tests. In this interview, Dr. Singh describes the surveys her CDC-funded collaborative has conducted with hundreds of physicians and other providers, and she shares insights about how to improve the ordering of tests through more effective naming ..read more
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Blunt Advice for Navigating a Career in Academic Medicine
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
6M ago
Individuals pursue careers in academic medicine for many reasons. A love of organizational politics is rarely one of them, but faculty need to understand potential landmines if they are to avoid them. In this interview, Dr. Michael Cohen, a professor emeritus of pathology at Wake Forest University, draws on his experiences serving on faculty and in senior leadership at multiple institutions to explain how to thrive within the paradoxes of academic medicine ..read more
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Sustainability in Healthcare Organizations
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
6M ago
Sustainability is a hot topic for American corporations, and health systems are no exception. In this interview, Glen Garrick, system sustainability director for Intermountain Healthcare, explains how his and other healthcare organizations are addressing their environmental, social, and governance responsibilities. He also describes how clinical laboratories can make the most positive impact ..read more
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Keys to Laboratory Success in the Next Pandemic
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
7M ago
Three and a half years after the emergence of COVID-19 is a good time to reflect on the capabilities of U.S. laboratories to respond to future pandemics. In this interview, Dr. Marc Couturier, medical director of Emerging Public Health Crises at ARUP Laboratories, explains how the U.S. laboratory sector has improved in its ability to respond quickly to emerging and reemerging infections, but he emphasizes the need to go further. He specifically explains why testing can’t be rapidly scaled up unless there’s tight coordination between public health labs and clinical labs (particularly reference ..read more
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Bridging the Cultural Divide Between Nursing and Laboratory Medicines
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
8M ago
Nurses and laboratory professionals rely on each other to ensure accurate test results, but their relationships are sometimes challenging. As president of St. Alphonsus Medical Center in Nampa, Idaho, as well as a registered nurse with a doctorate degree in nursing practice, Clint Child often mediates when these two professional cultures collide. In this interview he explains why nursing practice is less predictable and requires greater flexibility than laboratory practice. He also shares his perspective on why it’s valuable for hospital leaders to have strong ties to their local communities ..read more
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Why Different Platforms Can Give Different Results for the Same Test, and What Can Be Done About It
ARUP Scientific Resource for Research and Education » Pathology
by Dr. Brian Jackson
8M ago
Physicians and patients expect laboratory tests to produce the same results, regardless of where they are performed. Unfortunately, that’s not always the case, even for FDA-approved assays. As the current chair of the College of American Pathologists committee for accuracy-based proficiency testing, Dr. Andy Hoofnagle is an authority on this industrywide problem. In this interview, he explains the root causes of inconsistent results across platforms, and how manufacturers, regulators, and professional societies might work together to solve it ..read more
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