HIS FINALS Module 4 Components of an LIS Flashcards

(89 cards)

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
LISs need to be shut down (taken offline) periodically for--------
software upgrades and other maintenance
26
Occasionally, the system will become nonresponsive (crash) so it shoul dbe done.
system maintenance
27
Every laboratory needs a plan to restore the system after system disruption by a storm, fire, or other hardware damaging situation.
disaster recovery
28
LIS software integrates laboratory instruments
LIS COMPONENTS
29
Minimum requirements for LIS
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
30
Specien management and tracking
pre analytical
31
patient management
pre ana
32
physician management
pre ana
33
testing management
pre ana
34
test order referral system
pre ana
35
electronic transfer of data
ana
36
test queue
ana
37
test performed
ana
38
test result/ QC data from instrument to LIS
ana
39
test results verified and released
ana
40
reports management
post ana
41
types of reports
post ana
42
report distribution
post ana
43
long term result storage
post ana
44
data exchange with other systems
post ana
45
billing
post ana
46
reduces costs, improves workflow, and eliminates preventable medical errors
hand held technology
47
unique identification number to each patient and also enter other demographic information about the patient in the information database
patient demographics
48
This information is collected at admission to the facility and entered into the HIS.
pateint demographics
49
essential first step in the use of the LIS
test order or order entry
50
Specific data that are needed during the order entry process:
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
Preanalytical Core Functions:
• 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
it must link each specimen to its specific test request.
automated analyzer
53
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.
barcodes
54
Analytical Core Functions
• 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
Any results generated must be verified (approved or reviewed) by the laboratory staff before the data are released to the patient report.
autoverifictaion
56
it is a process where computer-based algorithms automatically perform actions on a defined subset of laboratory results without the need for manual intervention.
autoverification
57
Useful data fr verification
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
three kinds of autoverification
1) Rules-based systems – most traditional 2) Pattern recognition – the most complex 3) Neural networks – midway between the above types
59
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:
laboratory report
60
It contains all the test information generated by the various laboratories that have performed analyses for a single patient.
Laboratory reposrt
61
The data can be electronically transmitted to printers, computer terminals, or handheld pager terminals, giving rapid access to the test information for the user.
laboratory report
62
If the diagnosis has already been made, the information on the report form can be used for other purposes, such as:
managing the patient's treatment plan
63
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
physician
64
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.
interpretative report form
65
Besides the graphical presentation of patient results and the calculation of formulas, this program provides suggestions for the clinical interpretation of specific protein results.
interpretative report form
66
must be communicated immediately
critical patient result
67
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.
critical patient result
68
Patient registration (if not received from an external system)
pre analysis
69
test ordering
pre analysis
70
Customized requisitions (e.g., outreach clients)
pre analysis
71
phlebotomy draw lists
pre analysis
72
Bar-coded collection labels and aliquot labels
pre analysis
73
Specimen tracking/ racking system
pre analysis
74
Instrument worklist (via an interface and automatic download)
analysis
75
Manual worklist Manual results entry
analysis
76
Automated results entry via interface
analysis
77
Result validation and manual or automatic release
analysis
78
Quality control
analysis
79
Requisition-based patient reports (final, partial)
post analysis
80
Cumulative patient reports
post analysis
81
Cumulative patient reports
post analysis
82
Corrected report
post analysis
83
Results inquiry
post analysis
84
Electronic reporting to external interfaced systems (e.g., CIS, billing)
post analysis
85
Pending (incomplete) list
managemnet
86
Turnaround time reports
management
87
Workload statistics
management
88
Ad hoc report writer
management
89
CIS and instrument integrity monitoring tools
management