LIS: COREFUNCTION

Question 1

The three main phases of LIS Corefunction

Answer 1

1. Pre-analytical
2. Analytical
3. Post-analytical

Question 2

This systemic collection of data greatly improves data
security, facilitates better data validation and prevents
damaged or lost data.

Answer 2

Pre-analytical Phase

Question 3

what are the 6 definitions of the pre-analytical phase?

Answer 3

The pre-analytical phase:
✓ 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

Question 4

what happens when an error occurs in this phase?

Answer 4

It will affect all the phases after it

Question 5

Any error that will happen in this phase will affect all the
phases after it is called?

Answer 5

Domino effect

Question 6

What should The LIS do to the whole lab staff to
make sure a smooth flow of the laboratory’s mission?

Answer 6

provide assistance

Question 7

What is the purpose of logging in your username and ID?

Answer 7

it is to track who’s the MedTech performing the test on that shift on that specific department

Question 8

Why do you have to log out if ever you are not in the
department?

Answer 8

If your name is the one that’s logged in and your name is the
one that is there in the paper, let’s say on this task is
performed by (someone) and this would be test that would
really be released in the hospital which means that you are
the one responsible for it. So, if there are any discrepancies
or your results are not accurate, then it would be easy for the
hospital or the laboratory to trace who did the testing of the
sample.

Question 9

integrating of the barcode in the LIS actually makes the
process________ - _______ for the MedTech to encode the
patient’s name and details manually.

Answer 9

faster; No need

Question 10

the machine already has a barcode detector wherein if you put the sample in the machine that it then it would _________ reflect on the computer

Answer 10

automatically

Question 11

When do the MedTechs write the patients details?

Answer 11

the moment they would receive the request that’s when the
MedTech would encode their details in the reception area and
from then it is already recorded in the LIS and it’s for the LIS
to produce barcodes (that includes the patient’s details and
the test requests).

Question 12

What’s the purpose of the barcode?

Answer 12

• It is also to reduce typographical errors, since MedTechs are
  not required to type down there.

Question 13

Where would your blood go?

Answer 13

Remember that your tubes are where your samples would go

Question 14

With the barcode, are we still asked to write the patient’s
name and the tube?

Answer 14

Even if you have your bar code already. Yes (write down the
patient’s information), this is to make sure that if the barcode
gets lost or it gets detached from the sample or from the tube,
then we still could identify which specimen belongs to which
patient.

Question 15

Do you need to write down the patients name, age and gender even if also the date?

Answer 15

It’s important to write the patients details in the sample aside
from sticking the barcode sticker

Question 16

why is it important to create a database for the patient?

Answer 16

This is to avoid redundancy in the patients’ records.

Question 17

creates and maintains a unique specimen ID is with the use of?

Answer 17

use of barcodes

Question 18

specimen ID talks about?

Answer 18

the sample for the test

Question 19

specimen means?

Answer 19

the sample

Question 20

Every test will have a ____________, but as for the
patient, they only have _____________

Answer 20

unique specimen ID; one patient ID

Question 21

The patients will use the same patient ID ________________, but their specimen ID changes ________________

Answer 21

for the rest of their lives; every time they do a test

Question 22

Allows the staff to generate barcode

Answer 22

barcode sample

Question 23

arrange in the right order of the pre-analytical phase in the lab

Once the phlebotomist would get the request form, they
will go to the patient, extract blood, and do labeling.

Nurses make their request with remarks

Specimen barcode is scanned in the reception area. The
turnaround time will start. Time will be ticking since it
means that processing is starting already.

Laboratory would receive the request through LIS. LIS
would alert the lab that patient A from room 301 has this
test request.

After blood is extracted, the phlebotomist would transport
the specimen to the lab for processing

The MedTech will tag the request, print it, and notify the
phlebotomist

Specimen will be given to the respective departments

Answer 23

4, 1, 6, 2, 5, 3, 7

Question 24

it is the term used in the laboratory which means that
they have confirmed/received a request and they will charge
the request in the patient’s account which means that there
will be charges added in the patient’s account (that is for the
payment)

Answer 24

Tag

Question 25

they are the ones assigned to extract blood from the patient

Answer 25

Phlebotomist

Question 26

a mortal sin in the laboratory, since we are handling the patient's life.

Answer 26

mislabeling

Question 27

labelling of blood samples

Answer 27

* last name * first name * middle initial * sex * age * date of extraction * bar code

Question 28

Enables correct specimen and test identification through use of pre-analytical data available in the LIS

Answer 28

Analytical phase

Question 29

Assist in workload management by automated capture of results from instruments

Answer 29

Analytical phase

Question 30

Reduces transcription errors from instrument data; Validates results; Assists in QC management

Answer 30

Analytical phase

Question 31

From the beginning, you have to follow the proper protocol or SOP's because?

Answer 31

your analytical phase cannot move forward without the pre-analytical data.

Question 32

patient details:

Answer 32

✓ name ✓ gender ✓ birth date ✓ test to be done ✓ ordering physician

Question 33

How many times will the barcode be scanned?

Answer 33

It depends on the laboratory, but for our laboratory it will be scanned twice.

Question 34

What happens during the first scanning of barcode?

Answer 34

First in the reception area, the moment we receive the specimen

Question 35

What happens during the 2nd time scanning?

Answer 35

Second by the machine, the moment you would process the machine, they would scan the bar code

Question 36

Instruments will ________ result from the machine or from the analyzers going to the LIS.

Answer 36

directly deliver

Question 37

_________ since the MedTech will not encode the results manually

Answer 37

Less errors

Question 38

LIS checks if result is acceptable since?

Answer 38

since the reference range of the test will be shown in the computer

Question 39

Abnormal means?

Answer 39

higher or lower than the normal values

Question 40

Within the analytical phase, the LIS can have an impact on?

Answer 40

process monitoring, workflow, instrument interfacing, and quality assurance support

Question 41

The LIS can make ______________________________ for each specimen throughout all of the laboratory process

Answer 41

sample location and sample status constantly available

Question 42

It provides ability to monitor workflow metrics such as?

Answer 42

turn around time (TAT)

Question 43

LIS established rules that ensures?

Answer 43

that users follow proper procedures

Question 44

can reduce data transcription errors and speed up analytic process – it means that when a machine runs the test then it releases the result to the LIS directly. – it's unidirectional (follows one line)

Answer 44

one-directional interfacing

Question 45

may be used by more advanced implementations where the LIS can send data to the instrument to set up a run, and results and QC data are automatically returned to the LIS

Answer 45

bi-directional interface

Question 46

two-way

Answer 46

bi-directional interface

Question 47

We have the ____________. this is from the receptionist in the laboratory wherein they would encode the patient's data, test request and the barcode will be produced.

Answer 47

test request

Question 48

From the LIS, the _______- from the receptionist will then be delivered to the machines or to the clinical instrument

Answer 48

samples

Question 49

The samples with the bar code will then be fed to the machine which will eventually produce _________ These results came from the instrument then, it will automatically reflect on the information system or the computer.

Answer 49

results

Question 50

The MedTech will then review the results from the machine through the computer, validate it, and with the use of the LIS, the MedTech can then release the __________- and do the reporting.

Answer 50

results/report

Question 51

in order to achieve quality assurance

Answer 51

specimen rejections

Question 52

LIS automatically tracks and generates reports for common QA functions such as?

Answer 52

* Specimen rejections * Specimen transfers * Deficiency/corrective action log sheet * Communication log * Occurrence Management log * Analyzer use and maintenance needs * Instrument and run QC

Question 53

Focuses on submitting laboratory data to various recipients based on the purpose of testing

Answer 53

post analytical

Question 54

Laboratory results can be ________ to patients. We have healthcare providers and public health officials at sub-national or national levels.

Answer 54

submitted

Question 55

Patients ____________ to their results electronically

Answer 55

can have access

Question 56

In your receipt, they would give you your __________ (usually be patient identification number or last name) and __________ (identification number).

Answer 56

username; password

Question 57

they categorize results based on?

Answer 57

the department responsible for the test