Dr  Houshang AmirrasouliDr. Houshang Amirrasouli

What is clinical laboratoryWhat is clinical laboratory professional

Clinical laboratory professionals are vital members of the health care team

Up to 70% of physician decisions regarding patient diagnosis and therapy g g p g pyare based on lab test results

Modern medicine could not function without clinical laboratory professionals

Tasks of a medical laboratory managmenty g

• Hematology

Technical Quality control

• Hematology• Microbiology• Parasitologygy• Serology• Biochemistry• Hormone• Genetics • Pathology • Pathology • …

Wh  i   h  i   f  i  L b  What is the importance of mangmant in Laboratory medicine 

Achieving a 99% level of quality

means 

accepting a       error rate1%

1 test of 100 is reported with error

In France a 1% error ratewould mean everyday

14 minutes without water or electricity4 y50,000 parcels lost by postal services22 newborns falling from gmidwives’ hands600,000 lunches contaminated,by bacteria3 bad landings at Orly Paris airport

Introduction Laboratory Quality Management System‐Module 1 5

3 g y p

Result: 1% failure

Introduction Laboratory Quality Management System‐Module 1 6 6

Laboratory professionals are a LargeLaboratory professionals are a Large Component of Healthcare (in US)

Clinical lab professionals are the third largest group of health professionals after doctors

dand nursesOver a quarter of a million clinical lab professionals ork in clinical labs nation ideprofessionals work in clinical labs nationwideThere are over a thousand different clinical lab teststestsOver 7 billion clinical lab tests are performed each year in 171 000 laboratories in the USeach year in 171,000 laboratories in the US

Who Works in a Clinical Laboratory?

Phlebotomist (PBT)Post HS

y

Clinical Laboratory Technician (CLT) or Medical Laboratory Technician (MLT)Associate

( )

Clinical Laboratory Scientist (CLS) or

Histotechnician (HT)

Cytotechnologist (CT)

y ( )Medical Technologist (MT)

Baccalaureate

Directors, Managers, CoordinatorsMasters, PhD, MD, DCL

Histotechnologist (HTL)

www.LabScience.org

, g ,DCL

Clinical Laboratory ScientistsClinical Laboratory Scientistsand Techniciansand Technicians

Analyze body fluids for manyAnalyze body fluids for many diverse proteins, sugars, enzymes, lipids, hormones and drugshormones and drugs,…

Provide information to h i i t h l diphysicians to help diagnose:

• Cancer Di b t d kid di• Diabetes and kidney disease

• Drug overdosesAnd many other conditions• And many other conditions …

CytotechnologistsCytotechnologistsy gy g

Examine cell samples onExamine cell samples on slides to determine the presence of cancerous or b i dibenign diseases

Analyze microscopic cellular changes that can directly affect a patient’s course of treatmenttreatment

Assist in early detection of cancer

Photo reprinted with permission of the American Society for Clinical Pathology (ASCP), Chicago, IL

www.LabScience.org

cancer

Managing team and directorsManaging team and directors• Pathologists (MD)

Ad i i t ti Di t• Administrative Directors• Managers• Technical Supervisors• Technical Supervisors• Laboratory Information Specialists• Quality Assurance CoordinatorsQ y• Point of Care Testing Coordinators• Marketing and Outreach Coordinators• And more…

www.LabScience.org

Who could be a director of MedicalWho could be a director of Medical laboratories

Pathologists:Clinical pathologist (anatomical & Clinical)Clinical pathologist A i l  h l iAnatomical pathologist

PhDs:Clinical HematologyCli i l Bi h i tClinical BiochemistryClinical MicrobiologyImmunologyParasitologyParasitologyVirologyClinical analyst Doctorate laboratory  medicineDoctorate laboratory  medicine

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