Accountability through regulation in Ontario's Medical Laboratory Sector.

Brenda Gamble, Lavern Bourne, Raisa B Deber

Abstract read

In one paragraph

Article in Healthcare policy = Politiques de sante, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it

0cells of the map it votes in

2citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

Health Canada needs to act on laboratory-developed diagnostics.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
Article
Thinking about accountability.Healthcare policy = Politiques de sante · 2014
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Brenda GambleAssociate Professor, Faculty of Health Sciences, University of Ontario, Institute of Technology, Oshawa, ON.

Lavern BourneSenior Lecturer, University of Ontario, Institute of Technology, Oshawa, ON.

Raisa B DeberProfessor, Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON.

Funding

Canadian Institutes of Health Research PHE-101967

6 · The paper itself

Abstract

Although the use of performance indicators for the analytical (and highly measurable) phase of the medical laboratory process has had a long and successful history, it is now recognized that the value of a laboratory test is embedded in a system of care. This case study, using both documents and interview data, examines the approaches to accountability in the Ontario Medical Laboratory Sector, noting both the challenges and benefits. This sector relies heavily on the regulation instrument, including a requirement that all medical laboratories licensed by the provincial government must follow the guidelines set out by the Quality Management Program - Laboratory Services. We found the greatest challenges exist in the pre-analytical phase (where a large portion of total laboratory errors occur), particularly the interface between the laboratory and other providers.

Indexed as

Social ResponsibilityClinical Laboratory ServicesDocumentationFemaleFinancing, GovernmentHumansInterviews as TopicLicensureMaleOntarioOrganizational Case StudiesQuality Assurance, Health Care

Identifiers

PMID25305390

PMCPMC4255567

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.