Krouwer Consulting
Modeling Freq. of Med. Errors Frequency of Medical Errors II Six Sigma Six Sigma II Six Sigma III Outliers Equivalent QC Equivalent QC2 Sys. not People Near Miss Detection Recovery Risk Management FMEA FRACAS Fault Tree Example Beware the Technical Administrator Discrepant Analysis FMEA Validation Proficiency Testing and Six Sigma It's Up To the Lab Director Bland Altman Plots Risk Management II Unit Use QC The reverse Pareto – not a good Risk Management III Pedigree of Approaches to Reduce Error What it Takes to Get New Ideas Accepted FMEA FRACAS FTs Pareto When to conduct FMEA Error Reporting Systems for Clin Customer Misuse Fault Isolation Uniformity of Claims Outliers in QC and Proficiency Testing The quality of quality initiativ Publishing in journals or on web FDA Waiver Guidance Pay for Performance Pay for performance II Performance vs. Attribute Goals ISO Terminology Latent Errors Preventable medical errors Troponin I GUM Comment More on GUM Standards Issues Slow Qual. Progress More QC? Report Writing Software Validation Dump Data 

 

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See figure below for most read essays (Jan. - Dec. 07)
* in list means most read (top 10)

*Blog

Lab Quality

It's time to stop advocating the use of the wrong model in clinical chemistry
*Six Sigma I Some technical comments about Six Sigma in the lab
Six Sigma II A glucose example and its problems
Six Sigma III A dubious Six Sigma claim
Troponin I – Its Performance Doesn’t Justify Actions
*How to specify and estimate outlier rates
A Comment about GUM
Why Progress in Quality is Slow
Equivalent QC
Equivalent QC II

Should labs run more QC?
Issues with Standard Groups
ISO Terminology - Globally harmonized or gobbledygook
FMEA vs. lab performance goals - there's a big difference
Comments on the FDA Guidance for Waiver Applications
*Fault tree example as an aid to completing a FMEA
*Risk Management
Publishing in Journals or on the web
It's Up To the Lab Director
The quality of quality initiatives
Discrepant Analysis
QC Outlier............s
Uniformity of Claims
Proficiency testing and six sigma
More on GUM 
Fault Isolation 
*Bland Altman Plots
Customer Misuse  
Risk Management II  
Unit use devices, POC and QC
Risk Management III new  
What it takes to get your idea accepted new  
Pedigree of Error Reduction Approaches new

Patient Safety

Frequency of Preventable Medical Errors – Myth or Reality
Focus on systems, not people
*The anatomy of a near miss
Detection in FMEA - why it should not be included in a Pareto ranking

Recovery in FMEA
Latent errors
Preventable medical errors: Preventability and regulation
*FMEA vs. FRACAS vs. RCA
Pay for performance - the missing measure

*FMEA Validation
Frequency of Preventable Medical Errors II - Where's the data

Pay for Performance II
Error Reporting Systems
The Reverse Pareto - not a good idea
When to conduct a FMEA  new
FMEA FRACAS Fault Trees and Pareto new

Management

*How to write a report that will be read
Beware the technical Administrator

Programming

Let’s just dump the lab data on the Internet – not that easy
Software Validation

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