Research Article| Volume 12, ISSUE 4, P849-859, December 1992

The Fourth Dimension: Management of the Postmodern Clinical Laboratory

  • Franklin R. Elevitch
    Address reprint requests to: Franklin R. Elevitch, MD, El Camino Hospital, Pathology Department, 2500 Grant Road, Mountain View, CA 94042
    From the El Camino Hospital, Mountain View; Palo Alto Medical Foundation Clinic, Palo Alto, California

    University of California School of Medicine, San Francisco, California
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      The clinical laboratory has undergone historic changes over the past decade. The Clinical Laboratory Improvement Amendments of 1988 are the regulatory acknowledgment of the technological revolution that has occurred. Challenged to meet increasingly diverse medical needs while facing cost restraints, managerial leadership will replace technical leadership in the clinical laboratory. Ignored for half a century by most American industries, total quality management has been invoked as the embodiment of systems engineering and group decision making in the postmodern clinical laboratory. The matrix organization, workload recording, and productivity measuring are cost-effective applications of total quality management in the clinical laboratory.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.


      Subscribe to Clinics in Laboratory Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Deming W.E.
        Out of Crisis. Massachusetts Institute of Technology, Center for Advanced Engineering Study, Cambridge, MA1986
        • Juran J.M.
        Juran on Planning for Quality. The Free Press, New York City1988
        • Shewhart W.
        Economic Control of Quality of Manufactured Product. Van Nostrand, New York1931
      1. Workload Recording Method and Personnel Management Manual. 1992 edition. College of American Pathologists, Northfield, IL1991