Practical challenges related to point of care testing

Point of care testing (POCT) refers to laboratory testing that occurs near to the patient, often at the patient bedside. POCT can be advantageous in situations requiring rapid turnaround time of test results for clinical decision making. There are many challenges associated with POCT, mainly related...

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Vydáno v:	Practical laboratory medicine Ročník 4; s. 22 - 29
Hlavní autor:	Shaw, Julie L.V.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Netherlands Elsevier B.V 01.04.2016 Elsevier
Témata:	Connectivity Electronic Medical Record Laboratory accreditation Medical directive Point of care Testing Positive patient identification Results documentation Review Transcription error Electronic Medical Record Laboratory accreditation Results documentation EMR EORLA CSCC Transcription error ADT POCT Medical directive Connectivity Positive patient identification Point of care Testing EMR, electronic medical record POCT, point of care testing ADT, Admission, Discharge and Transfer CSCC, Canadian Society of Clinical Chemists EORLA, Eastern Ontario Regional Laboratories Association
ISSN:	2352-5517, 2352-5517
On-line přístup:	Získat plný text
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Popis
Shrnutí:	Point of care testing (POCT) refers to laboratory testing that occurs near to the patient, often at the patient bedside. POCT can be advantageous in situations requiring rapid turnaround time of test results for clinical decision making. There are many challenges associated with POCT, mainly related to quality assurance. POCT is performed by clinical staff rather than laboratory trained individuals which can lead to errors resulting from a lack of understanding of the importance of quality control and quality assurance practices. POCT is usually more expensive than testing performed in the central laboratory and requires a significant amount of support from the laboratory to ensure the quality testing and meet accreditation requirements. Here, specific challenges related to POCT compliance with accreditation standards are discussed along with strategies that can be used to overcome these challenges. These areas include: documentation of POCT orders, charting of POCT results as well as training and certification of individuals performing POCT. Factors to consider when implementing connectivity between POCT instruments and the electronic medical record are also discussed in detail and include: uni-directional versus bidirectional communication, linking patient demographic information with POCT software, the importance of positive patient identification and considering where to chart POCT results in the electronic medical record.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	2352-5517 2352-5517
DOI:	10.1016/j.plabm.2015.12.002