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Optimizing point-of-care testing in clinical systems management
1Biomedical Engineering, School of Medicine, University of California, Davis, USA.
Clinical Laboratory Management Review : Official Publication of the Clinical Laboratory Management Association
|August 5, 1998
Summary
Optimizing point-of-care testing improves medical and economic outcomes. A systematic, integrated approach enhances patient care and healthcare delivery, even amid uncertainty.
Area of Science:
- Clinical Systems Management
- Healthcare Quality Improvement
- Health Informatics
Background:
- Improving medical and economic outcomes requires fundamental leadership principles.
- Clinical system managers optimize point-of-care testing (POCT) in acute care settings.
- POCT optimization faces challenges in broader healthcare systems.
Purpose of the Study:
- To explore systematic approaches for optimizing point-of-care testing.
- To identify strategies for integrating POCT within the larger healthcare system.
- To achieve high-quality testing, integrated disease management, and equitable care.
Main Methods:
- Utilizing integrative strategies, algorithms, and performance maps for POCT optimization.
- Applying a macro-strategic, information-integrated, feedback-systems, outcomes-oriented approach.
- Collaborative work within acute care centers and across the healthcare system.
Main Results:
- Systematic approaches are effective and efficacious, particularly for critically ill patients.
- Potential exists for high-quality testing and integrated disease management.
- Equitable healthcare delivery is achievable through optimized POCT.
Conclusions:
- A macro-strategic, information-integrated approach is timely and effective for POCT optimization.
- Leadership grounded in fundamental principles is crucial for improving healthcare outcomes.
- Optimizing POCT across the healthcare system presents challenges but offers significant potential benefits.