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How to develop an effective decentralized laboratory testing program.

C P Collier1, R L Houlden, S L Rhymer

  • 1Health Science Faculty, Queen's University, Kingston.

Clinical Laboratory Management Review : Official Publication of the Clinical Laboratory Management Association
|July 1, 1999
PubMed
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Developing an effective decentralized laboratory testing (DLT) program requires eight essential steps. These guidelines, based on extensive experience, ensure successful implementation and quality assurance for bedside monitoring.

Area of Science:

  • Clinical Chemistry
  • Point-of-Care Testing
  • Laboratory Medicine

Background:

  • Decentralized laboratory testing (DLT) programs offer benefits for patient care, particularly in bedside monitoring.
  • Establishing and managing DLT programs requires a structured approach to ensure efficacy and quality.

Purpose of the Study:

  • To provide practical guidelines for developing and implementing an effective decentralized laboratory testing (DLT) program.
  • To outline essential steps based on over a decade of experience with a DLT program for blood glucose monitoring.

Main Methods:

  • Identification of eight critical steps for DLT program development.
  • Leveraging 10+ years of experience in bedside blood glucose monitoring DLT.
  • Emphasis on multidisciplinary committee formation, needs/cost analysis, instrument/method evaluation, and quality assurance.

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Main Results:

  • A comprehensive eight-step framework for DLT program development.
  • Successful implementation strategies for DLT, including quality assurance protocols.
  • Highlighting the importance of a multidisciplinary committee and collaborative efforts.

Conclusions:

  • A collaborative, multidisciplinary approach is crucial for successful DLT program development and implementation.
  • The outlined eight steps provide a practical roadmap for establishing effective decentralized laboratory testing.
  • Continuous quality assurance is integral to maintaining the integrity of DLT programs.