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Implementation of an expanded point-of-care site inspection checklist in an academic medical center: An eight year
Simran Khanna1, Jason Baron2, Kimberly Gregory1
1The Department of Pathology, Massachusetts General Hospital, Fruit Street, Boston, MA 02114, United States.
Background:
We evaluated the effectiveness of an expanded point-of-care (POCT) site inspection checklist over an extended 8-y period.
Methods:
A retrospective review of site inspection deficiency reports in a large academic medical center from 2010 to 2017 (year to date).
Results:
There was a significant decrease in the number of cited deficiencies per site/inspection from 2010 (3.17) to 2017 (0.27) (p<0.001). The percentage of sites without deficiencies steadily increased from 2010 (8.7%) to 2017 (80.7%) (p<0.001). The most common citation was documentation of competency assessment followed by results documentation and annual procedure review.
Conclusions:
Regular inspections of sites performing POCT are necessary to maintain regulatory compliance. Over time significant improvements in compliance are achievable.
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