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POCT Analysts' Perspective: Practices and Wants for Improvement.
Sten A Westgard1, Henk M J Goldschmidt2, Sharon S Ehrmeyer3,4
1Westgard QC, Inc., Madison, WI.
The Journal of Applied Laboratory Medicine
|May 24, 2020
Summary
Point-of-care testing (POCT) practices are improving, but quality concerns persist. Analysts desire enhanced training and manufacturer support to further elevate patient care and safety in POCT.
Area of Science:
- Clinical Chemistry
- Laboratory Medicine
- Healthcare Quality Improvement
Background:
- Point-of-care testing (POCT) is expanding globally, yet concerns persist regarding the quality of test results.
- Existing guidelines and standards for POCT practices are not universally ensuring optimal testing quality.
Purpose of the Study:
- To investigate the current practices and identify areas for improvement in worldwide point-of-care testing.
- To gather insights from POCT analysts regarding their experiences and perceived needs.
Main Methods:
- An online questionnaire was distributed globally to POCT analysts via a commercial survey website.
- Participants were recruited from healthcare providers subscribed to a specific industry newsletter or website visitors.
Main Results:
- The majority of POCT occurs in hospitals, with regulatory mandates generally followed.
- Most analysts receive training from manufacturers, and a high percentage verify devices before use.
- While most stop testing when quality control limits are exceeded, some use expired materials, and few find their organization's POCT acceptable.
Conclusions:
- POCT practices are evolving positively, contributing to patient safety.
- Analysts recognize existing issues and highlight the need for improved training, clearer manufacturer instructions, and better quality control mechanisms.
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