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Testing at the patient's bedside

B A Jones1

  • 1Department of Pathology, St. John Hospital and Medical Center, Detroit, Michigan.

Clinics in Laboratory Medicine
|September 1, 1994
PubMed
Summary
This summary is machine-generated.

Implementing bedside laboratory testing requires careful consideration of medical necessity and cost. A robust quality assurance program involving laboratory professionals is crucial for reliable results, as demonstrated by bedside glucose monitoring programs.

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Area of Science:

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

Background:

  • Point-of-care testing (POCT) offers immediate results, enhancing patient care.
  • Bedside glucose monitoring serves as a primary model for POCT implementation.
  • Experience highlights the need for stringent quality control in POCT.

Purpose of the Study:

  • To evaluate the critical components for successful bedside laboratory testing programs.
  • To emphasize the importance of quality assurance in POCT.
  • To consider the practical aspects of implementing POCT.

Main Methods:

  • Review of existing literature and programs, particularly bedside glucose monitoring.
  • Analysis of factors influencing the accuracy and reliability of bedside tests.

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  • Consideration of operational and economic factors in POCT.

    • Main Results:

    • Bedside testing programs, exemplified by glucose monitoring, necessitate comprehensive quality assurance.
    • Laboratory professional involvement is vital for ensuring accurate POCT results.
    • Careful evaluation of medical necessity, cost, and alternatives is essential prior to POCT implementation.

    Conclusions:

    • Successful bedside testing hinges on a well-designed and executed quality assurance program.
    • Laboratory professionals play a key role in maintaining POCT standards.
    • Thorough assessment of clinical need and economic viability must precede POCT adoption.