在传染病中实施POCT
Jean-Claude Nguyen Van1, Benoît Pilmis2,3, Najoua El Helali1,4
1Clinical Microbiology Department, Hôpitaux Saint-Joseph & Marie-Lannelongue, Paris, France.
概括
护理点检测 (POCT) 增强了传染病诊断,提供了快速,分散的结果. 实施POCT需要解决工作流程,管理和财务障碍,以便在医疗机构成功整合.
科学领域:
- 临床诊断 临床诊断 临床诊断
- 实施科学 实施科学
- 传染性疾病 传染性疾病
背景情况:
- 临床检测 (POCT),特别是基于核酸的测试,正在彻底改变传染病诊断.
- 分散测试使得在现实世界的医院环境中能够更快地做出临床决策.
研究的目的:
- 确定来自医院POCT部署的操作经验教训.
- 提出一个路线图,以更广泛地实施POCT.
- 突出POCT整合的障碍和促进者.
主要方法:
- 利用实施研究框架来分析医院的POCT部署.
- 检查了诸如工作流集成,管理和财务规划等障碍.
- 确定了包括机构支持,临床参与和质量保证在内的促进者.
主要成果:
- 常见的障碍包括工作流集成,有限的抗菌药物管理和财务规划挑战.
- 促进者包括机构支持,临床参与,培训,质量保证和快速结果.
- 建议在重症监护和门诊环境中进行结构化的POCT整合.
结论:
- 部署POCT需要解决已识别的障碍,并利用促进者取得成功.
- 多学科组织和连续性对于在各种护理环境中扩大POCT至关重要.
- 公平,可持续性和临床调整的核心原则应指导可扩展的POCT战略.
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