The International Analytical and Clinical Excellence Program: Point-of-Care Testing for Diabetes Management
The objectives were to address the global disease burden of diabetes and to use point-of-care testing (POCT) as a tool to improve access to key pathology tests used in diabetes care. Working with international university partners, the Centre has developed a POCT network for diabetes management called ACE (Analytical and Clinical Excellence) that enables POCT for hemoglobin A1c and urine albumin-creatinine ratio to be conducted in primary care settings with a strong emphasis on education, training, continuous quality improvement, and community engagement. The ACE program has commenced in 35 rural and remote primary care ser...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - August 26, 2015 Category: Pathology Tags: Original Articles Source Type: research

Current Trends in Point-of-Care Testing for Syphilis and Tuberculosis in Developing Countries
Abstract: Globally, 1.4 million syphilis-infected women became pregnant in 2008, resulting in significant perinatal mortality and congenital syphilis infection. Worldwide tuberculosis (TB) incidence was 8.6 million in 2012, with 1.3 million deaths. While low-cost point-of-care tests (POCTs) have transformed the control of human immunodeficiency virus, diagnostics for syphilis and TB remain problematic, and this is hampering control of these diseases in low-income countries. This review article will assess the shortfalls of current laboratory-based TB and syphilis diagnostics, discuss the definition and ideal characteristic...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - August 26, 2015 Category: Pathology Tags: Original Articles Source Type: research

Point-of-Care Testing for Urine Analysis and Microalbuminuria for Diabetic Patient Management
The objective was to implement point-of-care testing in the community pharmacy setting for the urine analysis of microalbuminuria and study the accuracy, practicality, and feasibility of the service. Three community pharmacies in Malta were used to randomly recruit 25 type 1 or 2 diabetic adult patients who provided a urine sample, which was analyzed using the Clinitek Status analyzer to yield results for the presence of microalbuminuria and glucose levels. Patients underwent a finger prick test, and patients who tested positive for microalbuminuria in the urine test underwent HbA1c testing using the DCA 2000+ analyzer. Of...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - August 26, 2015 Category: Pathology Tags: Original Articles Source Type: research

Abstract
No abstract available (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - May 20, 2015 Category: Pathology Tags: Abstracts Source Type: research

Critical and Point-of-Care Testing: Real World and Emerging Applications for Improved Clinical Outcomes, CPOCT 25th International Symposium, September 17–20, 2014, San Diego, CA
No abstract available (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - May 20, 2015 Category: Pathology Tags: Abstracts Source Type: research

Can the Introduction of Point-of-Care Testing for Renal Function in the Emergency Department Reduce Overcrowding?
Conclusions: This study demonstrates that using POCT for renal function in the ED was significantly quicker than using a centralized hospital laboratory. The use of a bedside POCT device enables clinicians to make informed clinical decisions in a timelier manner. This research was supported by a grant from Abbott Point of Care. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - February 27, 2015 Category: Pathology Tags: Original Articles Source Type: research

Performance Evaluation of a Glucose Monitoring System for Point-of-Care Testing With the Critically Ill Patient Population—A Multicenter Study
Abstract: To evaluate the performance of the ACCU-CHEK Inform II glucose meter system for use in critically ill patients, and to assess the effects of blood oxygen tension, hematocrit, sodium levels on glucose measurements. A multicenter study involving the collection and testing of remnant deidentified whole blood samples from the blood gas laboratory at 3 institutions. Glucose meter measurements were compared to the Hitachi/Cobas c501 Isotope Dilution Gas Chromatograph aligned glucose hexokinase reference method, and the hospital’s laboratory comparison method. Blood gas, whole blood electrolyte, glucose, and hematocri...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - February 27, 2015 Category: Pathology Tags: Original Articles Source Type: research

Interactive 2-Step Training Strategy for Nurses: The Long-Term Quality of Glucose Point-of-Care Testing in Hospital and Primary Health Care Unit
Conclusion: The interactive 2-step training strategy for nurses proved itself an effective tool for maintaining good long-term analytical quality of blood glucose testing. It optimizes the investment of laboratory resources. Nurses trained by this strategy produced good analytical quality nearly similar to that of laboratory professionals. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - February 27, 2015 Category: Pathology Tags: Original Articles Source Type: research

Optimizing Point-of-Care Testing for Diabetes Management in a Rural Australian General Practice
This study supports the effective use of POCT in rural general practice settings for diabetes management. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - February 27, 2015 Category: Pathology Tags: Original Articles Source Type: research

Systems Engineering and Point-of-Care Testing: Report From the NIBIB POCT/Systems Engineering Workshop
Abstract: The first part of this article is an introduction to systems engineering and how it may be applied to health care and point-of-care testing (POCT). Systems engineering is an interdisciplinary field that seeks to better understand and manage changes in complex systems and projects as a whole. Systems are sets of interconnected elements that interact with each other, are dynamic, change over time, and are subject to complex behaviors. The second part of this article reports on the results of the National Institute of Biomedical Imaging and Bioengineering workshop exploring the future of POCT and technologies and th...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - February 27, 2015 Category: Pathology Tags: Special Feature Article Source Type: research

Central Laboratory Service and Point-of-Care Testing in Germany—From Conflicting Notions to Complementary Understandings
We describe here the clinical, organizational, and economic issues of hospital POCT from the European point of view. The advantages of POCT are to be combined with the core competences of the central laboratory to significantly improve the overall patient outcome. This review also portrays novel developments for POCT due to the fact that future utilization of POCT globally will depend on health care trends and new areas of application. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - February 27, 2015 Category: Pathology Tags: Review Article Source Type: research

What’s New in Point-of-Care Testing?
AbstractThe literature published on point-of-care testing between January 1, 2013, and December 31, 2013, was reviewed. Point-of-care testing is increasingly utilized in health care because of its availability as well as the industries’ response to demands for new testing and improvements to existing testing, its promise of rapid bedside results, its potential to reduce health care costs, and its ability to improve health care, particularly internationally. This review divides recent literature into categories that have been published most extensively in the past year and briefly describes select articles within each cat...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 20, 2014 Category: Pathology Tags: Review Article Source Type: research

Assessment of Neonatal Hyperbilirubinemia Using GEM Premier 4000 Total Bilirubin Assay: Impact on Risk Classification?
In this study, we evaluated the correlation of whole blood TBili results measured on a blood gas analyzer to serum results obtained on an automated chemistry analyzer. In addition, we determined the concordance of hyperbilirubinemia risk classification between the 2 methods. Seventy-nine blood samples were collected. The TBili (mg/dL) was measured on whole blood using the Instrumentation Laboratories GEM 4000 (GEM) and on simultaneously collected serum samples on the Siemens Dimension Vista chemistry analyzer (Vista). Twenty-four infants, aged younger than 7 days, were classified into categories for risk of sequelae of sev...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 20, 2014 Category: Pathology Tags: Original Articles Source Type: research

Point-of-Care HbA1c Testing With the A1cNow Test Kit in General Practice Dental Clinics: A Pilot Study Involving Its Accuracy and Practical Issues in Its Use
We examined practical issues and accuracy (relative to high-performance liquid chromatography testing in a laboratory) in the use of the A1cNow point-of-care device for this screening in general practice dental clinics at a large University-based dental college. Health care professionals obtained evaluable readings for only 70% of the subjects, even after 2 attempts, and its use according to manufacturer’s instructions was often challenging in the busy environment of the dental clinic. At thresholds for prediabetes and diabetes established by the American Diabetes Association, sensitivities of the A1cNow kit relative to ...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 20, 2014 Category: Pathology Tags: Original Articles Source Type: research

Evaluation and Performance of StatStrip Glucose Meter
AbstractPoint-of-care testing glucose meter use is on the increase and is widely used in monitoring hospitalized patients as well as by patients for self-monitoring. A major concern is the accuracy of glucose meters in different clinical settings. StatStrip (Nova Biomedical, Waltham, Mass) is a new generation glucose and quantitative ketone meter designed to correct for common biochemical interferences and to measure and correct hematocrit. Our aim was to assess the analytical performance of the StatStrip (Xpress and Connectivity) to Accu-Chek Active meters (Roche Diagnostics, Mannheim, Germany) and assess the glucose mete...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 20, 2014 Category: Pathology Tags: Original Articles Source Type: research