Evaluation of the Analytical Performance of the Modified Enterprise Point-of-Care Blood Gas and Electrolyte Analyzer in a Pediatric Hospital
AbstractArterial blood gas testing is an essential component that directs the evaluation of a patient’s general condition, especially in the emergent setting. We evaluated the analytical performance of the modified Enterprise point-of-care (EPOC) blood gas and electrolyte analyzer system with respect to precision and accuracy and compared our results with those obtained using the point-of-care i-STAT method and the criterion standard ABL 835 Radiometer blood gas analyzer in a pediatric hospital. Evaluation studies were performed as per the Clinical Laboratory Standards Institute guidelines and included intra-assay and in...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 20, 2014 Category: Pathology Tags: Original Articles Source Type: research

Understanding the Hematocrit Effect on Glucose Testing Using Popular Point-of-Care Testing Devices
AbstractThe use of point-of-care testing (PoCT) blood glucose meters has spread from their intended purpose in the home environment to hospital wards often without appropriate evaluation or understanding of the meter’s limitations. There is substantial evidence that many of the commonly used PoCT blood glucose meters are adversely affected by hematocrit, and their use in intensive care units or on neonates may potentially lead to errors in patient care and an increased risk of iatrogenic or undetected hypoglycemia or hyperglycemia.We explored the hematocrit interference on 3 glucose meters commonly used in hospital care:...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 20, 2014 Category: Pathology Tags: Original Articles Source Type: research

Proposing a Framework for International Normalized Ratio Testing and Anticoagulation Management in Community Pharmacies
AbstractPoint-of-care testing devices that measure international normalized ratio (INR) are adequate alternatives to laboratory INR testing system. The main aim of the study was to investigate the feasibility and acceptability of a community pharmacist–led anticoagulation management service. Fifty INR tests were performed using the CoaguChek XS testing device at a community pharmacy on the same day that the patients’ venous plasma INR was monitored at the outpatient clinic. The level of agreement between the 2 INR methods was analyzed using the Pearson correlation, the Bland-Altman plot, and level of clinical accuracy....
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 Testing: An Evolving Approach to Direct Patient Care: Is Laboratory Medicine Prepared to Shift?
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

Blood Glucose Monitoring Conversion—the Long and Winding Road
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

Achieving the Promise of Point-of-Care Testing
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

Potential Conflict Between Analytical Performance Standards and Clinical Safety and Efficacy of Whole Blood Glucose Measurement Devices
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

Improving Clinical Decision Making and Safety of Point-of-Care Glucose Testing in the Hospital Setting
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

Editorial on Glucose Meter Performance
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

Using Glucose Meters in Hospital Environments: Some Challenges and Resolutions for Point-of-Care Testing
AbstractDuring the last 40 years, glucose meters have played a pivotal role in the management of diabetes. Furthermore, an awareness that controlling hyperglycemia in the critically ill can lead to better patient outcomes and even decreased length of stay has resulted in tight glycemic control protocols being implemented in leading hospitals worldwide but particularly in North America and Europe. This important role for glucose meters has demanded more accurate and precise instruments from manufacturers but also better management of point-of-care testing from hospitals and healthcare facilities so to reduce infections from...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

Tightening Glucose Meter Performance Criteria and Disinfection Practice: Potential Implications for Point-of-Care Testing Programs
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

The Clinical Laboratory Improvement Advisory Committee Considers the Use and Performance of Blood Glucose Monitoring Systems
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

A Tale of 2 Studies: How 2 Clinical Trials Changed the Use of Glucose Meters in Healthcare
AbstractGlucosemeters are a fast and convenient way to measure circulating blood glucose. Like many technologies in healthcare, the use of glucose meters within the hospital has evolved significantly during the last few decades. In the case of glucose meters, device use has been propelled by 2 sets of landmark clinical trials: the Diabetes Control and Complications (DCCT) trial published in 1993 and the intensive care unit glycemic control trials starting with the work of Dr Van den Berghe et al in 2001. This review will detail how these landmark studies changed the role of glucose meters in the hospital setting and the co...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - September 1, 2014 Category: Pathology Tags: Review Article Source Type: research

Point-of-Care Glucose Meter Testing in 2014: Infection Prevention and Regulatory Challenges
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research

Guidelines and Guidances: Reconciling Best Practices and Reality for Glucose Meters in Acute Care Settings
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 - September 1, 2014 Category: Pathology Tags: Editorials Source Type: research