Point of Care: The Journal of Near-Patient Testing and Technology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

The Status of Point-of-Care Testing and Coordinators in Vietnam: Needs Assessment, Technologies, Education, Exchange, and Future Mission
Conclusions Clinicians were poorly informed about the availability of urgent, emergency department, and bedside POC tests. No provincial hospitals surveyed offered cardiac biomarker testing, despite the high prevalence of acute coronary syndromes. Challenges to the implementation of POCT comprise: (a) the quality assurance burden for non laboratory personnel; (b) limited human resources to support POCT programs, including virtually total absence of POC coordinators; and (c) no national POCT policy and guidelines. To rectify these deficiencies, we recommend fundamental education at all levels, promotion of POC coordinator...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - March 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

Reliability of Point-of-Care International Normalized Ratio Measurements in Various Patient Populations
Conclusion Coagsense correlated better than Coagucheck XS and did not show increasing bias as INR increased. Both POC instruments had higher INR variability in 4 disease states (antiphospholipid syndrome, autoimmune, peripheral vascular disease, and hypercoagulable). Patient-specific laboratory correlations may be needed on each POC device. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - March 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

Optimizing Quality Practices in Point-of-Care Testing: A Journey Just Begun!
With testing in health care becoming more decentralized to include the patient bedside, quality assurance in point-of-care testing (POCT) assumes immense significance in optimizing clinical outcomes. However, complex regulatory requirements, training of testing personnel, and implementation of a uniform quality policy in varied locations across the hospital pose the greatest challenges in achieving the desired result. Although 70 POCT instruments were being used across our hospital, there was no structured program in place. In accordance with the requirements of the Joint Commission (JCI) accreditation, efforts were made t...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - March 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

Integrating Competence Assessment, Internal Quality Control, and External Quality Assurance in a Large Point-of-Care Testing Network
Point-of-care testing is widespread and requires a different form of quality control and quality assurance model to conventional laboratory testing because the types of error that occur are different. In many situations, the point-of-care instruments and operators are part of a broader organizational network. We have developed a different model for the provision of a quality framework for these situations. The quality of the instrument cartridges is checked centrally, and the quality assurance is wider in concept assessing the operator competence and instrument operation. Centralizing some of the quality control reduces er...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - March 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

AACC Presents: 27th International CPOCT Symposium The Role of Point-of-Care Testing in a Value-Based Healthcare Landscape
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 - November 22, 2019 Category: Pathology Tags: Abstracts Source Type: research

Beyond Price and Functionality: What to Consider When Buying a New Information System
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 - August 23, 2019 Category: Pathology Tags: Editorial Source Type: research

What's New in Point-of-Care Testing?
Point-of-care testing (POCT) has the potential to improve turnaround time, increase efficiency, decentralize diagnostics in rural and underserved communities, and advance health care in areas such as space and high-altitude wilderness. In many cases, POCT is accurate and simple to perform and produces results within minutes. However, its implementation can pose logistical and educational challenges, especially if testing does not easily integrate with the end users' workflow. Literature published on POCT between January 1, 2018, and December 31, 2018, was reviewed, and articles were selected for a more in-depth discussion....
Source: Point of Care: The Journal of Near-Patient Testing and Technology - August 23, 2019 Category: Pathology Tags: Review Article Source Type: research

Usability of IBDoc, a Novel Fecal Calprotectin Home-Based Rapid Test in Clinical Practice
The aim of this study was to examine sustained usability and adherence to a fecal calprotectin (FC) home-based rapid test in an inflammatory bowel disease (IBD) monitoring program in clinical practice. Methods In total, 59 consecutive IBD outpatients were recruited. The participants were asked to measure FC with a home-based rapid test, IBDoc, every second month for a period of 14 months. At start and termination of this time period, they were invited to answer a questionnaire concerning the IBDoc device. The participants were also asked to deliver one stool sample for FC to be analyzed with enzyme-linked immunosorbent ...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - August 23, 2019 Category: Pathology Tags: Original Articles Source Type: research

The Creation of Point-of-Careology
Conclusions Point-of-care testing now is being written into a professional textbook in medical schools in China. Point-of-careology is the outcome of evolution in intelligent diagnostics. Notable achievements in critical care medicine, emergency response, and general practice have resulted from the implementation of point-of-care testing over the past 4 decades. As a new discipline, point-of-careology will contribute to key medical areas, such as disaster preparedness and public health, which we explore. The creation of this new specialty is justified by trends in modern medicine with improved service to the public and b...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - August 23, 2019 Category: Pathology Tags: Original Articles Source Type: research

Empirical Framework for Point-of-Care Diagnostics Supply Chain Management for Accessibility and Sustainability of Diagnostic Services in Ghana's Primary Health Care Clinics
Achievement of universal health coverage may be a mirage if supply chain management challenges of point-of-care (POC) diagnostics are not addressed to ensure accessibility and sustainability of POC diagnostic services in rural primary health care (PHC) clinics. Many patients accessing health care services in rural PHC clinics are likely to be undiagnosed and treated only based on syndromic management, due to stock-outs of POC tests. This potentially may result in complications such as wrong treatment, drug resistant to some infections, increased morbidities and mortalities, and many others. Public health activities for pri...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2019 Category: Pathology Tags: Review Articles Source Type: research

Invited Product Profile – GeneXpert Xpress System for Respiratory Testing: State-of-the-Art Molecular Testing for Any Health Care Setting
Viral and bacterial respiratory infections represent a significant source of morbidity and mortality in the United States. Lateral flow immunoassays, frequently used to detect influenza, respiratory syncytial virus (RSV), and streptococcus group A infections, yield lower sensitivity (50%–70%) than testing other methods and often require culture confirmation for patients who test negative. The Clinical Laboratory Improvement Amendments–waived GeneXpert Xpress platform offers point-of-care influenza, RSV, and streptococcus group A nucleic acid amplification testing in a variety of health care settings. The system require...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2019 Category: Pathology Tags: Review Articles Source Type: research

Clinical Performance and Utility of Point-of-Care Lactate Technology in Patient Care Pathways
Lactate is a commonly evaluated analyte in acutely ill patients. It is used as a prognostic, diagnostic, and monitoring tool in a variety of clinical conditions including sepsis, trauma, infectious diseases, and perinatal conditions. Elevated lactate levels, above specific thresholds for each condition, are considered critical values necessitating intervention. In certain of these cases, a fast lactate result by point-of-care (POC) devices is crucial in assisting with the medical management of the underlying condition. It is becoming increasingly evident that POC technologies are part of the transformation that is being ob...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2019 Category: Pathology Tags: Review Articles Source Type: research

Using α-Angle and A10 ROTEM Parameters for Earlier Information on Clotting Status in Surgery, Postpartum Hemorrhage, and ICU Patients
Conclusions The A10EX and A10FIB could replace the MCF results in all patient groups, and the α-EX was an early indicator of the A10EX. Finally, in a separate group of 62 comparisons, the α-FIB showed promise as an early indicator of the A10FIB and the fibrinogen levels. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2019 Category: Pathology Tags: Original Articles Source Type: research

Evaluation of the i-STAT Alinity Point-of-Care Analyzer
The objective of this study was to evaluate the analytical performance of CG4+ and CHEM8+ cartridges on the i-STAT Alinity analyzer prior to use in patient testing. We also evaluated the ease of use, design, and safety features to determine its suitability for use by the clinicians in our hospital. Methods The Abbott i-STAT System Performance Verification Protocol was observed for the imprecision study and was performed over the course of 2 days using 2 levels of control material (Abbott i-STAT TriControl Level 1 and Level 3). The CLSI-EP6-A guideline was used to verify the assay reportable range performance using 5 lev...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2019 Category: Pathology Tags: Original Articles Source Type: research

Extrapolation of the R-T Estimation in CoaguChek International Normalized Ratio Results Below 4
While extensive literature has documented that the CoaguChek XS device results are not an accurate reflection of a patient's international normalized ratio (INR) when the values are elevated, only 1 equation has been able to consistently correct these results in the clinical setting. Data obtained from a previous study were used to apply the R-T Estimation to INR values below 4 to assess an extrapolation of this equation to an INR of 1. The results were consistent with previous studies using the R-T Estimation and demonstrate the correlation of this equation with venipuncture results with 95% confidence within 20% differen...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2019 Category: Pathology Tags: Original Articles Source Type: research