Development and Introduction of Point-of-Care Testing in Mobile Critical Care Units for Improved Patient Safety in Rural Areas

2009 ◽  
Vol 8 (3) ◽  
pp. 131-134
Author(s):  
Javier Mérida De la Torre ◽  
Elvira Eva Moreno Campoy
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Rural Areas ◽  
Point Of Care ◽  
Point Of Care Testing ◽  
Critical Care Units

Current nursing practice of point-of-care laboratory diagnostic testing in critical care units

1995 ◽  
Vol 4 (6) ◽  
pp. 429-434 ◽  
Author(s):  
Lamb LSJr ◽  
RS Parrish ◽  
SF Goran ◽  
MH Biel
Keyword(s):  
Critical Care ◽  
Patient Care ◽  
Laboratory Testing ◽  
Point Of Care ◽  
Diagnostic Testing ◽  
Critical Care Nurses ◽  
Point Of Care Testing ◽  
Critical Care Units ◽  
In Vitro Diagnostic

BACKGROUND: The development of user-friendly laboratory analyzers, combined with the need for rapid assessment of critically ill patients, has led to the performance of in vitro diagnostic testing at the point of care by personnel without formal laboratory training. OBJECTIVES: To determine the range of laboratory testing performed by critical care nurses and their attitudes toward this role. METHODS: A survey of critical care nursing consultants was conducted, using a modified Likert scale, to assess objective measures of point-of-care testing practice in critical care units and to determine nurses' attitudes toward the practice of point-of-care testing. Statistical analysis was performed to determine significant trends in responses. RESULTS: Of the units responding to the survey, 35% used critical care nurses exclusively to perform point-of-care testing, 32.5% used laboratory technicians and critical care nurses, and 25% used other personnel. Of critical care nurses performing laboratory testing, 95.5% performed blood glucose analysis; 18.7%, arterial blood gas analysis; 4.5%, electrolyte analysis; 4.5%, hematology profiles; and 22.7%, other testing. Most agreed that stat tests were not reported promptly, thereby necessitating bedside testing. Respondents indicated that they would prefer that laboratory personnel operate in vitro diagnostic equipment and that requirements for critical care nurses to perform laboratory testing detracted from other patient care duties. CONCLUSIONS: Most nurses who perform point-of-care testing responded that it was necessary and helpful in patient management. However, they would prefer, because of their other patient care responsibilities, that laboratory personnel take this responsibility.

Point-of-care laboratory testing in critical care

1999 ◽  
Vol 8 (2) ◽  
pp. 72-83 ◽  
Author(s):  
MA Harvey
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Standard Of Care ◽  
Successful Implementation ◽  
Point Of Care Testing ◽  
Laboratory Equipment ◽  
Critical Care Units ◽  
Respiratory Therapists ◽  
Advantages And Disadvantages ◽  
Outcomes Of Care

BACKGROUND: Critical care practitioners are searching for ways to improve the quality and outcomes of care while decreasing cost and length of stay. One technological advance that may facilitate meeting these objectives is bedside or point-of-care laboratory equipment. Evaluation of point-of-care testing for application in each institution requires information about the devices available; knowledge of the advantages and disadvantages of the technologies, the clinical impact, and cost of the process change; and strategies for successful implementation. OBJECTIVES: To review the literature on point-of-care testing and the experience of healthcare professionals who have already successfully implemented this type of testing. METHODS: A total of 81 relevant published articles were reviewed, and 21 critical care units in 8 facilities that use point-of-care testing were visited. Open-ended interviews were conducted with 83 subjects: 56 nurses, 14 laboratory personnel, 9 respiratory therapists, and 4 others. CONCLUSIONS: Point-of-care testing is a technological innovation with the potential for improving patients' care without increasing costs. It most likely will soon become part of the standard of care.

Accuracy and precision of point-of-care testing for glucose and prothrombin time at the critical care units

2001 ◽  
Vol 307 (1-2) ◽  
pp. 119-123 ◽  
Author(s):  
Cecilia Yuoh ◽  
M Tarek Elghetany ◽  
John R Petersen ◽  
Amin Mohammad ◽  
Anthony O Okorodudu
Keyword(s):  
Critical Care ◽  
Prothrombin Time ◽  
Point Of Care ◽  
Point Of Care Testing ◽  
Critical Care Units ◽  
Accuracy And Precision

Patient safety in point-of-care testing

2004 ◽  
Vol 24 (4) ◽  
pp. 997-1022 ◽  
Author(s):  
Bruce A. Jones ◽  
Frederick A. Meier
Keyword(s):  
Patient Safety ◽  
Point Of Care ◽  
Point Of Care Testing

Critical Care Glucose Point-of-Care Testing

2016 ◽  
pp. 97-121 ◽  
Author(s):  
S.N. Narla ◽  
M. Jones ◽  
K.L. Hermayer ◽  
Y. Zhu
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Point Of Care Testing

Occupational stress, burnout and patient safety culture among workers from critical care and non critical care units in a hospital in Brazil

2020 ◽  
pp. 102978
Author(s):  
Alessandra Suptitz Carneiro ◽  
Rafaela Andolhe ◽  
Graziele de Lima Dalmolin ◽  
Ana Maria Müller de Magalhães ◽  
Tânia Solange Bosi de Souza Magnago ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Safety ◽  
Occupational Stress ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Critical Care Units

Point-of-care testing, medical error, and patient safety: a 2007 assessment

2007 ◽  
Vol 45 (6) ◽  
Author(s):  
Sharon S. Ehrmeyer ◽  
Ronald H. Laessig
Keyword(s):  
Patient Safety ◽  
Full Advantage ◽  
Medical Error ◽  
Point Of Care ◽  
Data Interpretation ◽  
Medical Data ◽  
Test Results ◽  
Point Of Care Testing ◽  
Proper Design

AbstractPoint-of-care testing (POCT) is the fastest growing segment of a US$30 billion worldwide market. “Errors” in the testing process, as well as medical data interpretation and treatment associated with POCT, are recognized as leading to major compromises of patient safety. In today's environment, most testing errors (pre-analytical, analytical and post-analytical) can be virtually eliminated by proper design of testing systems. We cite examples of two systems that have made exceptional progress in this respect. It has been recently suggested that the basic errors associated with the testing process are amplified in the POC setting. Two of the amplifiers – incoherent regulations and failure of clinician/caregivers to respond appropriately to POCT results – lead us to recognize additional changes in today's POCT environment. The first is a willingness of manufacturers, not laboratories, to take responsibility for the quality of test results – an outgrowth of an industrial philosophy called autonomation. The second is a need to substantially modify the clinician/caregiver test utilization paradigm to take full advantage of POCT results, available on site in real time. Both have already begun to take place.Clin Chem Lab Med 2007;45:766–73.

scholarly journals Point-of-Care Testing at the Disaster–Emergency–Critical Care Interface

2012 ◽  
Vol 11 (4) ◽  
pp. 180-183 ◽  
Author(s):  
Nam K. Tran ◽  
Zachary Godwin ◽  
Jennifer Bockhold ◽  
Gerald J. Kost
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Point Of Care Testing
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