scholarly journals Organizational challenges in the management of point-of-care diagnostics in healthcare facilities

2020 ◽  
Vol 44 (2) ◽  
pp. 103-105 ◽  
Author(s):  
Marco Kachler ◽  
Christiane Maschek
Keyword(s):  
Best Practice ◽  
Point Of Care ◽  
Reference Intervals ◽  
Full Understanding ◽  
Healthcare Facilities ◽  
Organizational Challenges ◽  
Point Of Care Diagnostics ◽  
Competence Management ◽  
English Speaking ◽  
Practice Implementation

AbstractThis text is a synopsis of the “Seminar on Organizational Aspects of POCT Management” which was part of the 4th Munich POCT symposium 2019. The session was chaired in part 1 by Christiane Maschek (Berlin) and Anke Urban (Ludwigshafen), and in part 2 by Barbara Oschwald-Häg (Offenburg) and Marco Kachler (Klagenfurt/AT). The seminar was held in German in order to allow non-English-speaking medical technicians the full understanding of the presented contents. Part 1: Nice to Know – Challenges for networking POCT systems (Michaela Markhoff, Hamburg). Best Practice – Implementation of POCT in a hospital without central lab services (Jennifer Planz, Essen). Best Practice – Benefits of the POCT commission demonstrated using the example of implementing glucose POCT devices (Barbara Oschwald-Häg, Offenburg). Part 2: Best Practice – Challenges of a group-wide implementation of a POCT competence management (Sandra Mütze, Berlin). Nice to Know – Learning from mistakes in preanalytics (Reno Konzack, Berlin). New IFCC recommendation for checking reference intervals (Harald Maier, Altötting).

scholarly journals Point of Care Diagnostics in the Age of COVID-19

Diagnostics ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 9
Author(s):  
Meysam Rezaei ◽  
Sajad Razavi Bazaz ◽  
Sareh Zhand ◽  
Nima Sayyadi ◽  
Dayong Jin ◽  
...  
Keyword(s):  
Point Of Care ◽  
Diagnostic Methods ◽  
Global Public Health ◽  
Current Standard ◽  
Healthcare Facilities ◽  
Major Threat ◽  
Point Of Care Diagnostics ◽  
Recent Outbreak ◽  
Control Virus ◽  
Biosafety Level

The recent outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its associated serious respiratory disease, coronavirus disease 2019 (COVID-19), poses a major threat to global public health. Owing to the lack of vaccine and effective treatments, many countries have been overwhelmed with an exponential spread of the virus and surge in the number of confirmed COVID-19 cases. Current standard diagnostic methods are inadequate for widespread testing as they suffer from prolonged turn-around times (>12 h) and mostly rely on high-biosafety-level laboratories and well-trained technicians. Point-of-care (POC) tests have the potential to vastly improve healthcare in several ways, ranging from enabling earlier detection and easier monitoring of disease to reaching remote populations. In recent years, the field of POC diagnostics has improved markedly with the advent of micro- and nanotechnologies. Due to the COVID-19 pandemic, POC technologies have been rapidly innovated to address key limitations faced in existing standard diagnostic methods. This review summarizes and compares the latest available POC immunoassay, nucleic acid-based and clustered regularly interspaced short palindromic repeats- (CRISPR)-mediated tests for SARS-CoV-2 detection that we anticipate aiding healthcare facilities to control virus infection and prevent subsequent spread.

scholarly journals 818. Understanding Current Practices of an Electronic Antimicrobial Resistant Organism (ARO) Screening Tool Used in Healthcare Facilities in Alberta, Canada

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S502-S502
Author(s):  
Jenine Leal ◽  
Kristen Versluys ◽  
Ted Pfister ◽  
Jennifer Ellison ◽  
Kathryn Bush ◽  
...  
Keyword(s):  
Best Practice ◽  
Screening Tool ◽  
Hospital Admissions ◽  
Point Of Care ◽  
Compliance Rate ◽  
Tertiary Hospital ◽  
Resistant Organism ◽  
Healthcare Facilities ◽  
Patient Admissions ◽  
Current Practices

Abstract Background Increasing antibiotic resistance is a global problem. By detecting individuals colonized with antimicrobial resistant organisms (AROs) through hospital admission screening, enhanced precautions can be implemented to interrupt transmission during their hospitalization. The objective is to understand current practices of ARO screening in Alberta hospitals by evaluating completeness of an electronic ARO screening tool. Methods A retrospective cohort study using electronic medical record (EMR) data from Connect Care (Epic Systems Corp.) at one adult and one pediatric tertiary hospital in Edmonton, Alberta between January 1, and December 31, 2020 was conducted. All hospital admissions were included. Outcomes included proportion of admissions with a completed ARO tool and a comparison of the best practice actions triggered (e.g. ARO screening swab and/or isolate) between those with and without a completed ARO tool. Test of proportions was used, with a two-sided α of 0.05 and was conducted using STATA/SE 16.1. Results During the study period, there were 32,600 total admissions, of which 16,342 (50.1%) had the ARO tool completed. The overall compliance was greater in the adult hospital (53.9%) compared to the pediatric hospital (36.3%) (< 0.001). For both hospitals, the compliance rate in December 2020 was 30.0% lower than in January 2020, with a continuous decline during the 12 months. An isolation order or screening swab was ordered in 40.6% of admissions without an ARO tool completed compared to 56.5% of admissions with the ARO tool completed. Based on responses in the completed ARO tool, 81.2% of patient admissions had a microbiologic swab ordered when indicated, of which only 4.7% were positive. However, only 35.9% of patient admissions had additional precautions ordered when indicated. Conclusion ARO screening is a required organizational practice and although standardized across all Alberta hospitals and embedded within an EMR, compliance was poor. Further work is needed to understand point-of-care risk assessment processes to inform future interventions aimed at early identification and decreased transmission of ARO in hospitals. Disclosures All Authors: No reported disclosures

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