Current & Future Applications of Point of Care Testing

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POCT Issues• Evidence base for effectiveness is very mixed• NACB Laboratory Medicine Practice Guideline onEvidence-Based Practice for POCT• Systematic review and grading <strong>of</strong> available scientificevidence related to:pHReproductionCardiac markersDrug testingParathyroid testingInfectious diseaseBilirubinOccult bloodCoagulationRenalCritical careDiabetes• http://www.aacc.org/AACC/members/nacb/LMPG/OnlineGuide/PublishedGuidelines/poct/default.htm
POCT Issues• Standardization / comparability• With multiple ways <strong>of</strong> performing thesame test, this is becoming a criticalissue for larger systems• POCT, Physician Office Lab, Stat Lab,Hospital Lab, Reference Lab• Examples• Episodic POC INR testing prior to aninvasive procedure• Cardiac markers in the ED
Page 1: Current & Future Applications ofPoi
Page 5 and 6: The Drivers• New testing opportun
Page 7 and 8: The Drivers• Patient care outcome
Page 9 and 10: The Drivers• Workforce issues•
Page 11 and 12: POCT: Common Use• Glucose• Bloo
Page 13 and 14: POCT: Come & Gone• Basic metaboli
Page 15: POCT: Future• Microbiology• Out
Page 19 and 20: POC Cardiac MarkersTnT negativeTnT
Page 21 and 22: POCT Issues• Complexity of data m
Page 23 and 24: Point-of-Care of-Care TestingED Len
Page 25 and 26: POCT in the ED - Will we adopt it?Y
Page 27 and 28: POCT in Radiology• Need for creat
Page 29 and 30: POCT Issues• Verification and mon
Page 31: Spectrum of Patient Care Testing•

Current & Future Applications of Point of Care Testing

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