Current & Future Applications of Point of Care Testing

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POCT in the ED• Faster does not always lead to betteroutcome• Lab tests are rarely the rate limiting factor inED disposition• Process analysis is the key understandingand improving patient throughput in theED• Test menu selection is a criticalcomponent of the potential application ofPOCT• Match available tests to disposition decisions• May only decrease length of stay for a smallsubset of patients
POCT in Radiology• Need for creatinine measurement prior toadministration of contrast• Referral patients may come without a recentmeasurement – POCT would be useful todecrease waiting time for result• Decision points: 1.5 mg/dLfor diabeticpatients, 2.0 mg/dLfor non-diabetic patients• Device accuracy & precision not goodenough at these decision points• Designed new process to provide rapidresults from labMayo experience, 2004
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 and 16: POCT: Future• Microbiology• Out
Page 17 and 18: POCT Issues• Standardization / co
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: POCT in the ED - Will we adopt it?Y
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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