Current & Future Applications of Point of Care Testing

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JHH CVDL Outcomes Trial• Cardiac catheterization setting• POCT improved wait times over corelaboratory, but not significantly• Significant changes only occurredafter unit workflow reorganized tooptimize use <strong>of</strong> POCT results• Decreased wait times 63 minutes forcoag (n=9, p=0.014) and 47 minutes forrenal (n=18, p=0.02)Nichols, et al. Clin Chem 46:543, 2000
POCT Issues• Verification and monitoring <strong>of</strong> analyticalperformance• Quality control• Calibration verification• Analytical measurement range verification• Method comparability• Complicated by multiple instruments andmultiple cartridges• WE JUST DON’T T KNOW WHAT THEPROPER APPROACH SHOULD BE
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 and 26: POCT in the ED - Will we adopt it?Y
Page 27: POCT in Radiology• Need for creat
Page 31: Spectrum of Patient Care Testing•

Current & Future Applications of Point of Care Testing

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