POCT and PT by Group6bsmt3b

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POCT AND PT

POINT-OF-CARE TESTING AND PROFICIENCY TESTING


Presented by Group 6 of BSMT III-B
POCT
Point-of-care testing

aka near-patient testing, alternate-site
testing (AST) or patient-focused testing.
Decentralization of Laboratory Testing
refers to the analytical patient testing
activities performed outside the physical
facilities of a clinical laboratory
Brings laboratory testing to the site of patient
rather than obtaining a specimen and
sending it to the laboratory
POC is recognized by:

JCAHO
CAP
CLIA88
Technology Evolution
Microcomputer chips and sensors

Instrumentation
- Portable chemistry analyzers
- Glucose meters
- Blood gas analyzers
- Hgb meters
- Coagulation testing
Instrumentation

CRITERIA CHARACTERISTIC
Cost
Accuracy
Ease of maintenance
Ability to self-calibrate
QC function
Reporting capabilities
Safety

Durable
Simple to use
Cost-effective
Capable of rapid throughput
(TAT)
Team Building
Non-laboratory personnel
(nurses, surgery technician, therapists, others)
Properly trained
Laboratory has critical role
Qualification of POC personnel are set by
federal, state, and local regulations.
Top administrator
- Responsible for setting additional
requirements, as long as the federal CLIA 88
regulations are also being followed.
EVERYBODY is required to provide quality
service in a cost-effective manner

And the laboratory has the leading role

POCT Checklist
Needs assessment
Select method or instrument
Commitment
Identify patient type to be tested
Identify instrument users
Research and develop test procedure
Establish QC/QA procedures
Develop guidelines for staff training
Risk management protocols
Monitor and feedback
Make changes and improvements
Benefits of POCT
STAT ( survival rate)
Rapid diagnosis
Prompt medical attention
More efficient use of resources
Less hospital expenses
Less trauma and more convenient to patients
More collaboration of clinicians with the
laboratory.
Decreased pre-analytical errors
Cross-training
Cost-effective

PT
Proficiency testing
- Aka comparative testing
- ISO/IEC 17025
- involves a group of laboratories or
analysts performing the same analyses on
the same samples and comparing results
ISO/IEC 17025
The philosophy behind the quality assurance
section of ISO/IEC 17025 is to firstly
ensure that a single analyst within a
laboratory is able to consistently reproduce
the same result on the same sample.
the result produced by this analyst should
reflect the result that would have come from
any other analyst in the laboratory.
any results from the laboratory as a whole
should reflect the results that are agreed
upon by many other laboratories.

Benefits of PT to Company Group
Leaders
the company as a whole will meet the
requirements of ISO 17025 in the area of
proficiency testing
assurance of the good performance and
capabilities of analytical staff.
The company will have information that can
assist in future planning for equipment upgrades
and staff training.
the company has a valuable opportunity to
demonstrate its commitment to laboratory staff
as an integral part in the production of quality
products and services.

Benefits of PT to Lab Staffs
laboratory staff can gain confidence in their
abilities, and knowledge of their capabilities.
laboratory staff will gain satisfaction in the
knowledge that they have improved or
maintained a level of competence comparable
with their colleagues.
They can detect any difficulties they may have
with analyses and to identify training strategies.
Overall, laboratory staff will have the knowledge
that they are playing a valuable part amongst the
company.

Reference
Henry, John Bernard, M.D., Clinical
Diagnosis and Management by Laboratory
Methods 19
th
Edition, 1998.
Turgeon, Mary Louise, Linne & Ringsrauds
Clinical Laboratory Science: The Basics and
Routine Techniques 5
th
Edition, 2007.
www.proficiency.org
http://www.ifmqs.com.au/what_is_PT.htm
http://webstore.ansi.org/RecordDetail.aspx?s
ku=ISO%2FIEC+17025%3A2005#.UYCUEK
KnAT0

THANKS FOR LISTENING AND
NOT SLEEPING

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