This document discusses point-of-care testing (POCT) and proficiency testing (PT). POCT refers to medical testing done near the patient rather than sending samples to a lab. It has benefits like faster treatment and reduced costs. PT involves labs testing the same samples and comparing results to ensure quality and accuracy between analysts and labs. PT is important for compliance with standards like ISO/IEC 17025 and provides benefits like improving staff skills and detecting any issues. Both POCT and PT aim to enhance patient care through more efficient and higher quality testing.
This document discusses point-of-care testing (POCT) and proficiency testing (PT). POCT refers to medical testing done near the patient rather than sending samples to a lab. It has benefits like faster treatment and reduced costs. PT involves labs testing the same samples and comparing results to ensure quality and accuracy between analysts and labs. PT is important for compliance with standards like ISO/IEC 17025 and provides benefits like improving staff skills and detecting any issues. Both POCT and PT aim to enhance patient care through more efficient and higher quality testing.
This document discusses point-of-care testing (POCT) and proficiency testing (PT). POCT refers to medical testing done near the patient rather than sending samples to a lab. It has benefits like faster treatment and reduced costs. PT involves labs testing the same samples and comparing results to ensure quality and accuracy between analysts and labs. PT is important for compliance with standards like ISO/IEC 17025 and provides benefits like improving staff skills and detecting any issues. Both POCT and PT aim to enhance patient care through more efficient and higher quality testing.
This document discusses point-of-care testing (POCT) and proficiency testing (PT). POCT refers to medical testing done near the patient rather than sending samples to a lab. It has benefits like faster treatment and reduced costs. PT involves labs testing the same samples and comparing results to ensure quality and accuracy between analysts and labs. PT is important for compliance with standards like ISO/IEC 17025 and provides benefits like improving staff skills and detecting any issues. Both POCT and PT aim to enhance patient care through more efficient and higher quality testing.
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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
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
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