Publication Date

10-1-2023

Journal

eJIFCC - The electronic Journal of the International Federation of Clinical Chemistry and Laboratory Medicine

PMID

37868087

PMCID

PMC10588082

PubMedCentral® Posted Date

10-16-2023

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Point-of-care tesing, laboratory management, quality management, clinical collaboration

Abstract

With the recent COVID-19 pandemic, point-of-care testing has gained tremendous attention, particularly in acute care settings. The point-of-care testing landscape is rapidly expanding and being contemplated for any crucial test with a central laboratory turnaround time >25% of the clinical decision time. A typical point-of-care testing program within a large hospital system encompasses a multitude of operators utilizing a wide range of devices across multiple testing sites. Thus, managing a large point-of-care testing network remains a daunting task with challenges related to staffing, standardization, quality management, training and competency assessment, and data management. This review will focus on understanding the general organization as well as the roles and responsibilities of various point-of-care testing stakeholders in addressing these challenges. More importantly, it will discuss the strategies and best practices for effective point-of-care testing management based on consensus recommendations from professional societies as well as our experience at Texas Children's Hospital.

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