PDF(Pubmed)
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 Childrens Hospital.
摘要：
随着最近的COVID-19大流行，即时测试获得了极大的关注，特别是在急性护理环境中。即时测试领域正在迅速扩展，并被考虑用于任何关键测试，其中中央实验室周转时间>临床决策时间的25％。大型医院系统中的典型即时测试程序包括众多操作员，这些操作员在多个测试站点上使用各种设备。因此，管理大型即时测试网络仍然是一项艰巨的任务，与人员配备相关的挑战，标准化,质量管理,培训和能力评估，和数据管理。本次审查将侧重于了解一般组织以及各种即时测试利益相关者在应对这些挑战方面的作用和责任。更重要的是,它将根据专业协会的共识建议以及我们在德克萨斯州儿童医院的经验，讨论有效的即时检测管理的策略和最佳实践。
