Improving the quality of point-of-care laboratory testing：提高护理实验室检测点的质量.pptVIP

* Improving the quality of point-of-care laboratory testing performed by non-laboratory staff G. Augustine, K. McKenna, S. Kahn Near Patient Testing - Clinical Laboratory Loyola University Medical Center Opportunity Statement Point-of-care (POC) lab tests are diagnostic tests performed at locations outside of the main laboratory. These sites include hospital units, outpatient clinics and satellite facilities. These tests are generally performed by staff not formally trained in clinical laboratory science such as nurses, perfusionists, patient care techs and respiratory techs. While most laboratory testing continues to be performed in the main clinical laboratory, more than 25,000 tests per month are performed at approximately 80 point-of-care locations throughout the Loyola University Health System. The growth in point-of-care has provided the opportunity to ensure that laboratory testing conducted at diverse locations by non-laboratory staff is performed using good laboratory practices and in compliance with relevant regulatory standards to produce accurate test results that optimize patient safety and minimize process errors. Blood gases Electrolytes Activated clotting times Glucoses Dipstick automated urinalysis Flu AB Gastric and fecal occult blood Nitrazine paper (amniotic fluid detection) Hemoglobin A1c Pregnancy (hCG) RSV Hemoglobin hematocrit Strep A PT (prothrombin) Microalbumin Creatinine Testing performed at point-of-care in LUHS Most likely causes of testing process errors at the point-of-care included: Incomplete standardization of staff training and lab procedures Inconsistency in following good laboratory practice Random and isolated occurrences of patient identification errors Less than optimal availability of information on point-of-care lab procedures, supplies and regulations 1. Laboratory support of POCT has been broadened and optimized by: Establishing a quality assurance program to ensure that