Rapid Assessment of Coagulation at the Point of Care With the Hemochron Signature Elite System
Real-time point-of-care (POC) measurement of coagulation parameters, including activated clotting time (ACT), activated partial thromboplastin time, and prothrombin time with calculated international normalized ratio can improve patient outcomes in clinical settings, such as surgical and minimally invasive cardiac procedures, critical care units, and emergency departments. Point-of-care analyzers used in these settings must be small, portable, robust, and easy to use. The Hemochron Signature Elite system (Instrumentation Laboratory) offers 6 types of single-use disposable coagulation test cartridges, ACT+ (to measure high ...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 28, 2020 Category: Pathology Tags: Review Article Source Type: research

Patient Preferences for Point-of-Care Testing: Survey Validation and Results
Conclusions Community members strongly support the development of accurate, in-home devices that produce immediate results that can be used to diagnose, manage, and encourage their adherence to treatments for their medical conditions. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 28, 2020 Category: Pathology Tags: Original Articles Source Type: research

A Comparison of International Normalized Ratio Results by Point-of-Care Device and Clinical Laboratory Analyzers in a Vascular Surgery Department
Purpose This prospective comparative study aims to evaluate the accuracy and validity of CoaguChek XS point-of-care system (Roche Diagnostics GmbH, Mannheim, Germany), compared with the standard central laboratory international normalized ratio (INR) results, in a vascular surgery ward. Methods Data based on 54 INR pairs, measured by the central laboratory analyzer and CoaguChek XS, were compared using the intraclass correlation coefficient. Other outcomes included the time and cost of the service from the patient's perspectives. Correlation was assessed using Pearson correlation test. Bland-Altman analysis was ...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 28, 2020 Category: Pathology Tags: Original Articles Source Type: research

Point-of-Care Testing in Hypercoagulable Conditions Managed With Warfarin: A Review
Conclusions Coagsense and ProTime InRhythm may be acceptable POCT devices to use for APS patients, whereas CoaguChek XS is not acceptable. In LVAD patients, CoaguChek XS is acceptable because it correlates well with laboratory INR values. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 28, 2020 Category: Pathology Tags: Review Article Source Type: research

Critical Care Nurses' Views and Experiences of Preanalytical Factors Influencing Point-of-Care Testing: A Qualitative Study
The main users of point-of-care testing devices placed outside the central laboratory are clinicians, predominantly nurses. Understanding the factors influencing sample accuracy is important to ensure appropriate clinical decision making. Previous studies focus on the analysis process; however, errors can also occur during the preanalytical phase, linked to user knowledge, skills, and other factors associated with the wider context of care. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - November 28, 2020 Category: Pathology Tags: Original Article Source Type: research

Invited Product Profile: Detecting Antibodies for Lyme Disease at the Point of Care: The Sofia 2 Lyme Fluorescent Immunoassay
No abstract available (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - September 1, 2020 Category: Pathology Tags: Review Articles Source Type: research

Analytic Characteristics and Performance of Novel Immunoassay Point-of-Care Tests for Early Diagnosis of Sickle Cell Disease: A Systematic Review
Microtechnology point-of-care tests (POCTs), which are accurate and easy to use, are needed for the diagnosis of infants with sickle cell disease (SCD) to facilitate linkage to early care and management in resource-constrained public health centers in sub-Saharan Africa. We systematically reviewed the evidence of 2 novel POCTs' characteristics, performance, and clinical utility compared with standard laboratory-based methods. Studies evaluating the use of POCTs for SCD screening were identified by a search of PubMed and CINAHL. Eighty-four abstracts were screened, and 68 full-text articles were assessed, of which 12 met th...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - September 1, 2020 Category: Pathology Tags: Review Articles Source Type: research

Overcoming Challenges With the Adoption of Point-of-Care Testing: From Technology Push and Clinical Needs to Value Propositions
This article discusses how various approaches to technology development impact adoption and compares the characteristics of these approaches to emerging value concepts. It also provides an overview of value initiatives and tools that are being developed to support the evaluation of value propositions. These are presented for a range of technology adoption decision contexts, with particular applicability to point-of-care testing. Expanding the focus of research to address gaps in both the creation and evaluation of value propositions is imperative in order for value concepts to positively influence the adoption of point-of-...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - September 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

Evaluation of the Accuracy of the LumiraDx INR Test Using Patients in Receipt of Phenprocoumon Anticoagulation Therapy
Conclusions The LumiraDx INR Test showed high accuracy in analyzing venous plasma and capillary whole blood from patients receiving phenprocoumon. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - September 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

A Pilot Evaluation of a Rapid Screening Test for Nosocomial Infection at a Neurosurgical Intensive Care Unit in Sweden
Conclusions The rapid NETs test indicated the site of infection in febrile patients postneurosurgery with clinically relevant sensitivity and specificity, which might show its potential to minimize the unnecessary use of antibiotics. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - September 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

Point-of-Care Testing Abstracts From the 2019 American Association for Clinical Chemistry Annual Meeting
No abstract available (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2020 Category: Pathology Tags: Abstracts Source Type: research

Invited Product Profile: The epoc Blood Analysis System: Enhancing Efficiency and Improving Patient Care Through Implementation of Patient-Side Testing
No abstract available (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2020 Category: Pathology Tags: Review Article Source Type: research

Analytical Evaluation of ABL90 Flex Plus Blood Gas Analyzer for Urea and Creatinine: Multicenter Method Comparison
Conclusion Creatinine and urea measurements are interchangeable using ABL90 Flex Plus blood gas analyzer compared with 3 central laboratory methods, ensuring no impact on patient care using indistinctly any analyzer. (Source: Point of Care: The Journal of Near-Patient Testing and Technology)
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

A Multistep Validation Procedure for Monitoring Compliance of a Large Network of Connected Hospital Glucose Meters to International Quality and Performance Standards
The ISO 22870:2016 standard requires validation of point-of-care testing (POCT) instruments before routine use. Although it is a relatively easy task for blood gas analyzers, it is much more involved in connected blood glucose monitoring (BGM) devices because they are used ubiquitously and in large numbers throughout hospital departments. Here we present the model used in order to validate efficiently and effectively compliance of 116 glucose/ketone BGM devices to ISO 22870. In a first step, a “reference” BGM was established and fully evaluated in comparison to our criterion-standard laboratory method. The 115 remainin...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2020 Category: Pathology Tags: Original Articles Source Type: research

Point-of-Care Testing: The Evolution of a Training and Competency Program at Cleveland Clinic Abu Dhabi
The point-of-care testing (POCT) department at Cleveland Clinic Abu Dhabi sets out to transform the organization and management of its training and competency renewal program. Managing competencies in any large hospital is challenging for all POCT coordinators. Initially, a paper-based system was created, which was cumbersome and error prone, which led to many clerical and logistical challenges. As the scope of the program grew, this approach became more difficult to govern. In an effort to streamline the process, the department embarked on several continuous improvement projects to address this pressing issue. In collabor...
Source: Point of Care: The Journal of Near-Patient Testing and Technology - June 1, 2020 Category: Pathology Tags: Original Articles Source Type: research