Department of Pathology, Massachusetts General Hospital, Gray 5 Chemistry, 55 Fruit Street Boston, MA 02114, USA.
Clin Chim Acta. 2010 Nov 11;411(21-22):1799-805. doi: 10.1016/j.cca.2010.08.002. Epub 2010 Aug 8.
There have been many reports describing individual POCT technologies but there are no recent studies describing the organizational scope and impact of a POCT program.
Our menu of POCT tests has increased to 26 and the test volume to 664,287 tests/year equivalent to 14.5% of the volume of the central core laboratory. POCT is performed in nearly all inpatient units and in a variety of outpatient settings.
Cumulatively 84.6% of the test volume and most testing sites can be accounted for by 4 traditional tests (bedside glucose testing, fecal occult blood, dipstick urinalysis and activated clotting time). Most POCT tests are not performed because of a true medical necessity but rather to improve the efficiency of clinical operations.
We are experiencing a significant increase in requests for new POCT tests. Unlike established high volume conventional POC tests, these new requests originate from specialized services seeking to improve the efficiency of clinical operations.
有许多报告描述了个别 POCT 技术，但没有最近的研究描述 POCT 计划的组织范围和影响。
我们的 POCT 测试菜单增加到 26 项，测试量达到每年 664,287 项等效测试，占中心核心实验室测试量的 14.5%。POCT 几乎在所有住院病房和各种门诊环境中进行。
累计 84.6%的测试量和大多数测试站点可以由 4 种传统测试（床边血糖测试、粪便潜血、尿液干化学分析和活化凝血时间）来解释。大多数 POCT 测试并不是因为真正的医疗需求，而是为了提高临床操作效率。
我们正在经历对新的 POCT 测试请求的显著增加。与已建立的高容量常规 POCT 测试不同，这些新的请求来自于专门寻求提高临床操作效率的服务。
