Sakamoto Hideo
Rinsho Byori. 2015 Feb;63(2):238-43.
Point-of-care testing (POCT) is able to shorten the therapeutic turn around time (TTAT) because of its portability, proximity to the patient, and the use of rapid testing methodologies. These advantages are dependent on the quality of POCT procedures. It is recommended that all POCT instrumentation and operators conform to the hospital's POCT policy. There are two basic requirements necessary for high-quality POCT in a hospital setting. First is the proper management of all POCT instrumentation including reagents, and the second is training/competency assessment for all operators. This training should include the correct use of equipment, reagent requirements, and trouble-shooting any errors that might occur during testing. In many cases, POCT operators are not familiar with the importance of analytical quality management because of their lack of experience with laboratory techniques. However, users can improve their POCT ability and knowledge via the training/education program managed by the POCT department. The POC coordinator's role is to oversee that the proper procedure, based on the hospital's policy, is being followed. It is advised that the hospital form a POCT committee. The members should consist of at least: the Director of Laboratory Medicine, POC coordinator, a financial advisor, and several representative users from physicians and nursing staff. The POC coordinator will act as a representative of the POCT committee and work to maintain a quality program within the hospita/institution. In this article, we have summarized the role of the POC coordinator and the function of a POCT committee in a Japanese hospital.
即时检验（POCT）因其便携性、靠近患者以及使用快速检测方法，能够缩短治疗周转时间（TTAT）。这些优势取决于POCT程序的质量。建议所有POCT仪器设备及操作人员遵守医院的POCT政策。在医院环境中进行高质量POCT有两个基本要求。首先是对包括试剂在内的所有POCT仪器设备进行妥善管理，其次是对所有操作人员进行培训/能力评估。该培训应包括设备的正确使用、试剂要求以及对检测过程中可能出现的任何错误进行故障排除。在很多情况下，POCT操作人员由于缺乏实验室技术经验，不熟悉分析质量管理的重要性。然而，用户可以通过POCT部门管理的培训/教育项目来提高他们的POCT能力和知识水平。POC协调员的职责是监督是否遵循了基于医院政策的正确程序。建议医院成立一个POCT委员会。其成员应至少包括：检验医学主任、POC协调员、财务顾问以及几位来自医生和护理人员的代表性用户。POC协调员将作为POCT委员会的代表，并努力在医院/机构内维持一个质量项目。在本文中，我们总结了日本一家医院中POC协调员的职责以及POCT委员会的职能。
