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在新建的四级医院中建立床边检测服务:实施回顾。

Setting Up a Point-of-Care Testing Service in a Greenfield, Quaternary Hospital: An Implementation Review.

机构信息

From the Department of Pathology and Laboratory Medicine Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

出版信息

Arch Pathol Lab Med. 2018 Oct;142(10):1223-1232. doi: 10.5858/arpa.2017-0507-RA. Epub 2018 Aug 20.

Abstract

CONTEXT.—: The health care industry is growing rapidly and is continually seeking more-innovative ways to deliver patient care. The growing demands of clinicians seeking faster and more-efficient ways of providing care to their patients presents challenges to clinical laboratory services. Point-of-care testing (POCT) is frequently seen as a viable solution to address this dilemma. The role of POCT is widely established and accepted in many circumstances provided certain criteria are met.

OBJECTIVES.—: To discuss the Cleveland Clinic Abu Dhabi experience-the challenges faced and the solutions found-during the process of establishing a POCT service in a greenfield hospital, and to share this experience to support health care professionals wishing to establish or expand POCT services.

DATA SOURCE.—: First-hand expert opinion relating to setting up a POCT service, which was guided and informed by national and international standards and regulatory bodies, provide the basis for this review.

CONCLUSIONS.—: Point-of-care testing is a fast growing and unique discipline of pathology. The establishment of a new POCT service creates distinctive and unique challenges compared with traditional laboratory services. The difficulties experienced are compounded in a greenfield hospital but the process of multidisciplinary collaboration and information exchange among peer groups allows the efficient development of a highly effective POCT department.

摘要

背景

医疗保健行业发展迅速,一直在寻求更具创新性的方式来提供患者护理。临床医生寻求更快、更高效地为患者提供护理的需求不断增长,这给临床实验室服务带来了挑战。即时检验(POCT)经常被视为解决这一困境的可行方案。在满足某些标准的情况下,POCT 在许多情况下的作用得到了广泛的认可和接受。

目的

讨论克利夫兰诊所阿布扎比的经验——在绿地医院建立 POCT 服务过程中面临的挑战和发现的解决方案,并分享这一经验,以支持希望建立或扩大 POCT 服务的医疗保健专业人员。

数据来源

建立 POCT 服务的第一手专家意见,该意见以国家和国际标准以及监管机构为指导和依据,为本次审查提供了依据。

结论

即时检验是病理学中一个快速发展且独特的学科。与传统实验室服务相比,新的 POCT 服务的建立带来了独特且独特的挑战。在绿地医院中,所经历的困难更加复杂,但多学科合作和同行之间的信息交流过程允许高效开发高度有效的 POCT 部门。

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