即时血糖检测仪操作人员能力：一份评估清单。
Glucose point-of-care meter operators competency: An assessment checklist.
作者信息
Tang Friesner Cindy, Meyer Julien, Nippak Pria
机构信息
School of Health Services Management, Ryerson University, Toronto, Ontario, Canada.
Department of Laboratory Services, Scarborough Health Network (SHN), Toronto, Ontario, Canada.
出版信息
Pract Lab Med. 2020 Mar 5;20:e00157. doi: 10.1016/j.plabm.2020.e00157. eCollection 2020 May.
BACKGROUND AND OBJECTIVES
Glucose point-of-care testing meters are essential technology ubiquitous in hospitals. They are operated by non-specialized staff who are assessed through an auto-recertification process that is dependent on operators successfully producing expected outcomes. Alternatively, we suggest that operator practices be directly observed using a competency assessment checklist.
METHOD
We designed a checklist based on literature and manufacturers' instructions and tested it by observing 30 operators at two sites (three hospitals) over two months in 2018.
RESULTS
Despite all operators being auto-recertified, the checklist revealed that only 20% met the 80% threshold of compliance to standards. Moreover, the site with a POCT coordinator had a compliance rate of 82% versus 67% for the site that did not.
DISCUSSION
The checklist is more reliable than auto-recertification in assessing operators' competence. It also highlights areas for process improvement and provides an opportunity to give personalized feedback to operators.
背景与目的
即时检测血糖仪是医院中普遍使用的重要技术。这些血糖仪由非专业人员操作，他们通过自动重新认证程序进行评估，该程序依赖于操作人员成功产生预期结果。另外，我们建议使用能力评估清单直接观察操作人员的操作规范。
方法
我们根据文献和制造商说明设计了一份清单，并于2018年在两个地点（三家医院）对30名操作人员进行了为期两个月的观察测试。
结果
尽管所有操作人员都通过了自动重新认证，但清单显示只有20%的人达到了80%的标准合规阈值。此外，设有即时检测协调员的地点合规率为82%，而没有该协调员的地点合规率为67%。
讨论
在评估操作人员的能力方面，清单比自动重新认证更可靠。它还突出了流程改进的领域，并为向操作人员提供个性化反馈提供了机会。
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