Shaw Julie L V
Division of Biochemistry, The Ottawa Hospital, Eastern Ontario Regional Laboratories Association, Department of Pathology and Laboratory Medicine, The University of Ottawa, Ontario, Canada.
EJIFCC. 2021 Oct 18;32(3):298-302. eCollection 2021 Oct.
Point-of-care testing (POCT) refers to diagnostic testing performed outside of the central laboratory, near to the patient and often at the patient bedside. This testing is generally performed by clinical staff who are not laboratory trained and, as such, often do not appreciate the importance of quality assurance (QA) activities aimed at ensuring the quality of testing performed. Within hospital environments, it is typically the central laboratory that oversees POCT and that ensures QA practices are in-place. Audits for compliance of POCT users with policies and procedures in place are key to informing quality improvement initiatives. Here, audit and follow-up data and the results from three quality improvement initiatives are discussed. These examples demonstrate where QA audit practices led to a reduction in POCT errors and improved the quality of result interpretation.
即时检验（POCT）是指在中心实验室之外、靠近患者且通常在患者床边进行的诊断检测。这种检测一般由未经实验室培训的临床工作人员进行，因此，他们往往没有意识到旨在确保检测质量的质量保证（QA）活动的重要性。在医院环境中，通常由中心实验室监督即时检验，并确保质量保证措施落实到位。对即时检验使用者遵守现有政策和程序情况的审核是推动质量改进举措的关键。本文讨论了审核及后续数据以及三项质量改进举措的结果。这些实例表明了质量保证审核措施在何处减少了即时检验错误并提高了结果解读的质量。
