Belsey R, Morrison J I, Whitlow K J, Baer D M, Nelson S, Hardwick D F
JAMA. 1987 Sep 25;258(12):1634-8.
The scope and magnitude of bedside testing by personnel without formal laboratory training have recently increased. There has been some question about the reliability of bedside test results produced by nurses, physicians, and other ward staff that are used in clinical decisions. Glucose testing is currently the most widely performed bedside test. Because of the likelihood that the use of bedside testing will increase in the future, this article discusses various issues concerning bedside glucose analysis, including the scope of such testing, staff responsibilities, training and supervision, testing frequency, work flow and result reporting, and the reliability of bedside glucose results, in three institutions. We also suggest an approach to bedside testing quality management.
近期，未经正规实验室培训的人员进行床边检测的范围和规模有所增加。护士、医生和其他病房工作人员所做的用于临床决策的床边检测结果的可靠性存在一些问题。目前，血糖检测是应用最为广泛的床边检测项目。鉴于未来床边检测的使用可能会增加，本文探讨了三个机构中有关床边血糖分析的各种问题，包括此类检测的范围、工作人员职责、培训与监督、检测频率、工作流程和结果报告，以及床边血糖结果的可靠性。我们还提出了一种床边检测质量管理方法。
