Point-of-care laboratory testing in critical care

American Journal of Critical Care

Volumn 8, Issue 2, 1999, Pages 72-83

  Harvey, Maurene A ^a  

^a Critical Care Inc   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE COST; HEALTH CARE PLANNING; HOSPITAL INFORMATION SYSTEM; HUMAN; INTENSIVE CARE; METHODOLOGY; ORGANIZATION AND MANAGEMENT; REVIEW; SOCIAL CONTROL; STATISTICS; TIME; UNITED STATES;

CRITICAL CARE; FACILITY REGULATION AND CONTROL; HEALTH CARE COSTS; HEALTH PLAN IMPLEMENTATION; HUMANS; POINT-OF-CARE SYSTEMS; TIME FACTORS; UNITED STATES;

EID: 0033090503     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: 10.4037/ajcc1999.8.2.72     Document Type: Article

References (81)

1. Handorf CR, ed. Alternative site laboratory testing. Clin Lab. Med. 1994;14(3):451-670.
2. Kost GJ. Guidelines for point-of-care testing: improving patient outcomes. Am J Clin Pathol. 1995;104(4 suppl 1):111S-127S.
3. Woo J, Henry JB. The advance of technology as a prelude to the laboratory of the twenty-first century. Clin Lab Med. 1994;14:459-471.
4. Bachner P. Alternate site testing: the old and new paradigm or the past is prologue. Arch Pathol Lab Med. 1995;119:881-885.
5. Bayne CG. Pocket-sized medicine: new POC technologies. Nurs Manage. 1997;28(8):30-32.
6. Point-of-care laboratory testing: is decentralized testing the best alternative for your hospital? Health Devices. 1995;24:173-207.
7. Antman EM, Grudzien C, Sacks DB. Evaluation of a rapid bedside assay for detection of serum cardiac troponin T. JAMA. 1995;273:1279-1282.
8. Becker RC. Exploring the medical need for alternate site testing. Arch Pathol Lab Med. 1995;119:894-897.
9. Despotis GJ, Santoro SA, Spitznagel E, et al. Prospective evaluation and clinical utility of on-site monitoring of coagulation in patients undergoing cardiac operation. J Thorac Cardiovasc Surg. 1994;107:271-279.
10. Whole blood coagulation analyzers. Health Devices. 1997;26:296-332.
11. Estey CA, Felder RA. Clinical evaluation of serial blood processing at point-of-care. Clin Chem. 1997;43:360-362.
12. Gilbert HC, Vender JS. The current status of point-of-care monitoring. Int Anesthesiol Clin. 1996;34:243-261.
13. Jacobs E, Nowakowski M, Colman N. Performance of Gem Premier blood gas/electrolyte analyzer evaluated. Clin Chem. 1993;39:1890-1893.
14. Jacobs E, Vadasdi E, Sarkozi L, Colman N. Analytical evaluation of i-STAT Portable Clinical Analyzer and use by nonlaboratory health-care professionals. Clin Chem. 1993;39:1069-1074.
15. Khastgir T, Lustgarten J, Bassin A, et al. Advantages of bedside lactate determination: a prospective comparative trial [abstract]. Crit Care Med. 1992;20:36S.
16. Kollef MH, Eisenberg PR. A rapid qualitative assay to detect circulating endotoxin can predict the development of multiorgan dysfunction. Chest. 1997;112:173-180.
17. Macik BG. Designing a point-of-care program for coagulation testing. Arch Pathol Lab Med. 1995;119:929-938.
18. Mock T, Morrison D, Yatscoff R. Evaluation of the i-STAT system: a portable chemistry analyzer for the measurement of sodium, potassium, chloride, urea, glucose and hematocrit. Clin Biochem. 1995;28:187-192.
19. Mach F, Lovis C, Chevrolet JC, et al. Rapid bedside whole blood cardiospecific troponin T immunoassay for the diagnosis of acute myocardial infarction. Am J Cardiol. 1995;75:842-845.
20. Oberhardt BJ. Thrombosis and hemostasis testing at the point of care. Am J Clin Pathol. 1995; 104(4 suppl 1):72S-78S.
21. Reich DL, Yanakalkis MJ, Vela-Cantos FP, et al. Comparison of bedside coagulation monitoring tests with standard laboratory tests in patients after cardiac surgery. Anesth Analg. 1993;77:673-679.
22. Silver MJ, Juhran H, Stein S, et al. Evaluation of a new blood-conserving arterial line system for patients in intensive care units. Crit Care Med. 1993;21:507-511.
23. Shelledy DC, Smith WA. A comparison of the i-STAT system and Corning 278 for the measurement of arterial blood gas values. Respir Care. 1997;42:693-697.
24. Wahr JA, Lau W, Tremper KK, Hallock L, Smith K. Accuracy and precision of a new, portable, handheld blood gas analyzer, the IRMA. J Clin Monit. 1996;12:317-324.
25. Wong RJ, Mahoney JJ, Harvey JA, Van Kessel AL. Stat Pal II pH and blood gas analysis system evaluated. Clin Chem. 1994;40:124-129.
26. Zaloga GP. Evaluation of bedside testing options for the critical care unit. Chest. 1990;97(5 suppl):185S-190S.
27. Zaloga GP, Roberts PR, Black K, Santamauro JT, Klase E, Suleiman M. Hand-held blood gas analyzer is accurate in the critical care setting. Crit Care Med. 1996;24:957-962.
28. Blood gas/pH analyzers. Health Devices. 1995;24:208-243.
29. Jones BA, Howanitz PJ. Bedside glucose monitoring quality control practices: a College of American Pathologists Q-Probes study of program quality control documentation, program characteristics, and accuracy performance in 544 institutions. Arch Pathol Lab Med. 1996;120:339-345.
30. Rumley AG. Improving the quality of near-patient blood glucose measurement. Ann Clin Biochem. 1997;34:281-286.
31. Watts NB. Reproducibility (precision) in alternate site testing: a clinician's perspective. Arch Pathol Lab Med. 1995;119:914-917.
32. Werner M, Gallagher JV, Ballo MS, Karcher DS. Effect of analytic uncertainty of conventional and point-of-care assays of activated partial thromboplastin time on clinical decisions in heparin therapy. Am J Clin Pathol. 1994;102:237-241.
33. Fraser CG. Desirable performance standards for impression and bias in alternate sites: the view of laboratory professionals. Arch Pathol Lab Med. 1995;119:909-913.
34. Zaloga GP, Dudas L, Roberts P, Bortenschlager L, Black K, Prielipp R. Near-patient blood gas and electrolyte analyses are accurate when performed by non-laboratory-trained individuals. J Clin Monit. 1993;9:341-346.
35. Geyer SJ. Alternate site testing: the decision-making process. Arch Pathol Lab Med. 1995;119:907-908.
36. Zimmerman JE, Seveff MG, Sun X, Wagner DP, Knaus WA. Evaluating laboratory usage in the intensive care unit: patient and institutional characteristics that influence frequency of blood sampling. Crit Care Med. 1997;25:737-748.
37. Kost GJ, Hague C. The current and future status of critical care testing and patient monitoring. Am J Clin Pathol 1995;104(4 suppl 1):2S-14S.
38. Lamb LS. Responsibilities in point-of-care testing: an institutional perspective. Arch Pathol Lab Med. 1995;119:886-889.
39. Shirey TL. Critical care profiling for informed treatment of severely ill patients. Am J Clin Pathol. 1995;104(4 suppl 1):79S-87S.
40. Steindel SJ. Timeliness of clinical laboratory tests: a discussion based on five American Pathologists Q-Probe studies. Arch Pathol Lab Med. 1995;119:918-923.
41. Howanitiz PJ, Cembrowski GS, Steindel SJ, Long TA. Physician goals and laboratory test turnaround times: a College of American Pathologists Q-Probes study of 2763 clinicians and 722 institutions. Arch Pathol Lab Med. 1993;117:22-28.
42. Statland BE, Brzys K. Evaluating STAT testing alternatives by calculating annual laboratory costs. Chest. 1990;97(5 suppl):198S-203S.
43. Bailey TM, Topham TM, Wantz S, et al. Laboratory process: improvement through point of care testing. Jt Comm J Qual Improv. 1997;23:362-380.
44. Simpson RL. Point-of-care technology: a new perspective. Nurs Manage. 1997;28(8):16.
45. Chernow B. Blood conservation in critical care: the evidence accumulates. Crit Care Med. 1993;21:481-482.
46. Fleisher M, Schwartz MK. Automated approaches to rapid-response testing: a comparative evaluation of point-of-care and centralized laboratory testing. Am J Clin Pathol. 1995;104(4 suppl 1):18S-25S.
47. Auerbach DM. Alternate site testing: information handling and reporting issues. Arch Pathol Lab Med. 1995;119:924-925.
48. Belanger AC. Alternate site testing: the regulatory perspective. Arch Pathol Lab Med. 1995;119:902-906.
49. College of American Pathologists, Commission on Laboratory Accreditation. Laboratory general checklist. In: Inspection Checklists for Laboratory Accreditation with Commentary. Northfield, Ill: College of American Pathologists; 1998:sect I:1-56.
50. College of American Pathologists. Inspection Checklist for Ancillary Testing. Northfield, Ill: College of American Pathologists; 1993.
51. Fuhrman SA, Travers EM, Handorf CR. The mobile laboratory in alternative site testing. Arch Pathol Lab Med. 1995;119:939-942.
52. Handorf CR. Assuring quality in laboratory testing at the point of care. Clin Chim Acta. 1997;260:207-216.
53. Handorf CR. College of American Pathologists Conference XXVII on Alternative Site Testing. Arch Pathol Lab Med. 1995;119:867-873.
54. Joint Commission on Accreditation of Healthcare Organizations. Accreditation Manual for Hospitals. Oakbrook Terrace, Ill: Joint Commission on Accreditation of Healthcare Organizations; 1994.
55. Miller KA, Miller NA. Joining forces to improve point-of-care testing. Nurs Manage. 1997;28(8):34-37.
56. Cooney MM. Managed health care: managing the risks of laboratory testing in an integrated delivery system. Am J Clin Pathol. 1995;104(4 suppl 1):50S-53S.
57. Kelly JT. Role of clinical practice guidelines and clinical profiling in facilitating optimal laboratory use. Clin Chem. 1995;41:1234-1236.
58. Kost GJ. Point-of-care testing, the hybrid laboratory knowledge optimization. In: Handbook of Clinical Automation Robotics and Optimization. New York, NY: Wiley & Sons; 1996:767-836.
59. Jacobs E, Laudin AG. The satellite laboratory and point-of-care testing: integration of information. Am J Clin Pathol. 1995;104(4 suppl 1):33S-39S.
60. Castro HJ, Oropello JM, Halpern N. Point-of-care testing in the intensive care unit: the intensive care physician's perspective. Am J Clin Pathol. 1995;104(4 suppl 1):95S-99S.
61. Keffer JH. Point-of-care testing and length of stay. Clin Chem. 1997;43:859-860.
62. Tsai WW, Nash DB, Seamonds B, Weir GJ. Point-of-care versus central laboratory testing: an economic analysis in an academic medical center. Clin Ther. 1994;16:898-910.
63. Sands VM, Auerbach PS, Birnbaum J, Green M. Evaluation of a portable clinical blood analyzer in the emergency department. Acad Emerg Med. 1995;2:172-178.
64. Herr DM, Newton NC, Santrach PJ, Hankins DG, Burritt MF. Airborne and rescue point-of-care testing. Am J Clin Pathol. 1995;104(4 suppl 1):54S-58S.
65. Goodnough LT, Soegiaroso W, Birmkeyer JD, Welch HG. Economic impact of inappropriate blood transfusions in coronary artery bypass graft surgery. Am J Med 1993;94:509-514.
66. Keffer JH. Economic considerations of point-of-care testing. Am J Clin Pathol. 1995;104(4 suppl 1):107S-110S.
67. Lindsley J, Eble JN. Cost analysis of point-of-care laboratory testing in a community hospital [letter]. Am J Clin Pathol. 1995;104:107-108.
68. Nosanchuk JS, Keefher R. Cost analysis of point-of-care laboratory testing in a community hospital. Am J Clin Pathol. 1995;103:240-243.
69. Cresce RP, Phillips DL, Howanitz PJ. Financial justification of alternate site testing. Arch Pathol Lab Med. 1995;119:898-901.
70. Frankel HL, Rozycki GS, Ochsner MG, et al. Minimizing admission laboratory testing in trauma patients: use of a microanalyzer. J Trauma. 1994;37:728-736.
71. Roberts D, Ostryzniuk P, Loewin E, et al. Control of blood gas measurements in intensive-care units. Lancet. 1991;337:1580-1582.
72. Parvin CA, Lo SF, Deuser SM, Weaver LG, Lewis LM, Scott MG. Impact of point-of-care testing on patients' length of stay in a large emergency department. Clin Chem. 1996;42:711-717.
73. Krenzischek DA, Tanseco FV. Comparative study of bedside and laboratory measurement of hemoglobin. Am J Crit Care. 1996;5:427-432.
74. Ehrmeyer SS, Laessig RH. Regulating requirements (CLIA '88, JCAHO, CAP) for decentralized testing. Am J Clin Pathol. 1995;104(4 suppl 1):40S-49S.
75. US Department of Health and Human Services. Categorization of tests and personnel modifications. Federal Register. 1995;60:20035-20051.
76. US Department of Health and Human Services. Specific list for categorization of laboratory test systems, assays, and examination by complexity. Federal Register. 1995;60:25944-25976.
77. Felder RA. Robotics and automated workstations for rapid response testing. Am J Clin Pathol. 1995;104(4 suppl 1):26S-32S.
78. Green M. Successful alternatives to alternate site testing: use of a pneumatic tube system to the central laboratory. Arch Pathol Lab Med. 1995;119:943-947.
79. Kost GJ. The hybrid laboratory: the clinical laboratory of the 1990s is a synthesis of the old and the new. Arch Pathol Lab Med. 1992;116:1002-1003.
80. McDonald JM, Smith JA. Value-added laboratory medicine in an era of managed care. Clin Chem. 1995;41:1256-1262.
81. Lamb LS, Parrish RS, Goran SF, Biel MH. Current nursing practice of point-of-care laboratory diagnostic testing in critical care units. Am J Crit Care. 1995;4:429-434.