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Point-of-care (POC) or with-patient testing allows physicians and medical staff to accurately achieve real-time, lab-quality diagnostic results within minutes rather than hours. Through the use of portable blood analyzers, testing at the “point of care” streamlines the diagnostic process and helps ensure patients receive the most effective and efficient care when and where it is needed.
POC testing enables staff to make rapid triage and treatment decisions when diagnosing a patient’s condition or monitoring a treatment response. By simplifying the testing process, clinicians can focus on what matters most—providing effective, quality patient care.
With-patient testing offers benefits that extend beyond the bedside. It allows users to improve efficiencies and productivity; simplify processes and procedures; comply with regulatory and performance mandates; and reduce staff burden by bringing the focus back where it belongs: on the patient.
Recent advances have greatly expanded the capabilities of POC testing systems. In addition to offering a growing menu of tests, devices can transmit results wirelessly and in real-time to the patient's electronic medical record for physician review. Some systems have been updated with features designed to help hospitals better manage their POC testing programs and ensure compliance with changing laboratory regulations.
Rapid turnaround of test results is vital to decision-making across a range of healthcare settings. By having access to key test results on the spot, clinicians gain greater control in evaluating and responding to a patient’s ever-changing condition.
Emergency room overcrowding can present problems, including extensive wait times, prolonged patient suffering, patients leaving without seeing a physician, treatment delays for time-sensitive illnesses, and patient dissatisfaction with care. Many EDs are pressured by guidelines specifying accelerated evaluation for patients presenting with specific complaints, including fever, chest pain, and abdominal pain. Implementing with-patient testing may help expedite patient triage by accelerating the availability of critical diagnostic test information, improve patient flow, shorten door-to-disposition times, and reduce length of stay.
Critical-care settings, including the ICU and neonatal ICU are responsible for the management of life-threating conditions where actionable real-time patient monitoring is imperative. The need to meet established patient safety protocols while reducing the costs associated with prolonged patient treatments also have an impact. By reducing the number of complex steps in the blood-testing process, with-patient testing reduces the potential for errors, accelerates availability of critical test information to help expedite diagnosis and disposition of patients and helps to improve department efficiency.
Clinical guidelines and facility-determined patient-care protocols create a demand for rapid availability of laboratory testing results. With limited skilled resources and mounting financial pressure, hospital laboratories are under unprecedented pressure to perform quickly. Adoption of POC testing can help relieve pressure on lab technicians by reducing the number of test requests and telephone call-back procedures, thereby freeing them from routine testing, allowing them to focus on more complex, time-consuming tests and high-volume, reference-lab testing.
Medical facilities beyond the hospital are increasingly adopting POC testing. Examples include urgent care centers, surgery centers, imaging centers, family practices, long-term care facilities, cardiology practices, outpatient clinics, emergency medical services and the U.S. military.
In addition to the obvious benefits to medical staff and patients, there are economic benefits that can result from the adoption of a with-patient testing platform. Improved efficiencies and productivity, simplified processes and procedures, as well as decreased specimen packaging and transportation time can lower the total cost of care. While up to 70% of medical decisions are based on laboratory tests1, they only account for between 3-6% of total patient-care costs. Costs of POC testing, compared to core laboratory testing (whether centralized or outsourced), can provide even greater decision-making and greater savings.2
Rapid turnaround times, improved decision times, and time-critical decision-making can result in total savings between 8-20% of laboratory costs for facilities that implement POC testing.2 The savings realized due to the decreased cost of waiting for results can be as much as $260USD (€148) per patient.3 For those that implement POC testing, waiting can improve by as much as 46 minutes per patient.4Read full article
1.Forsman, Rodney W. “Why is the laboratory an afterthought for managed care organizations?” Clinical Chemistry Volume 42:5, (1996) 813-8162.
2. Schilling UM. The economic benefits of point-of-care testing. Hospital Healthcare Europe, special supplement. www.hospitalhealthcare.com
3. Schilling UM, Rönnersten A. Laboratory sampling according to triage – how much does it cost? SJTREM 2010;18(Suppl 1):P19.
4. Storrow A, Lyon JL, Porter M. A systematic review of emergency department point-of-care cardiac markers and efficiency measures. Point Care 2009;8:121–5.
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