Review Article| Volume 27, ISSUE 2, P397-410, June 2007

Resident Training in Point-of-Care Testing

      Although central laboratory testing has been the norm for the last few decades and point-of-care testing (POCT) is considered an emerging area, physicians were performing POCT long before the existence of central laboratory testing. As medical directors of POCT programs, pathologists need the basic knowledge and skills associated with directing laboratory-based testing programs as well as additional knowledge and skills about testing at the point of care. Although the essential elements of quality testing are the same for laboratory-based and POCT, the enormous variety of settings, technologies, and workers involved present unique challenges.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Clinics in Laboratory Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. National Cancer Institute. National Institutes of Health, Dictionary of Cancer Terms, Available at: http://www.cancer.gov/Templates/db_alpha.aspx?print=1&;cdrid=46590. Accessed December 27, 2006.

      2. Code of Federal Regulations. 42 CFR Part 943, Laboratory requirements, Available at: http://www.phppo.cdc.gov/clia/pdf/42cfr493_2004.pdf. Accessed December 27, 2006.

      3. College of American Pathologists. Commission on Laboratory Accreditation, Laboratory Accreditation Program, Point of Care Testing Checklist October 2006 Available at: http://www.cap.org/apps/docs/laboratory_accreditation/checklists/point_of_care_testing_october2006.doc. Accessed January 9, 2007.

      4. Joint Commission on Accreditation of Healthcare Organizations. Quality point of care testing: a joint commission handbook. Oak Brook Terrace, IL; Joint Commission Press: 1999.

      5. Henry JB, Kurec AS. The clinical laboratory: organization, purposes, and practice In: Henry JB, editor. Clinical Diagnosis and Management by Laboratory Methods, 20th edition. Philadelphia: W.B. Saunders.

      6. Wikipedia. Point of care testing. Available at: http://en.wikipedia.org/wiki/Point-of-care_test. Accessed January 9, 2007.

      7. College of American Pathologists. CLIA list of waived tests, updated October 18, 2006. Available at: http://www.cap.org/apps/docs/proficiency_testing/waived.html. Accessed January 9, 2007.

      8. Nichols J. Preparing for an inspection. EXCEL Program, College of American Pathologists, in press.

      9. US Food and Drug Administration. CLIA Categorization Requirements. Available at: http://www.fda.gov/cdrh/clia/categorization.html. Accessed January 12, 2007.

        • Nosanchuk J.S.
        • Keefner R.
        Cost analysis of point-of-care laboratory testing in a community hospital.
        Am J Clin Pathol. 1995; 103: 240-243
        • Howanitz P.J.
        • Jones B.A.
        Comparative analytical costs of central laboratory glucose and bedside glucose testing: a College of American Pathologists Q-Probes study.
        Arch Pathol Lab Med. 2004; 128: 739-745
      10. Nichols JH, editor. Evidence based practice for point-of-care testing: a National Academy of Clinical Biochemistry Laboratory Medicine Practice Guideline. Washington, DC: AACC Press; 2006.