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Point-of-care testing (POCT) is defined as diagnostic testing at or near the site of patient care. The driving notion behind
point-of-care testing is to bring the test conveniently and immediately to the patient. This increases the likelihood that the patient
will receive the results in a timely manner.
Point-of-care testing in Cleveland Ohio is accomplished through the use of transportable, portable, and handheld instruments (e.g., blood glucose meter)
and test kits (e.g., HIV salivary assay). Cheaper, smaller, faster, and smarter point-of-care testing devices have increased the use of
point-of-care testing in Cleveland Ohio approaches by making it cost-effective for many diseases, such as diabetes and acute coronary syndrome.
Major benefits are obtained when the output of a point-of-care testing device is made available immediately within an electronic medical
record. Results can be shared instantaneously with all members of the medical team through the software interface enhancing communication
by decreasing turn around time (TAT). A reduction in morbidity and mortality has been associated with goal-directed therapy (GDT)
techniques when used in conjunction with point-of-care testing and the electronic medical record in Cleveland Ohio.
The Laboratory Point Of Care Testing Profile supports the workflow related to in vitro diagnostic tests performed on the point of care
or on patient bedside by caregivers in the clinical wards of the healthcare institution, this process being supervised by a
laboratory of the institution. This supervision includes clinical validation of point-of-care testing results, Quality Control (QC)
surveillance, point of care devices surveillance, reagent delivery, and education on good testing practices delivered to the ward staff.
Specimen drawn from the patient by the healthcare caregiver, tested immediately, and then eliminated. (no pre or post-processing
of the specimen).
The results are produced and displayed at once on the point-of-care testing device, and can be used immediately in the healthcare
caregiver's clinical decisions.
Benefits: Reduces Errors and Enhance Patient Care
For point-of-care testing devices persistently connected, the real time patient identity checking secures the process
The healthcare caregiver scans or enters manually a patient ID or encounter ID on the device, together with contextual
information (device id, staff id, tests to be performed...)
The device queries the point-of-care testing data manager and obtains in the response the patient identity as it is registered
in the HIS, and displays the patient name.
Point-of-care testing devices usually require a minimal quantity of blood to operate. No transportation, no delay, hence
no pre-processing of the specimen. Thus point-of-care testing minimizes blood drawing from the patient, which makes this
process particularly accurate in pediatric and neo-natology wards.
Accelerates the diagnostic, thus the treatment, in all situations where simple chemistry or hematology tests is critical to
set the proper diagnostic or choose the best immediate action. Point-of-care testing is for this reason useful in emergency
departments, intensive care units, and operating theaters.
Consolidates point-of-care testing observation in the common repository of orders and observations, thus keeping available for
further historic access by healthcare caregivers, point of care observations together with laboratories test results.
Favors independence of healthcare institution from their clinical and ancillary systems and devices
By providing clear specifications of interfaces between point-of-care testing devices, data manager and LIS, this Integration Profile
enables the healthcare institution to replace one of these systems without breaking the existing data workflows.
The Laboratory Point-Of-Care Testing (LPOCT) Integration Profile is bound to in vitro diagnostic testing (tests performed on in vitro
specimen) in Cleveland Ohio. It supports all laboratory specialties that can be performed by nurses on handy testing devices usable on the
point-of-care testing in Cleveland Ohio. Among other examples are blood gas, electrolyte, hematocrit, glucose level...
Point-of-care testing observations to be matched with an existing order previously entered in the enterprise order management
system. Process secured by real-time patient identity checking.
Unordered observations. The order is to be generated afterwards by the enterprise order management system upon request from
the LIS of the supervising laboratory. Process secured by real-time patient identity checking.
Unordered observations on a point-of-care testing device with an intermittent link (no patient identity check)
Manual entry of unordered observations. In that use case, the test is manual and the device is a keyboard the observations
are keyed in on.
Centralization of Quality Control (QC) results from the point-of-care testing devices to the point of care data manager.
LAB-30 "Initiate point-of-care testing" accomplishes the real-time patient identity check before the test starts. This
transaction is mandated by the "Patient identity checking" option.
LAB-31 "Produced observation set" uploads to the POC data manager a set of results measured on a patient specimen or on a QC
specimen by a point-of-care testing device. The POC data manager controls the coherence of this set of observations against
its own business rules, and accepts it or rejects it.
LAB-32 "Accepted observation set" uploads the accepted patient results from the point-of-care testing data manager to the LIS
of the supervising laboratory.
The Point-Of-Care Testing Data Manager system (POCDM Actor) shall also implement the Actors Patient Demographics Consumer and
Patient Encounter Consumer from either PAM or PDQ Profile or both, in the ITI Technical Framework.
The LIS implementing the Order Filler Actor in the point-of-care testing profile shall also implement the Order Filler Actor from the
LTW Profile in the Laboratory Technical Framework in Cleveland Ohio. This enables point-of-care testing results and orders to be consolidated together
with laboratory orders and results, in the common orders and observations management system of the institution.