Chapter 25 : Management of Point-of-Care Testing

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Point-of-care testing (POCT) presents some of the most controversial and difficult laboratory management challenges. This chapter identifies how management of POCT differs from other types of laboratory testing. It describes cost factors in POCT and approaches for analysis of the costs of testing. One of the key initial steps in the management of POCT is the development of institutional goals. In developing the management structure for POCT, there are political issues that central administration and departmental leaders need to sort out. These include issues what department and who will direct testing, institutional priorities for POCT, and how costs and revenues will be assigned. The chapter explains how to operate a POCT program and to ensure the quality of testing. An important part of deciding whether a point-of-care test should be adopted is assessing its potential clinical impact. The chapter explains the challenges of implementing POCT in developing countries and the clinical benefit of POCT. One of the greatest challenges and a key to making POCT work is training and assurance of the competency of staff. The challenges of conducting quality POCT in developed countries with established hospital infrastructures are magnified when performed in the context of a developing country or rural setting. The chapter discusses how technological advances are driving change in the scope of POCT. Ongoing advances in the microfabrication of devices and in nanotechnology provide the promise of substantial future technological change and further reduction in the size of POCT devices.

Citation: Hortin G, Doern C. 2014. Management of Point-of-Care Testing, p 471-487. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch25
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Table 25.1

Management challenges of POCT

Citation: Hortin G, Doern C. 2014. Management of Point-of-Care Testing, p 471-487. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch25
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Table 25.2

Goals of management of POCT

Citation: Hortin G, Doern C. 2014. Management of Point-of-Care Testing, p 471-487. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch25
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Table 25.3

Common advantages and disadvantages of POCT versus central laboratory testing

Citation: Hortin G, Doern C. 2014. Management of Point-of-Care Testing, p 471-487. In Garcia L (ed), Clinical Laboratory Management, Second Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817282.ch25

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