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Importance of Point of Care Testing
Importance of Point of Care Testing
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I. Introduction When patients are in the hospital, they are often tested for many diseases and conditions. In fact, many hospitals have clinical testing areas and labs for testing saliva blood, and urine. However, these labs require a large amount of manpower and time to test samples, collect data, and analyze results. POCT (Point-of-Care Testing) is bedside testing for patients. Although POCT technologies provide many benefits such as, reduced testing time, decreased turnaround time, increased portability, and produced more accurate results, high costs have inhibited many facilities from purchasing and using POCT technologies. Finding a way to reduce the cost of POCT technologies could save many lives t hrough the aforementioned processes. …show more content…
POCT is bedside, or point-of-care, testing for patients. This type of testing produces faster results, and this facilitates faster treatment. POCT devices come in different types, but can be split into two main categories, small handheld devices and larger bench top devices, which are essentially laboratory instruments which have been reduced in both size and complexity (John and Price 155). Research by John and Price has demonstrated that, POCT is research intensive in the hospital setting and will typically carry a higher cost per test (John and Price 63). However, it is also mentioned that POCT has a lower overall cost, due to the manpower a nd time needed for CLT. Many POCT technologists are now working towards making POCT technology fully automated to reduce the cost of individual tests. This is significant because one of the best locations of for POCT use is rural hospitals. In rural hospitals there are not a large number tests performed, making the cost of POCT technology greater than the benefit. Some of the benefits Abel states are, that POCT can reduce the cost and time of stay for hospital visits (Abel 853). Expedited treatment would lead to shorter stay, and fewer unnecessary tests performed, which are both positive improvements that can be made to current healthcare services. The usage of POCT could improve the rate of care; however, cost demands would have to be improved for POCT to be …show more content…
The second solution is good, but it does not equally allow use of PCT technology for all. Only bigger centralized hospitals would have access to POCT technology, when smaller rural hospitals are in more dire need of such technology. The third solution is universally pleasing; however, it is not practical. The money to fund such a proposal is non-existent, making the solution impossible. The first solution is the best because it evaluates which POCT tests are worth the cost. Allowing both smaller rural, and larger urban hospitals to enjoy the benefits of POCT technology. In this way, the first solution provides universal
In conclusion, I found the lab session very informative and helpful in completing the Denison Hospital case assignment. It was particularly helpful in inputting the formula equations into the excel spreadsheet in order to answer the requirement questions of each section within the case study. Therefore, I look forward to future lab sessions on the assignments for Stratton Township Park and City of
BioPatch, and alternatives like Tegaderm CHG, are an important first step in helping prevent catheter-related bloodstream infections (CBIs). As CBIs rank among the most frequent and potentially lethal nosocomial infections, the need for a device to cut down infections at the insertion site has increased. The growing numbers of infections has driven companies to consider a three-tiered approach: a maximal aseptic barrier at insertion, proper site maintenance, and hub protection. With BioPatch and alternative products catheter sites receive that maximal aseptic barrier to prevent bacteria growth.
The pros of the CPOE system included that the prescribing of wrong medications was reduced, there were fewer errors with the patient’s basic information, orders for lab work, blood work, and medications were standardized; and mistakes in the ordering...
Cerner appears to align more with MU requirements with user-friendly software. However, the cost of Cerner Millennium Powerchart is significantly more. Nonetheless, Cerner is proving to be superior in community hospitals. SMC wants to develop multiple services to the nearby community. After implementation, SMC plans to expand the healthcare campus with a substantial grant from a local community member. The multiphase
Decontamination packing and sterilization of surgical instrumentation. 2. Prosing and reposing of procedures reusable medical devices. 3. Cleaning testing assembly, and distribution of movable patient care equipment.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
87). This study took a quantitative approach to show how the implementation of a fast track unit operated by a physician assistant could help to improve wait times for all acuity patients and improve length of stay for lower acuity patients (Theunissen, Lardenoye, Hannemann, Gerritsen, Brink, & Poeze, p. 87). There is a literature review under the heading of introduction included in this article and a theoretical framework is also present; however, most resources that were cited are greater than 5 years old (Theunissen, Lardenoye, Hannemann, Gerritsen, Brink, & Poeze, p. 87-88). Experimental design was used with this study since it examined the implementation of the fast track unit and then evaluation of the effects it had on wait times and length of stay (Keele, p. 41). A power analysis was used to determine sample size needed to show changes of 15 minutes or more in length of stay and wait times (Theunissen, Lardenoye, Hannemann, Gerritsen, Brink, & Poeze, p. 89). The extraneous variables are number of complaints, mortality, acuity level, and presence of complex problems (Theunissen, Lardenoye, Hannemann, Gerritsen, Brink, & Poeze, p. 88-89). The data was collected from the E-care automated information system for emergency departments (Theunissen, Lardenoye,
...ntroduction of these two initiatives, there has been documented evidence of reduced incidences. Unfortunately, the human factor is still and will always be an issue. Success in clinical environments will only come if these tools are implemented and used properly, not just as “a tick box exercise” (Featherstone, et al., 2010).
reimbursement determinations. As a result, the camaraderie among physicians has developed into a more aggressive approach to impede competition (Shi & Singh, 2012). Little information is shared with patients in regards to procedures or disease control. The subjects are forced to rely on the internet for enlightenment on the scope of their illnesses (Shi & Singh, 2012). Furthermore, the U.S. health care system fails to provide adequate knowledge on billing strategies for operations and other medical practices. The cost in a free system is based on supply and demand and is known in advance of hospital admission (Shi & Singh, 2012). The need for new technology is another characteristic that is of interest when considering the health care system. Technology is often v...
There have been an incidents of prolonged hospital stay due to central line infections putting patients at risk for mortality, morbidity, and increase in medical cost. When central lines are placed at bedside or in interventional radiology, the inserter is required to document the steps and sterile procedure that took place in the electronic health record. Furthermore, with weekly and as needed dressing changes, nurses are required to use central line bundles and document what was used (ex: Chloraprep, biopatch, tegaderm, etc.) to track how the dressing was done. From these documented records, staff can gather data and measure the compliance of sterile procedure. Additionally, if a patient with a central line develops a fever without an unknown cause physician will order blood culture from the central line if catheter-related infection is suspected. If the test comes back positive, the team will initiate antibiotics immediately. By integrating electronic health records it can assist in CLABSI prevention strategies, raise the standard for best practices, and essentially reduce central line infections. With the quarterly results of CLABSI in our unit, CVC committee have re-educated the staff on appropriate dressing changes using sterile technique, transitioned to a different end
The Joint commission, is a private agency with considerable power over healthcare institutions in that it performs certain responsibilities yet it is outside of the government. One of the Joint commission’s roles is monitoring quality in hospital services. This includes monitoring that standards are met in hospital laboratories. It is also responsible for auditing logs and confirming that instrumentation calibration is keep to standards. JCAHO is also well known for announcing their arrival for inspection in a few days to surprise inspections. In many cases this
Each patient should experience the shortest wait possible for care with prompt sharing of test results. The inability to effectively manage time throughout the care experience reflects poorly on the one providing care, be it an individual or an institution. Timeliness also involves spending an appropriate amount of time with the patient (Institute of Medicine, 2001). The balance of time is difficult to spite current practices, and the APN will continue to face critique based on the timeliness of care.
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.
Westgard, J. O. (2013). Perspectives on Quality Control, Risk Management, and Analytical Quality Management. Clinics in Laboratory Medicine, 33(1), 1-14.
Technology has changed modern society drastically, both positively and negatively. Technology has influenced every aspect of our life, making it simpler but not necessarily better. Albert Einstein was concerned about the advancement of technology. "I fear the day that technology will surpass our human interaction."1 Undoubtedly, what has changed the most are communication, the spread of information, and how business is practiced. Consequently, practically everyone knows how to use a computer, connect to the Internet, or use a smartphone. This is demonstrated by the way the Internet is used daily by millions of people to communicate, to sell, advertise, retrieve, and share information. Thanks to the Internet, information from anywhere in the world is at our fingertips. As a result, the advancement of technology has changed our life in many ways including; sharing of information, communication, business, education, social interaction, simplifying everyday tasks, replacing basic skills and jobs.