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Pharmacy & lab

Point-of-Care Testing

In short

Testing done beside the patient rather than in the laboratory — glucometers, rapid kits, bedside analysers.

Category
Pharmacy & lab

Point-of-care testing produces a result where the patient is: a glucometer at the bedside, a rapid antigen kit in casualty, a blood-gas analyser in the ICU. The gain is time; the trade is that the test happens outside the laboratory's quality system unless someone deliberately extends that system to cover it.

Why it matters in a hospital

A point-of-care result is a clinical result and gets acted on like one, so it carries the same duty of care as a laboratory result while typically having less around it — no accessioning, often no recorded quality control, sometimes no permanent record at all beyond a number written on a chart. The failure mode is not a wrong reading but an untraceable one: a value acted on that nobody can later locate, attribute or verify. Deciding which point-of-care results become part of the record, and how, is the whole of the problem.

How Trisvio handles it

Trisvio records point-of-care values entered manually as observations against the patient, with who entered them and when. They do not pass through specimen accessioning or the two-stage verification that laboratory results do, and the record shows that difference rather than presenting both the same way.

Related

Related terms