Point-of-care testing. Cost issues and impact on hospital operations.
Advancing technology has allowed for the migration of laboratory testing from the central laboratory to the near-patient setting, leading ideally to a shorter therapeutic turnaround time. This potential benefit, however, comes with a price tag. Assessing the cost-benefit ratio on a per test basis cannot effectively be done in a generalized manner, because each hospital must evaluate this with respect to its own unique circumstances. There are, however, certain outcomes, such as decreased LOS and decreased blood-product usage that, if achieved, far outweigh the cost of POCT, justifying its use. Any hospital attempting to implement POCT must also realize that hospital operations are affected by such use and that adjustments and careful laboratory oversight are required.
Foster
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Division of Laboratory Medicine, Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri, USA.
Despotis
G
G
Scott
M G
MG
D003365:Costs and Cost Analysis; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006801:Humans; D007755:Laboratories, Hospital / Q000191:economics*; D013677:Medical Laboratory Science / Q000191:economics*; D019095:Point-of-Care Systems / Q000191:economics*; D011785:Quality Assurance, Health Care / Q000191:economics; D014481:United States