title: Guidelines for point-of-care testing: haematology.
abstract: This guideline provides a framework for the arrangement of point-of-care testing (POCT) services, previously known as near patient testing (patient self-testing not covered). POCT is defined as any analytical test performed outside the laboratory. Primary users are often non-laboratory healthcare workers. The guidance applies to units within hospitals as well as general practioner surgeries, community clinics and pharmacies. The head of the haematology laboratory or a point of care coordinator must take responsibility for all aspects of the POCT service, including quality and training. Depending on the size and nature of the POCT practice, a local POCT manager may also be required. Equipment selected should have received a successful independent performance evaluation. If an independent evaluation has not been performed the purchaser should assess the device according to the protocol in this document. POCT devices should generate results that are comparable to those of the local laboratory. An accredited external quality assessment programme and internal quality control system must be established. Manufacturers promoting POCT devices designed for non-laboratory sites, e.g. pharmacies, should undertake training and annual competency assessment, perhaps using a web-based system. A diagram to illustrate the stages for the implementation of a POCT service is illustrated.
authors.affiliation: Department of Haematology, University College London Hospital, UK. carolbriggs@hotmail.com
authors.forename: Carol
authors.initials: C
authors.lastname: Briggs
authors.forename: David
authors.initials: D
authors.lastname: Guthrie
authors.forename: Keith
authors.initials: K
authors.lastname: Hyde
authors.forename: Ian
authors.initials: I
authors.lastname: Mackie
authors.forename: Norman
authors.initials: N
authors.lastname: Parker
authors.forename: Mary
authors.initials: M
authors.lastname: Popek
authors.forename: Neil
authors.initials: N
authors.lastname: Porter
authors.forename: Clare
authors.initials: C
authors.lastname: Stephens
mesh_terms: D000068:Accreditation; D006403:Hematologic Tests / Q000295:instrumentation / Q000592:standards*; D006405:Hematology / Q000193:education / Q000458:organization & administration; D006801:Humans; D007318:Inservice Training / Q000592:standards; D008499:Medical Records / Q000592:standards; D019095:Point-of-Care Systems / Q000458:organization & administration / Q000592:standards*; D011785:Quality Assurance, Health Care