Does POCT reduce the risk of error in laboratory testing?
Point-of-care testing (POCT), the fastest growing segment of the current clinical laboratory testing market, is a rapid means for providing test results in different clinical settings. In theory, this tool eliminates some of the more problematic steps in the testing process, including specimen transport and result distribution. However, POCT has created new challenges, and sources of potential errors; moreover, while the upsurge in its use has generated concerns regarding the quality of test results, few data are available in the literature on errors with POCT. Nor are data available for the evaluation of errors, and the risk of errors in POCT based on all steps in the entire testing process, including test requesting and result utilization. According to a modified Kost model, which takes into account all steps of the testing process and latent conditions for error, POCT reduces errors and the risk of error in only a few steps of the testing process. There is therefore an urgent need for an evaluation of errors and risks of error in POCT that is based on the entire testing process and uses well-designed studies aiming to improve clinical outcomes and increase patient safety.
Plebani
Mario
M
Department of Laboratory Medicine, University-Hospital of Padova, Padova, Italy. mario.plebani@unipd.it
D019963:Clinical Chemistry Tests; D019300:Medical Errors / Q000517:prevention & control / Q000706:statistics & numerical data; D019095:Point-of-Care Systems; D011785:Quality Assurance, Health Care; D018570:Risk Assessment; D017751:Safety Management