title: Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice.
abstract: BACKGROUND
  Point-of-care (POC) tests are devices or test strips that can be used near or at the site where care is delivered to patients, enabling a relatively fast diagnosis. Although many general practitioners (GPs) in the Netherlands are using POC tests in their practice, little is known on how they manage the corresponding patient safety aspects.
  
  
  METHODS
  To obtain information on this aspect, an invitation to participate in a web-based questionnaire was sent to a random sample of 750 GP practices. Of this sample 111 GP practices returned a complete questionnaire. Data was analysed by using descriptive statistics.
  
  
  RESULTS
  Results show that there is not always attention for quality control measures such as checking storage conditions, executing calibration, and maintenance. In addition, universal hygienic measures, such as washing hands before taking a blood sample, are not always followed. Refresher courses on the use of POC tests are hardly organized. Only a few of the GPs contact the manufacturer of the device when a device failure occurs. Well-controlled aspects include patient identification and actions taken when ambiguous test results are obtained.
  
  
  CONCLUSIONS
  We observed a number of risks for errors with POC tests in GP practices that may be reduced by proper training of personnel, introduction of standard operating procedures and measures for quality control and improved hygiene. To encourage proper use of POCT in general practices, a national POCT guideline, dedicated to primary care and in line with ISO standards, should be introduced.
authors: Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, NL-3720 BA, Bilthoven, The Netherlands. claudette.de.vries@rivm.nl.
authors: Claudette
authors: C
authors: de Vries
authors: Health Technology and Services Research, MIRA institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands. c.j.m.doggen@utwente.nl.
authors: Carine
authors: C
authors: Doggen
authors: Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, NL-3720 BA, Bilthoven, The Netherlands. ellen.hilbers@rivm.nl.
authors: Ellen
authors: E
authors: Hilbers
authors: Netherlands institute for health services research, Utrecht, The Netherlands. r.verheij@nivel.nl.
authors: Robert
authors: R
authors: Verheij
authors: Health Technology and Services Research, MIRA institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands. m.j.ijzerman@utwente.nl.
authors: Maarten
authors: M
authors: IJzerman
authors: Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, NL-3720 BA, Bilthoven, The Netherlands. robert.geertsma@rivm.nl.
authors: Robert
authors: R
authors: Geertsma
authors: Health Technology and Services Research, MIRA institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands. g.c.m.kusters@utwente.nl.|Clinical Chemistry and Haematology laboratory, Jeroen Bosch Ziekenhuis, Utrecht, The Netherlands. g.c.m.kusters@utwente.nl.
authors: Ron
authors: R
authors: Kusters
mesh_terms: D058006:General Practice; D058005:General Practitioners; D019538:Health Care Surveys; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control; D061214:Patient Safety; D019095:Point-of-Care Systems / Q000706:statistics & numerical data; D011786:Quality Control
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