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What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution

Background and Objectives: Point of care test (POCT) is generally performed by non-laboratory staff who often lack an understanding on the quality control and quality assurance programs. The purpose of this study was to understand the current status of quality management of point of care (POC) blood...

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Autores principales: Choi, Sooin, Choi, Soo Jeong, Jeon, Byung Ryul, Lee, Yong-Wha, Oh, Jongwon, Lee, You Kyoung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001912/
https://www.ncbi.nlm.nih.gov/pubmed/33806620
http://dx.doi.org/10.3390/medicina57030238
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author Choi, Sooin
Choi, Soo Jeong
Jeon, Byung Ryul
Lee, Yong-Wha
Oh, Jongwon
Lee, You Kyoung
author_facet Choi, Sooin
Choi, Soo Jeong
Jeon, Byung Ryul
Lee, Yong-Wha
Oh, Jongwon
Lee, You Kyoung
author_sort Choi, Sooin
collection PubMed
description Background and Objectives: Point of care test (POCT) is generally performed by non-laboratory staff who often lack an understanding on the quality control and quality assurance programs. The purpose of this study was to understand the current status of quality management of point of care (POC) blood glucose testing in a single institution where non-laboratory staff perform the tests. Materials and Methods: From July to August 2020, management status of glucometer, test strips, quality control (QC) materials, quality assurance program, and operators’ response to processing of displayed results was monitored in all Soonchunhyang University Bucheon hospital departments that performed POC blood glucose test. Results of the POC blood glucose test conducted from January 2019 to May 2020 were analyzed retrospectively. Results: A total 124 glucometers were monitored in 47 departments. Insufficient management of approximately 50% of blood sugar, test strips, and QC materials was observed. Although daily QC was conducted by 95.7% of the departments, the QC records were inaccurate. The method of recording test results varied with departments and operators. Various judgments and troubleshooting were performed on the unexpected or out of measurable range results, including some inappropriate processes. In POC blood glucose test results review, 4568 atypical results were identified from a total of 572,207 results. Conclusions: Sufficient training of the non-laboratory staff and ongoing assessment of competency through recertification is needed to maintain acceptable levels of POCT quality. In this study, various problems were identified in glucometer and reagent management, QC and post-analytic phase. We believe that these results provide meaningful basal information for planning effective operators’ training and competency evaluation, and the development of an efficient POCT quality management system.
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spelling pubmed-80019122021-03-28 What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution Choi, Sooin Choi, Soo Jeong Jeon, Byung Ryul Lee, Yong-Wha Oh, Jongwon Lee, You Kyoung Medicina (Kaunas) Article Background and Objectives: Point of care test (POCT) is generally performed by non-laboratory staff who often lack an understanding on the quality control and quality assurance programs. The purpose of this study was to understand the current status of quality management of point of care (POC) blood glucose testing in a single institution where non-laboratory staff perform the tests. Materials and Methods: From July to August 2020, management status of glucometer, test strips, quality control (QC) materials, quality assurance program, and operators’ response to processing of displayed results was monitored in all Soonchunhyang University Bucheon hospital departments that performed POC blood glucose test. Results of the POC blood glucose test conducted from January 2019 to May 2020 were analyzed retrospectively. Results: A total 124 glucometers were monitored in 47 departments. Insufficient management of approximately 50% of blood sugar, test strips, and QC materials was observed. Although daily QC was conducted by 95.7% of the departments, the QC records were inaccurate. The method of recording test results varied with departments and operators. Various judgments and troubleshooting were performed on the unexpected or out of measurable range results, including some inappropriate processes. In POC blood glucose test results review, 4568 atypical results were identified from a total of 572,207 results. Conclusions: Sufficient training of the non-laboratory staff and ongoing assessment of competency through recertification is needed to maintain acceptable levels of POCT quality. In this study, various problems were identified in glucometer and reagent management, QC and post-analytic phase. We believe that these results provide meaningful basal information for planning effective operators’ training and competency evaluation, and the development of an efficient POCT quality management system. MDPI 2021-03-04 /pmc/articles/PMC8001912/ /pubmed/33806620 http://dx.doi.org/10.3390/medicina57030238 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Choi, Sooin
Choi, Soo Jeong
Jeon, Byung Ryul
Lee, Yong-Wha
Oh, Jongwon
Lee, You Kyoung
What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution
title What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution
title_full What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution
title_fullStr What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution
title_full_unstemmed What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution
title_short What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution
title_sort what we should consider in point of care blood glucose test; current quality management status of a single institution
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001912/
https://www.ncbi.nlm.nih.gov/pubmed/33806620
http://dx.doi.org/10.3390/medicina57030238
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