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Selection and procurement of POCT equipment

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Selection and procurement of POCT equipment

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Any maintenance that is performed and how this may affect the test/disease?

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IQC/EQA performance for both lab based and POCT assay

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IQC/EQA performance for both lab based and POCT assay

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Diabetes
Cardiovascular disease
PE/DVT

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Are we supposed to compare the pros/cons of a POC test vs the same in house lab test?

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Different methods of testing. Eg. Hb result on lab analyser vs POCT. Any differentials? How is that monitored to ensure no fluctuations in results. 

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Different methods of testing. Eg. Hb result on lab analyser vs POCT. Any differentials? How is that monitored to ensure no fluctuations in results. 

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D-dimer
PT/INR

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procedural
COSHH
protocol review
audit
Risk assessment
maintenance

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Storing of SOPs, previous QC results, batch numbers of QC material, health and safety regs

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If a test may not be suitable in other settings/limitations of a test

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If a test may not be suitable in other settings/limitations of a test

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comparing both hospital and POCT quality assurance, pros and cons?

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comparing both hospital and POCT quality assurance, pros and cons?

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Looking at the amount of support from the laboratory to ensure the quality testing and accreditation requirements are met for POCT

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Looking at the amount of support from the laboratory to ensure the quality testing and accreditation requirements are met for POCT

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Analysing point of care testing data can show the quality trends before it can affects results.

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Analysing point of care testing data can show the quality trends before it can affects results.

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How good results are and how these can associate with any treatment

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How good results are and how these can associate with any treatment

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Comparisons of accuracy, reliability, and timeliness of the test process and results. 

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Comparisons of accuracy, reliability, and timeliness of the test process and results. 

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control of the disease
Effectiveness of diagnosis and monitoring
side affects
methodology

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Annual testing to monitor the progression of the diease (E.g. hypertension, dyslipidaemia, type 2 diabetes using hbA1c for NAFLD)

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Annual testing to monitor the progression of the diease (E.g. hypertension, dyslipidaemia, type 2 diabetes using hbA1c for NAFLD)

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Limitations of POCT - less precise and specific compared to a clinical lab setting

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Limitations of POCT - less precise and specific compared to a clinical lab setting

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UKAS AND ISO standards for laboratory testing vs POCT.

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UKAS AND ISO standards for laboratory testing vs POCT.

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is POCT where it can be done at home or where the test is done in front of patient? and if so would sexual health diseases count as people can request at home kits and can have hospital tests too?...

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is POCT where it can be done at home or where the test is done in front of patient? and if so would sexual health diseases count as people can request at home kits and can have hospital tests too?...

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Some POCT is more expensive per test but required due to speed of results. Can labs afford to provide more point of care testing if the same assay is available in automation for cheaper?

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Clarification community based and hospital based? involving both.

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Clarification community based and hospital based? involving both.

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Treat like an audit ? review of process and documentation?
How much detail on the actual disease and other aspects?
How to lay out?

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Cost, accuracy, speed, availability.

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Harder to control?
Who is carrying out the POCT? Is training sufficient? - is sample quality an issue?
More Expensive?
Often used on an indiviudual basis - less batch work

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Quicker turnaround time
More focused testing
Usually quicker

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Sample quality difficult to control as clinical staff sometimes unaware of limitations

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Sample quality difficult to control as clinical staff sometimes unaware of limitations

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There isn't a need for highly trained clinical staff to carryout POCT

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There isn't a need for highly trained clinical staff to carryout POCT