Executive summary. The National Academy of Clinical Biochemistry Laboratory Medicine Practice Guideline: Evidence-based practice for point-of-care testing

被引:104
|
作者
Nichols, James H.
Christenson, Robert H.
Clarke, William
Gronowski, Ann
Hammett-Stabler, Catherine A.
Jacobs, Ellis
Kazmierczak, Steve
Lewandrowski, Kent
Price, Christopher
Sacks, David B.
Sautter, Robert L.
Shipp, Gregg
Sokoll, Lori
Watson, Ian D.
Winter, William
Zucker, Marcia L.
机构
[1] Tufts Univ, Sch Med, Baystate Hlth, Springfield, MA 01199 USA
[2] Univ Maryland, Sch Med, Baltimore, MD 21201 USA
[3] Johns Hopkins Med Inst, Baltimore, MD 21205 USA
[4] Washington Univ, St Louis, MO USA
[5] Univ N Carolina, Chapel Hill, NC USA
[6] New York State Dept Hlth, Wadsworth Ctr, Albany, NY USA
[7] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
[8] Massachusetts Gen Hosp, Boston, MA 02114 USA
[9] Univ Oxford, Oxford, England
[10] Brigham & Womens Hosp, Boston, MA 02115 USA
[11] Harvard Univ, Sch Med, Boston, MA 02115 USA
[12] Carolinas Med Ctr, Charlotte, NC USA
[13] Nanosphere, Northbrook, IL USA
[14] Univ Hosp Aintree, Liverpool, Merseyside, England
[15] Univ Florida, Gainesville, FL USA
[16] ITC, Edison, NJ USA
关键词
point-of-care testing; evidence-based medicine; practice guidelines;
D O I
10.1016/j.cca.2006.12.025
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Background: Point-of-care testing (POCT) is clinical laboratory testing conducted close to the site of patient care. POCT has the potential to provide faster test results and therapeutic intervention with improved patient outcomes. However, when over-utilized or used inappropriately POCT results can be misleading and increase healthcare costs. Methods: The National Academy of Clinical Biochemistry developed evidence-based Laboratory Medicine Practice Guidelines for POCT. Results: These Laboratory Medicine Practice Guidelines systematically review the scientific literature relating POCT to clinical outcomes and offer recommendations to improve the clinical utility of POCT. Conclusions: These guidelines will be useful to clinicians considering the addition of POCT, to those that question current practices in POCT, and to clinicians seeking evidence-based support for POCT in clinical management. These guidelines represent the most comprehensive systematic review of the POCT literature to date and will help define future research that is needed to add to our current POCT knowledge base. (c) 2007 Elsevier B.V. All rights reserved.
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页码:14 / 28
页数:15
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