Chest pain is a frequent cause of hospitalization and comprises a significant proportion of the acute medical workload in the western world. This issue is compounded for those living in regional or remote communities due to limited access to pathology services and tertiary-referral institutions. Evidence suggests...

With the use of a new Data Management System (DMS) software program [1], the majority of Point Of Care Testing (POCT) equipment throughout the Waikato District Health Board region has been connected to the Laboratory Information System (LIS) and the Hospital Information System (HIS). Prior to the new DMS, viewing...

It is estimated that a majority of all laboratory medicine errors are errors that occur during the preanalytical phase of the laboratory testing cycle. Such errors have a significant impact on patient safety, staff workload, and hospital costs.  Correctly identifying patients and avoiding specimen-labeling errors are...

Introduction of point–of-care testing (POCT) in hospitals requires the use of principles of change management. Manufacturers can support this process. E-learning programs adapted to the local situation with regular updates, a centralized accreditation and user-registration system and service level agreements are...

Lactate measurement is important for diagnostic and prognostic assessment of the critically ill. Traditionally, lactate has been measured on serum/plasma samples in the central laboratory, but modern blood gas and other point-of-care analyzers now provide the means for real-time monitoring of lactate on whole blood at ...

Modern analytical devices for testing biological fluids, such as blood, have now developed a sophistication that ensures the quality of the analytical result is capable of matching that achieved in the central laboratory.    Complementary developments are focused on reducing operator-related and connectivity-related...

In 2005, acutecaretesting.org interviewed Dr Michael Astion, an active spokesperson for patient safety and reduction of lab errors, on the main issues surrounding the topic. Since then, a lot has changed… or has it? In a follow-up interview with Astion, acutecaretesting.org gauges the status of patient safety year...

Tartu University Hospital has improved the quality of blood gas testing in its clinical laboratory and critical care units by introducing an automatic system for blood gas analysis [1].

The critical significance of the preanalytical phase of blood testing is highlighted by the tragically fatal case of an intensive-care patient who was given an inappropriately high dose of insulin following a falsely high blood glucose result. The patient was recovering from multiple organ failure following surgery in ...

Plasma sodium and chloride concentration are routinely measured using either a direct or indirect ion-specific electrode (ISE). Direct ISE is the technique employed in blood gas and most other point-of-care analyzers whereas indirect ISE is used in the majority of biochemistry profiling analyzers sited in central...