Diagnostic Point-of-Care Tests with an Approach to Data Management

Introduction: Diagnostic point- of- care (POC) tests are considered as an approach to ease the diagnosis of diseases, deliver quicker patient care, and improve patient safety. The aim of this study was to review the diagnostic POC tests with an approach to data management.Material and Methods: In this review study, PubMed, Science Direct, Google Scholar, Scopus, and Wolters Kluwer databases were searched from 2000 to 2020 using a combination of related keywords. A total of 96 articles were retrieved of which 48 articles considered as relevant.  The content of these articles were then analyzed with respect to the aim of the study. The inclusion criteria for the articles were: 1) they focused the POC test; 2) addressed data management aspects; 3) written in English.  Articles that only addressed the POC tests from a clinical or technical perspective and with no indication of data management were excluded.Results: Rapid and timely collection and processing of test results, the capability of exchanging test results, and capabilities such as documentation and data quality control play a significant role in reducing the average length of stay in hospital, planning, decision-making, organizing, controlling clinical and managerial activities, and achieving the efficiency of services provided.Conclusion: In addition to applying diagnostic POC tests technologies, medical settings should have necessary approaches for managing data generated by these technologies to improve better use of data in service delivery.

[1]  G J Kost,et al.  The laboratory-clinical interface: point-of-care testing. , 1999, Chest.

[2]  K. Lewandrowski,et al.  Assuring quality in point-of-care testing: evolution of technologies, informatics, and program management. , 2011, Archives of pathology & laboratory medicine.

[3]  P. St-Louis Status of point-of-care testing: promise, realities, and possibilities. , 2000, Clinical biochemistry.

[4]  Point of care medical device communication standars (ISO11073/IEEE1073) in patient telemonitoring , 2005 .

[5]  Kenneth E. Blick,et al.  The essential role of information management in point-of-care/critical care testing. , 2000, Clinica chimica acta; international journal of clinical chemistry.

[6]  Eric C. Matten,et al.  Monitoring in Anesthesia and Perioperative Care , 2012 .

[7]  Jason Y. Park,et al.  The evolution and future of point-of-care testing , 2015 .

[8]  John Kellett,et al.  Medical documentation: Part of the solution, or part of the problem? A narrative review of the literature on the time spent on and value of medical documentation , 2015, Int. J. Medical Informatics.

[9]  J. Shaw,et al.  Practical challenges related to point of care testing , 2015, Practical laboratory medicine.

[10]  K. Lewandrowski,et al.  Point-of-care testing informatics. , 2009, Clinics in laboratory medicine.

[11]  Ashutosh Tiwari,et al.  Informatics-Based Product-Service Systems for Point-of-Care Devices , 2010 .

[12]  Peter Koerte,et al.  Managing the Challenges in Point-of-care Testing: An Ecosystem Approach , 2013 .

[13]  J. Lott,et al.  Cardiac Markers , 2003, Pathology and Laboratory Medicine.

[14]  Peter B. Luppa,et al.  Point-of-care testing (POCT): Current techniques and future perspectives , 2011, TrAC Trends in Analytical Chemistry.

[15]  Moghaddasi Hamid,et al.  SITUATION ANALYSIS OF OUTPATIENT INFORMATION MANAGEMENT SYSTEMS IN HOSPITALS AFFILIATED WITH UNIVERSITIES OF MEDICAL SCIENCES, TEHRAN, IRAN , 2012 .

[16]  Ebrahim Ghafar-Zadeh,et al.  Wireless Integrated Biosensors for Point-of-Care Diagnostic Applications , 2015, Sensors.

[17]  H. Hochheiser,et al.  Evaluating the Barriers to Point-of-Care Documentation for Nursing Staff , 2012, Computers, informatics, nursing : CIN.

[18]  Asadi Farkhondeh,et al.  PRIMARY HEALTH CARE INFORMATION SYSTEMS IN HEALTH CENTERS OF TEHRAN, IRAN , 2012 .

[19]  Jorge I. Quevedo,et al.  Evaluating Operational Specifications of Point-of-Care Diagnostic Tests: A Standardized Scorecard , 2012, PloS one.

[20]  Reza Rabiei,et al.  Evaluation of Nursing Information Systems: Application of Usability Aspects in the Development of Systems , 2017, Healthcare informatics research.

[21]  Larry J Kricka,et al.  Improving healthcare accessibility through point-of-care technologies. , 2007, Clinical chemistry.

[22]  Torgny Groth,et al.  Connectivity Infrastructure and Components for POCT Environments — Overall Infrastructure , 2001 .

[23]  N A Halpern,et al.  Point of care testing informatics. The critical care-hospital interface. , 1999, Critical care clinics.