Glucose point-of-care meter operators competency: An assessment checklist

Friesner, Cindy Tang; Meyer, Julien; Nippak, Pria

doi:10.1016/j.plabm.2020.e00157

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…With many operators to train and limited resources to support POCT programs, online training becomes an attractive option [ 25 ]. Evaluation process for operators’ capabilities is essential; Tang et al presented a checking list of glucose meter operation competence assessments as a useful tool [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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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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Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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Mobile-assisted diagnostic biosensor for point-of-care glucose detection in real human samples with rapid response and long-live stability

2023

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In this work, the β-cyclodextrins (βCD) grafted on magnetite@polynorepinephrine (Fe3O4@PNE) nanomaterial with glucose oxidase (GOx) from Aspergillus niger was presented. The electroactive nanoplatform was used to construct rapid response and long-live time biosensor for qualitative and quantitative glucose determination. The nanomaterial was deposited on the screen-printed electrode (SPE) and integrated with the potentiostat in tandem with a portable devices. The methodology may affect its relatively low unit cost, miniaturization aspect, and electrode system integrity. The potential usage is intended for advanced diabetes care with a focus on the point-of-care testing idea. The cyclic voltammetry and amperometry were used for electrochemical characterization. The presented SPE/Fe3O4@PNE@βCD-GOx biosensor enabled measurements in a wide range of concentrations (0.1–30.0 mM), an enhanced sensitivity (204.82 µA mM− 1 cm− 2), a low limit of detection (3.2 µM), and a rapid response (2.6 s). Moreover, the proposed sensor achieved long-term stability, up to 11 months. Testing on real samples (human blood, human serum, infusion fluids) showed recovery in range from 95.5 to 98.6%. The outcomes demonstrated that this biosensor has great potential for use in determining the amount of glucose in a biological fluids and commercial products. The novelty of this work would largely consist of the possibility of qualitative and quantitative measurements of glucose in real human samples with a long time stability. This portable system enables mobile diagnostics tests including point-of-care testing idea. Due to the applied β-cyclodextrins on the surface of the novel polynorepinephrine biopolymer coating, selectivity, stability, and sensitivity were improved. Graphical Abstract

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Using geographic rescue time contours, point-of-care strategies, and spatial care paths to prepare island communities for global warming, rising oceans, and weather disasters

Kost,

Füzéry,

Caratao

et al. 2023

Int J Health Geogr

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Objectives To perform geographic contour analysis of sea and land ambulance rescue times in an archipelago subject to super typhoons; to design point-of-care testing strategies for medical emergencies and weather disasters made more intense by global warming and rising oceans; and to assess needs for prehospital testing on spatial care paths that accelerate decision making, increase efficiency, improve outcomes, and enhance standards of care in island nations. Methods We performed needs assessments, inspected healthcare facilities, and collected ambulance rescue times from professionals in the Bantayan Archipelago, Philippines. We mapped sea/land ambulance rescue routes and time contours. To reveal gaps, we statistically compared the fastest and slowest patient rescue times from islands/islets and barangays to the District Hospital on Bantayan Island. We developed spatial care paths (the fastest routes to care) for acute myocardial infarction, community care, and infectious diseases. We generated a compendium of prehospital diagnostic testing and integrated outcomes evidence, diagnostic needs, and public health goals to recommend point-of-care strategies that build geographic health resilience. Results We observed limited access to COVID-19 assays, absence of blood gas/pH testing for critical care support, and spatial gaps in land and airborne rescues that worsened during inclement weather and sea swells. Mean paired differences (slowest-fastest) in ambulance rescue times to the District Hospital for both islands and barangays were significant (P < 0.0001). Spatial care path analysis showed where point-of-care cardiac troponin testing should be implemented for expedited care of acute myocardial infarction. Geospatial strengths comprised distributed primary care that can be facilitated by point-of-care testing, logical interisland transfers for which decision making and triage could be accelerated with onboard diagnostics, and healthcare networks amenable to medical advances in prehospital testing that accelerate treatment. Conclusions Point-of-care testing should be positioned upstream close to homes and island populations that have prolonged rescue time contours. Geospatially optimized point-of-need diagnostics and distributed prehospital testing have high potential to improve outcomes. These improvements will potentially decrease disparities in mortality among archipelago versus urban dwellers, help improve island public health, and enhance resilience for increasingly adverse and frequent climate change weather disasters that impact vulnerable coastal areas. [350 words].

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Glucose point-of-care meter operators competency: An assessment checklist

Cited by 3 publications

References 17 publications

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

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

Mobile-assisted diagnostic biosensor for point-of-care glucose detection in real human samples with rapid response and long-live stability

Using geographic rescue time contours, point-of-care strategies, and spatial care paths to prepare island communities for global warming, rising oceans, and weather disasters

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