Results from 15 years of quality surveillance for a National Indigenous Point-of-Care Testing Program for diabetes

Shephard, Mark; Shephard, Anne; McAteer, Bridgit; Regnier, Tamika; Barancek, Kristina

doi:10.1016/j.clinbiochem.2017.07.007

Cited by 12 publications

(15 citation statements)

References 15 publications

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“…Some countries, such as Australia and New Zealand, have local guidelines on the use and implementation of POCT based on both national and international recommendations. 6 , 14 When testing for glucose, theoretical knowledge is required in order for the tester to be aware of factors such as haematocrit levels, systemic shock oxygenation status and exposure of strips to humidity, which can reduce the shelf-life of the strips. 15 , 16 A low haematocrit level (< 30% – 35%) may lead to overestimation of glucose, whilst a haematocrit above 45% may lead to underestimation of glucose results by some POCT devices.…”

Section: Discussionmentioning

confidence: 99%

Clinical staff knowledge and awareness of point-of-care-testing best practices at Tygerberg Hospital, South Africa

2020

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Background: Point-of-care testing (POCT) is defined as testing done near or at the site of patient care with the goal of providing rapid information and improving patient outcomes. Point-of-care testing has many advantages and some limitations which affect its use and implementation.Objective: The aim of the audit was to determine the current practices, staff attitudes and training provided to hospital clinical staff.Methods: The audit was conducted with the use of a questionnaire containing 30 questions. One hundred and sixty questionnaires were delivered to 55 sites at Tygerberg Academic Hospital in Cape Town, South Africa, from 21 June 2016 to 15 July 2016. A total of 68 questionnaires were completed and returned (42.5% response rate).Results: Most participants were nursing staff (62/68, 91%), and the rest were medical doctors (6/68, 9%). Most participants (66/68, 97%) performed glucose testing, 16/68 (24%) performed blood gas testing and 17/68 (25%) performed urine dipstick testing. Many participants (35/68, 51%) reported having had some formal training in one or more of the tests and 25/68 (37%) reported having never had any formal training in the respective tests. Many participants (46/68, 68%) reported that they never had formal assessment of competency in performing the respective tests.Conclusion: Participants indicated a lack of adequate training in POCT and, thus, limited knowledge of quality control measures. This audit gives an indication of the current state of the POCT programme at a tertiary hospital and highlights areas where intervention is needed to improve patient care and management.

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Section: Discussionmentioning

confidence: 99%

Clinical staff knowledge and awareness of point-of-care-testing best practices at Tygerberg Hospital, South Africa

2020

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“…The QAAMS network now operates in more than 220 sites across Australia, with sites conducting POC testing for hemoglobin A 1c for the diagnosis and management of diabetes and urine albumin to creatinine ratio for the early detection of renal disease. 16,17 Maps showing the general locations of sites participating in the Northern Territory, TTANGO, syphilis, and QAAMS POC testing networks are shown in Figure 1.…”

Section: An Example Of a Specialist Poc Testingmentioning

confidence: 99%

The Benefits and Challenges of Point-of-Care Testing in Rural and Remote Primary Care Settings in Australia

Shephard

Matthews

et al. 2020

Archives of Pathology &Amp; Laboratory Medicine

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Context.— Point-of-care (POC) testing has significant potential application in rural and remote Australian communities where access to laboratory-based pathology testing is often poor and the burden of chronic, acute, and infectious disease is high. Objective.— To explore the clinical, operational, cultural, and cost benefits of POC testing in the Australian rural and remote health sector and describe some of the current challenges and limitations of this technology. Data Sources.— Evidence-based research from established POC testing networks for chronic, acute, and infectious disease currently managed by the International Centre for Point-of-Care Testing at Flinders University are used to highlight the experience gained and the lessons learned from these networks and, where possible, describe innovative solutions to address the current barriers to the uptake of POC testing, which include governance, staff turnover, maintaining training and competency, connectivity, quality testing, sustainable funding mechanisms, and accreditation. Conclusions.— Point-of-care testing can provide practical and inventive opportunities to revolutionize the delivery of pathology services in rural and remote sectors where clinical need for this technology is greatest. However, many barriers to POC testing still exist in these settings, and the full potential of POC testing cannot be realized until these limitations are addressed and resolved.

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“…The Australian Government approved the use of the HbA1c test for diagnosis of the Indigenous Australian population enrolled exclusively in the QAAMS POC Testing Program. This decision was based on the consistently high analytical quality of POC HbA1c testing in QAAMS, as evidenced by the results of continuing external quality assurance and quality control testing over the past 15 years (46). DCA Vantage measured HbA1c values close to 6.5% both accurately and precisely.…”

Section: Poc Hba1c Assays In Diabetes Managementmentioning

confidence: 99%

“…DCA Vantage measured HbA1c values close to 6.5% both accurately and precisely. The authors argue that POC testing devices are suitable for the diagnosis of diabetes, and each individual POC device should be assessed independently when considering its suitability for diabetes diagnosis (46). Conversely, POC HbA1c testing may be used for screening purposes.…”

Section: Poc Hba1c Assays In Diabetes Managementmentioning

confidence: 99%

Point-of-care testing in diabetes management

Cozma

Vonica

Sitar-Tăut

et al. 2019

Revista Romana De Medicina De Laborator

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The prevalence of diabetes mellitus (DM) has rapidly increased over the last decades, reaching epidemic magnitudes, particularly in lowand middle-income countries. Point-of-care (POC) technology enables decision making near or at the site of patient care. Portable blood glucose meters and HbA1c testing are used by the healthcare provider and millions of patients with diabetes to monitor the safety and effectiveness of the diabetes treatment. However, POC capillary blood glucose and POC HbA1c testing are not recommended for diabetes diagnosis. Rather, they have been used for screening diabetes in lowand middle-income countries to decrease the disease burden.

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Results from 15 years of quality surveillance for a National Indigenous Point-of-Care Testing Program for diabetes

Abstract: HbA1c POC testing in QAAMS has remained analytically sound, matched the quality achieved by Australasian laboratories and met profession-derived analytical goals for 15years.

Cited by 12 publications

References 15 publications

Clinical staff knowledge and awareness of point-of-care-testing best practices at Tygerberg Hospital, South Africa

Clinical staff knowledge and awareness of point-of-care-testing best practices at Tygerberg Hospital, South Africa

The Benefits and Challenges of Point-of-Care Testing in Rural and Remote Primary Care Settings in Australia

Point-of-care testing in diabetes management

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