What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution
<i>Background and Objectives:</i> 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...
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| Format: | Article |
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MDPI AG
2021-03-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/57/3/238 |
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| author | Sooin Choi Soo Jeong Choi Byung Ryul Jeon Yong-Wha Lee Jongwon Oh You Kyoung Lee |
| author_facet | Sooin Choi Soo Jeong Choi Byung Ryul Jeon Yong-Wha Lee Jongwon Oh You Kyoung Lee |
| author_sort | Sooin Choi |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> 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. <i>Materials and Methods</i>: 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. <i>Results: </i>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. <i>Conclusions</i>: 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. |
| first_indexed | 2024-03-12T06:50:01Z |
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| last_indexed | 2024-03-12T06:50:01Z |
| publishDate | 2021-03-01 |
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| series | Medicina |
| spelling | doaj.art-40658bf8c0054f9390d30be7dfca01f72023-09-03T00:17:44ZengMDPI AGMedicina1010-660X2021-03-015723823810.3390/medicina57030238What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single InstitutionSooin Choi0Soo Jeong Choi1Byung Ryul Jeon2Yong-Wha Lee3Jongwon Oh4You Kyoung Lee5Department of Laboratory Medicine and Genetics, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon 14584, KoreaDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon 14584, KoreaDepartment of Laboratory Medicine and Genetics, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon 14584, KoreaDepartment of Laboratory Medicine and Genetics, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon 14584, KoreaDepartment of Laboratory Medicine, Soonchunhyang University College of Medicine, Soonchunhyang University Cheonan Hospital, 31 Soonchunhyang6gil, Cheonan 31151, KoreaDepartment of Laboratory Medicine and Genetics, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon 14584, Korea<i>Background and Objectives:</i> 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. <i>Materials and Methods</i>: 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. <i>Results: </i>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. <i>Conclusions</i>: 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.https://www.mdpi.com/1010-660X/57/3/238POCTglucometerblood glucose testeducationquality controlprocess |
| spellingShingle | Sooin Choi Soo Jeong Choi Byung Ryul Jeon Yong-Wha Lee Jongwon Oh You Kyoung Lee What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution Medicina POCT glucometer blood glucose test education quality control process |
| title | What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution |
| title_full | What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution |
| title_fullStr | What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution |
| title_full_unstemmed | What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution |
| title_short | What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution |
| title_sort | what we should consider in point of care blood glucose test current quality management status of a single institution |
| topic | POCT glucometer blood glucose test education quality control process |
| url | https://www.mdpi.com/1010-660X/57/3/238 |
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