A Multicenter Evaluation of the Quality Management Practices for Point-of-Care Testing in Nigeria

Nnakenyi, Ifeyinwa Dorothy; Onyenekwu, Chinelo P; Imoh, Lucius Chidiebere; Ntuen, Nkoyo; Mohammed, Idris; Nlemadim, Charles

doi:10.1097/poc.0000000000000152

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Their study had 40% physicians, 32% nurses and 27% technologists, with a total of 98 participants across all five hospitals. 19 The study above is comparable to the present study in terms of sample size and recorded a good response rate from doctors. Our study was targeted at clinical staff, namely, nurses and doctors only.…”

Section: Discussionsupporting

confidence: 80%

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: Discussionsupporting

confidence: 80%

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

2020

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“…In this regard, laboratory personnel must provide appropriate assistance for the implementation of POCT to warrant reliable results and patient safety, whereas tertiary hospitals should develop guidelines and a system for managing quality standards, training of operators and regular reaccreditation programs. 38,52 Among the selected literature, there are large variations in the study design. Sample size is different while the target population is varied in age, gender, ethnicity, health status, etc.…”

Section: Implementation Monitoring and Limitations Of Poct In Australiamentioning

confidence: 99%

<p>Review of Health Economics of Point-of-Care Testing Worldwide and Its Efficacy of Implementation in the Primary Health Care Setting in Remote Australia</p>

Wong

Marcu

Bezak

et al. 2020

RMHP

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There are important differences concerning health outcomes between the Australian population living in rural/remote regions and the urban population. Health care provision in remote areas, particularly in regions with a low number of inhabitants, is not without challenges. Aboriginal, rural and remote communities are therefore affected, as they face various obstacles in accessing health services, owing to geographical settings, difficulties in transportation to nearby hospitals, limited or inexistent local qualified personnel. The implementation of point-of-care testing could be a plausible solution to these challenges, as various point-of-care services that have been successfully put into action worldwide indicate towards positive clinical outcomes. Point-of-care units have a real potential in reducing morbidity and mortality in all population groups. This article aims to review the published literature on point-of-care testing around the world, with a focus on health economics and the feasibility of its implementation in Australian rural and remote regions.

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A Multicenter Evaluation of the Quality Management Practices for Point-of-Care Testing in Nigeria

Cited by 2 publications

References 6 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

<p>Review of Health Economics of Point-of-Care Testing Worldwide and Its Efficacy of Implementation in the Primary Health Care Setting in Remote Australia</p>

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