Evaluation of the Analytical Specificity and Clinical Application of a New Generation Hospital-Based Glucose Meter in a Dialysis Setting

Bewley, Barbara; O’Rahilly, Stephen; Tassell, Rhys; DuBois, Jeff; Donald, E Craven

doi:10.1097/poc.0b13e3181a4c4f4

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…Fourteen articles reported on the performance of blood glucose meters in laboratory settings [7][8][9][10][11][12][13][14][15][16][17][18][19][20] (Table 1). In each article, 1 7 to 30 19 blood glucose meters were tested.…”

Section: Performance Of Blood Glucose Meters In Laboratory Settingsmentioning

confidence: 99%

“…Meter operators were specified in only three of the articles. 8,9,13 The most common performance evaluation types included accuracy (e.g., bias, 9,10,12,15,18,19 Bland-Altman plots, 7,8,10,[14][15][16]20 or error grid analysis [8][9][10]15,18 ), analytical range, 9,12,16 effect of chemical interference on meter accuracy, 7,8,12,20 effect of hematocrit interference on meter accuracy, 7,11,12,14,17,19,20 effect of PO 2 on meter accuracy, 14,17 locally smoothed median absolute difference curves, 8,14,15 precision, 7,[8][9][10][11][12]16,20 and performance criteria (e.g., ISO 15197, 8,<...>…”

Section: Performance Of Blood Glucose Meters In Laboratory Settingsmentioning

confidence: 99%

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Analytical and Clinical Performance of Blood Glucose Monitors

Boren

Clarke

2010

J Diabetes Sci Technol

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Section: Performance Of Blood Glucose Meters In Laboratory Settingsmentioning

confidence: 99%

Section: Performance Of Blood Glucose Meters In Laboratory Settingsmentioning

confidence: 99%

Analytical and Clinical Performance of Blood Glucose Monitors

Boren

Clarke

2010

J Diabetes Sci Technol

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“…Also, the arterial glucose will be discordant from the capillary blood glucose in low-flow states [16]. A few newer meters have lower analytic errors, in the 4-5% range [18][19][20], and are better designed to deal with interfering substances. Although these meters have the potential to be used in critical care settings, it is likely that they will be primarily used in non-ICU settings in hospitals, because they are still unproven for ICU use.…”

Section: Critical Care Settingsmentioning

confidence: 99%

Glucose meter inaccuracy and the impact on the care of patients

Hellman

2012

Diabetes Metabolism Res

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Blood glucose testing utilizing point-of-care (POC) glucose meters has become increasingly common--in hospital settings, in outpatient areas, and in the self-care of patients. It is rightly considered an essential tool for the management of diabetes. But many who rely on these meters are unaware of the pitfalls in their use and do not realize that there are settings where misleading results obtained by POC glucose meters may alter clinical decisions in the care of persons with diabetes and in some cases have caused catastrophic errors in care, even deaths. Their use in critical care settings is of great concern because many of the factors that increase the risk of inaccuracy of the POC glucose meters exist in critical care settings. Unfortunately, many clinicians are still uncritically accepting data from the POC glucose meters, to the potential detriment of the care of the patients. To improve the quality of care of those with diabetes, we need to establish better standards for the evaluation of POC glucose meters, encourage wider use of technologies that have improved the accuracy and precision of the meters, and adopt clear rules, particularly in inpatient settings, as to when to avoid using POC glucose meters and also when to verify their results before accepting the results of the POC glucose measurement. Such strategies are essential if we are to use these meters successfully.

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“…14 Hospitals should choose POC meters carefully, using those with valid hematocrit corrections and corrections for multiple interferences and having not just minimal standards of accuracy and precision, but rather total analytic error ratings in the 4-5% range, [15][16][17][18] as are currently attained by a few newer meters. 15 Hospital clinical laboratories and nursing staff are well advised to develop a robust quality improvement and monitoring program to ensure proper training of personnel who use and interpret POC glucose results and to be sure that meter calibration and data analysis are done using a continuous quality improvement method.…”

Section: Poc Meters In Non-intensive Care Hospital Settingsmentioning

confidence: 99%