Abstract:
:ISO 22870 standards require protocols for performance of internal quality control for all point-of-care testing devices and training of users in its theory and practice. However, the unique setting of point-of-care testing (i.e. processes conducted by non-scientific users) means that laboratory internal quality control programmes do not easily translate to point-of-care testing. In addition, while the evidence base for internal quality control within the laboratory has been increasing, the equivalent literature surrounding point-of-care testing is very limited. This has led to wide variation in what is considered acceptable practice for internal quality control at the point of care. Indeed, it has been demonstrated that internal quality control is an area of deficiency in point-of-care testing. Internal quality control protocols used at point-of-care testing should be defined based on risk management. The protocol will therefore be dependent on analyser complexity and availability of inbuilt system checks, the risk associated with release of an incorrect patient result as well as frequency of use. The emphasis should be on designing an effective internal quality control protocol as opposed to the inherent tendency of introducing high-frequency quality control. Typically a simple pass or fail criterion is used for internal quality control in point-of-care testing based on whether internal quality control results fall within assigned ranges. While simply taught, such criteria can require broad internal quality control ranges to decrease the probability of false rejection (also reducing the probability of error detection). Customized internal quality control ranges, two-tier acceptance systems and assay-specific internal quality control can be used to improve error detection rates.
journal_name
Ann Clin Biochemjournal_title
Annals of clinical biochemistryauthors
Holt H,Freedman DBdoi
10.1177/0004563215615148subject
Has Abstractpub_date
2016-03-01 00:00:00pages
233-9issue
Pt 2eissn
0004-5632issn
1758-1001pii
0004563215615148journal_volume
53pub_type
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journal_title:Annals of clinical biochemistry
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abstract::Background After adrenalectomy, urinary fractionated metanephrine concentrations are expected to be reduced. However, there are few studies suggesting cut-offs for adrenalectomy patients. Methods Urinary metanephrine and normetanephrine concentrations in adrenalectomy patients and two controls were compared and hormon...
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doi:10.1177/0004563221989360
更新日期:2021-01-27 00:00:00
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journal_title:Annals of clinical biochemistry
pub_type: 杂志文章,评审
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journal_title:Annals of clinical biochemistry
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doi:10.1258/000456304323019631
更新日期:2004-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1177/000456328302000503
更新日期:1983-09-01 00:00:00
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doi:10.1177/000456328502200106
更新日期:1985-01-01 00:00:00
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journal_title:Annals of clinical biochemistry
pub_type: 杂志文章
doi:10.1258/acb.2009.008249
更新日期:2009-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1177/0004563217694052
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journal_title:Annals of clinical biochemistry
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更新日期:1983-03-01 00:00:00
abstract:BACKGROUND:It is recommended that children receiving intravenous fluids should have frequent biochemical monitoring, in some situations 4-6 hourly. Small changes in sodium must be detected, requiring very high precision from sodium analyses. Some children are monitored using venous blood analysed by indirect ion-select...
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pub_type: 杂志文章
doi:10.1258/000456306778904560
更新日期:2006-11-01 00:00:00
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更新日期:2020-09-01 00:00:00
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journal_title:Annals of clinical biochemistry
pub_type: 杂志文章
doi:10.1177/000456328602300407
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journal_title:Annals of clinical biochemistry
pub_type: 杂志文章
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pub_type: 杂志文章,评审
doi:10.1258/000456304322664645
更新日期:2004-01-01 00:00:00
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journal_title:Annals of clinical biochemistry
pub_type: 杂志文章
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journal_title:Annals of clinical biochemistry
pub_type: 杂志文章,多中心研究
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journal_title:Annals of clinical biochemistry
pub_type: 杂志文章
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