ICSH guideline for worldwide point-of-care testing in haematology with special reference to the complete blood count

ICSH guideline for worldwide point-of-care testing in haematology with special reference to the complete blood count
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DOI:
10.1111/j.1751-553x.2008.01050.x
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发表时间:
2008-04-01
影响因子:
3
通讯作者:
Corrons, J. -L. Vives
Corrons, J. -L. Vives
中科院分区:
医学4区
文献类型:
--
作者:
Briggs, C.;Carter, J.;Corrons, J. -L. Vives

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这些指南提供了有关如何开发和管理护理点(POCT)服务的信息,以便无论在何处进行测试,都能产生可靠的血液学结果。这里讨论的许多问题与医院或卫生中心内的POCT有关;然而,这些原则同样适用于社区和医生办公室的护理。本指南中讨论的其他方面包括服务的启动(包括POCT服务的适应症和限制)、工作人员培训、选择的血液学设备类型、血液结果、质量监测、认证、安全性和成本。所选设备应产生与当地参考实验室相当的结果。如果尚未对POCT器械进行完整的独立评估,则购买者应根据本文件中的方案进行当地评估。还应进行文献检索,以找到关于POCT设备的独立同行评审评价。这里讨论的理想在一些发展中国家可能无法实现,但POCT工作人员的长期培训和教育需要得到支持,并不断列入政府议程,以实现这里提出的建议。用户应根据其特定POCT需求和设置解释这些建议。
These guidelines provide information on how to develop and manage a point-of-care (POCT) service so that reliable haematology results are produced regardless of where the test is performed. Many of the issues addressed here are relevant to POCT within hospitals or health centres; however, the principles are equally applicable to care in the community and doctors' offices. Other aspects discussed in this guideline are the initiation of the service (including indications for and limitations of a POCT service), staff training, type of haematology equipment selected, the blood results, monitoring of quality, accreditation, safety and cost. Equipment selected should generate results that are comparable to those of the local reference laboratory. If a complete independent evaluation of the POCT device has not been performed, the purchaser should perform a local assessment according to the protocol in this document. A literature search should also be undertaken to find independent peer reviewed evaluations on POCT equipment. Often the ideals discussed here may not be achievable in some developing countries but long-term training and education of POCT workers needs to be supported and constantly kept on government agendas to reach the recommendations advised here. Users should interpret these recommendations for their particular POCT needs and setting.