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Zusammenfassung

Qualität in der Labormedizin bedeutet, dass jeder einzelne Schritt entlang der gesamten diagnostischen Prozesskette korrekt durchgeführt wird, wodurch eine fundierte Entscheidungsfindung und eine effektive Patientenversorgung gewährleistet werden. Diese Definition gilt nicht nur für die klassische Labormedizin, sondern auch für das POCT. Bezüglich der Patientensicherheit entstehen durch die POCT-Diagnostik andere Risiken als wie bei der Analytik im Zentrallabor. Das Kapitel bespricht einzelne, relevante Fehlerquellen.

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Literatur

  1. Boyd JC, Bruns DE (2001) Quality specifications for glucose meters: assessment by simulation modeling of errors in insulin dose. Clin Chem 47:209–14

    Google Scholar 

  2. Carraro P, Plebani M (2009) Post-analytical errors with portable glucose meters in the hospital setting. Clin Chim Acta 404:65–7

    Google Scholar 

  3. Collinson PO (2006) Cardiac biomarkers. Pathophysiology and disease management. Totowa. NJ: Humana Humana Press, pp 559–74

    Google Scholar 

  4. Fraser CG (2001) Biological variation: from principles to practice. AACC Press, Washington

    Google Scholar 

  5. Freedman DB (2002) Clinical governance: implications for point-of-care testing. Ann Clin Biochem 39:421–3

    Google Scholar 

  6. Gray TA, Freedman DB, Burnett D, Szczepura A, Price CP (1996) Evidence based practice: clinicians’ use and attitudes to near patient testing in hospital. J Clin Pathol 49:903–8

    Google Scholar 

  7. Hawkins RC (2006) Correction and reporting of potassium results in haemolysed samples. Ann Clin Biochem 43:88–9

    Google Scholar 

  8. Hyltoft Petersen P, Brandslund I, Jørgensen L, Stahl M, de Fine Olivarius N, Borch-Johnsen K (2001) Evaluation of systematic and random factors in measurements of fasting plasma glucose as the basis for analytical quality specifications in the diagnosis of diabetes. 3. Impact of the new WHO and ADA recommendations on diagnosis of diabetes mellitus. Scand J Clin Lab Invest 61:191–204

    Google Scholar 

  9. Jani IV, Peter TF (2013) How Point-of-Care testing could drive innovation in global health. N Engl J Med 368: 2319–24

    Google Scholar 

  10. José RJ, Preller J (2008) Near-patient testing of potassium levels using arterial blood gas analysers: can we trust these results? Emerg Med J 25:510–3

    Google Scholar 

  11. Kazmierczak S (2008) Improving healthcare through advances in point-of-care technologies. Clin Chem Lab Med 46:1–2

    Google Scholar 

  12. Kristensen GB, Sandberg S (2010) Self-monitoring of blood glucose with a focus on analytical quality: an overview. Clin Chem Lab Med 48:963–72

    Google Scholar 

  13. Kost GJ (1995) Guidelines for point-of-care testing. Improving patient outcomes. Am J Clin Pathol 104:S111–S127

    Google Scholar 

  14. Larsson A, Greig-Pylypczuk R, Huisman A (2015) The state of point-of-care testing: a European perspective. Ups J Med Sci 120:1–10

    Google Scholar 

  15. Lippi G, Blanckaert N, Bonini P, Green S, Kitchen S, Palicka V, et al. (2008) Haemolysis: an overview of the leading cause of unsuitable specimens in clinical laboratories. Clin Chem Lab Med 46:764–72

    Google Scholar 

  16. Meier FA, Jones BA (2005) Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med 129:1262–7

    Google Scholar 

  17. Mirzazadeh M, Morovat A, James T, Smith I, Kirby J, Shine B (2016) Point-of-care testing of electrolytes and calcium using blood gas analysers: it is time we trusted the results. Emerg Med J 33:181–6

    Google Scholar 

  18. O’Kane MJ, McManus P, McGowan N, Lynch PL (2011) Quality error rates in point-of-care testing. Clin Chem 57:1267–71

    Google Scholar 

  19. Palamalai V, Murakami MM, Apple FS (2013) Diagnostic performance of four point ofcare cardiac troponin I assays to rule in and rule out acute myocardial infarction. Clin Biochem 46:1631–5

    Google Scholar 

  20. Plebani M (2009) Does POCT reduce the risk of error in laboratory testing? Clin Chim Acta 404:59–64

    Google Scholar 

  21. Plebani M (2012) Quality indicators to detect pre-analytical errors in laboratory test. Clin Biochem Rev 33:85–8

    Google Scholar 

  22. Plebani M (2013) Harmonization in laboratory medicine: the complete picture. Clin Chem Lab Med 51:741–51

    Google Scholar 

  23. Plebani M (2016) Harmonization in laboratory medicine: Requests, samples, measurements and reports. Crit Rev Clin Lab Sci 53:184–96

    Google Scholar 

  24. Rainey PM, Ulibarri M (2014) Point-of-Care Testing. Is faster better? Am J Clin Pathol 142:582–3

    Google Scholar 

  25. Sharp L, Farrance I, Greaves RF (2016The application of glucose point of care testing in three metropolitan hospitals. Pathology 48:51–9

    Google Scholar 

  26. St John A, Price CP (2014) Existing and emerging technologies for Point-of-Care Testing. Clin Biochem Rev 35:155–67

    Google Scholar 

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Plebani, M. (2017). Patientensicherheit und POCT. In: Luppa, P., Junker, R. (eds) POCT - Patientennahe Labordiagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54196-8_28

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