naa a22 4500 510741185 CHVBK 20180411083028.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11845-013-0949-3 doi (NATIONALLICENCE)springer-10.1007/s11845-013-0949-3 Is point of care testing in Irish hospitals ready for the laboratory modernisation process? An audit against the current national Irish guidelines [Elektronische Daten] [R. O'Kelly, E. Byrne, C. Mulligan, K. Mulready, P. O'Gorman, P. O'Shea, G. Boran] Background: The Laboratory modernisation process in Ireland will include point of care testing (POCT) as one of its central tenets. However, a previous baseline survey showed that POCT was under-resourced particularly with respect to information technology (IT) and staffing. Aims: An audit was undertaken to see if POCT services had improved since the publication of National Guidelines and if such services were ready for the major changes in laboratory medicine as envisaged by the Health Service Executive. Methods: The 15 recommendations of the 2007 Guidelines were used as a template for a questionnaire, which was distributed by the Irish External Quality Assessment Scheme. Results: Thirty-nine of a possible 45 acute hospitals replied. Only a quarter of respondent hospitals had POCT committees, however, allocation of staff to POCT had doubled since the first baseline survey. Poor IT infrastructure, the use of unapproved devices, and low levels of adverse incident reporting were still major issues. Conclusions: Point of care testing remains under-resourced, despite the roll out of such devices throughout the health service including primary care. The present high standards of laboratory medicine may not be maintained if the quality and cost-effectiveness of POCT is not controlled. Adherence to national Guidelines and adequate resourcing is essential to ensure patient safety. Royal Academy of Medicine in Ireland, 2013 POCT nationallicence Guidelines nationallicence Audit nationallicence Modernisation nationallicence Connectivity nationallicence Quality nationallicence O'Kelly R. Coombe Women and Infants University Hospital, Dublin 8, Ireland aut Byrne E. St Vincent's University Hospital, Dublin 4, Ireland aut Mulligan C. Midlands Regional Hospital, Mullingar, Ireland aut Mulready K. Mater Misericordae University Hospital, Dublin 7, Ireland aut O'Gorman P. Mater Misericordae University Hospital, Dublin 7, Ireland aut O'Shea P. University College Hospital, Galway, Ireland aut Boran G. Tallaght Hospital, Dublin 24, Ireland aut Irish Journal of Medical Science Springer London 182/4(2013-12-01), 663-668 0021-1265 182:4<663 2013 182 11845 https://doi.org/10.1007/s11845-013-0949-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0949-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- O'Kelly R. Coombe Women and Infants University Hospital, Dublin 8, Ireland aut NATIONALLICENCE 700 1- Byrne E. St Vincent's University Hospital, Dublin 4, Ireland aut NATIONALLICENCE 700 1- Mulligan C. Midlands Regional Hospital, Mullingar, Ireland aut NATIONALLICENCE 700 1- Mulready K. Mater Misericordae University Hospital, Dublin 7, Ireland aut NATIONALLICENCE 700 1- O'Gorman P. Mater Misericordae University Hospital, Dublin 7, Ireland aut NATIONALLICENCE 700 1- O'Shea P. University College Hospital, Galway, Ireland aut NATIONALLICENCE 700 1- Boran G. Tallaght Hospital, Dublin 24, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer London 182/4(2013-12-01), 663-668 0021-1265 182:4<663 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer