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Table 1 Overview of the key elements for managing patient safety aspects related to POCT investigated in this study

From: Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice

Key elements

Description

Training of users

protocol available as part of the quality system,

users must be trained, certified

periodical refresher courses

Pre-analytical phase

check control measures upon delivery of POC tests:

  -storage condition

  -packaging undamaged

  -expiry dates

check control measures before using POC tests:

  -instruct the patient

  -read instructions for use or own written protocol

  -check storage condition

  -packaging undamaged

  -expiry dates

  -regular maintenance and calibration of POC test meters

Analytical phase

perform patient identification

take the appropriate hygienic measures (e.g. washing hands )

correct sample handling

Post-analytical phase

record test results

take control measures and action in case device failure, such as:

  -refer a patient or sent the sample to a laboratory for testing

  -contact the manufacturer of the POC test

  -check the expiry date of the POC test

  -repeat the test with an other POC test

  -repeat the test with a new sample

take control measures and a actions in case the test results conflict with symptoms, such as:

  -refer a patient or sent the sample to a laboratory for testing

  -repeat the test with an other POC test

  -repeat the test with a new sample

  -give life style advice

prescribe medication