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• W2067991012 abstract "Traditionally the central (core) laboratory has been the primary site for processing samples that originate from patients in the critical care setting. 18 Harvey M.A. Point of care laboratory testing in critical care. Am J Crit Care. 1999; 8: 72-83 PubMed Google Scholar The laboratory procedure begins with the ICU physician's order for laboratory studies using testing profiles and prioritization levels (standard, urgent, and stat) preconfigured by the laboratory administration. Samples are then obtained from the ICU patient; transported by messenger, pneumatic tube, or robot to the central laboratory; and analyzed within a variable time given the central laboratory's personnel, device, and prioritization constraints. Results from the laboratory are communicated to the ICU physician through a transmission intermediary such as the laboratory/hospital information system (L/HIS), local ICU printer, facsimile, telephone, or pager. This multistep and multiperson central laboratory program may lead to long delays between the time a laboratory test is ordered and the time the result is received by the clinical staff and may not satisfy the dynamically evolving clinical needs of the unstable, critically ill patient. 4 Castro H.J. Oropello J.M. Halpern N. Point-of-care testing in the intensive care unit: The intensive care physician's perspective. Am J Clin Pathol. 1995; 104: S95-S99 PubMed Google Scholar The ICU diagnostic and therapeutic processes are rendered inefficient and ineffective if the ICU staff finds that test results are classified as “pending” and are not available at the time they are required for decision making. Even when laboratory results arrive at the ICU bedside, they may reflect the past and not the patient's present condition. Duplicate samples may have been forwarded to the central laboratory, reflecting the ongoing frustrations of ICU care givers at not having real-time laboratory data. Traditionally the central (core) laboratory has been the primary site for processing samples that originate from patients in the critical care setting. 18 Harvey M.A. Point of care laboratory testing in critical care. Am J Crit Care. 1999; 8: 72-83 PubMed Google Scholar The laboratory procedure begins with the ICU physician's order for laboratory studies using testing profiles and prioritization levels (standard, urgent, and stat) preconfigured by the laboratory administration. Samples are then obtained from the ICU patient; transported by messenger, pneumatic tube, or robot to the central laboratory; and analyzed within a variable time given the central laboratory's personnel, device, and prioritization constraints. Results from the laboratory are communicated to the ICU physician through a transmission intermediary such as the laboratory/hospital information system (L/HIS), local ICU printer, facsimile, telephone, or pager. This multistep and multiperson central laboratory program may lead to long delays between the time a laboratory test is ordered and the time the result is received by the clinical staff and may not satisfy the dynamically evolving clinical needs of the unstable, critically ill patient. 4 Castro H.J. Oropello J.M. Halpern N. Point-of-care testing in the intensive care unit: The intensive care physician's perspective. Am J Clin Pathol. 1995; 104: S95-S99 PubMed Google Scholar The ICU diagnostic and therapeutic processes are rendered inefficient and ineffective if the ICU staff finds that test results are classified as “pending” and are not available at the time they are required for decision making. Even when laboratory results arrive at the ICU bedside, they may reflect the past and not the patient's present condition. Duplicate samples may have been forwarded to the central laboratory, reflecting the ongoing frustrations of ICU care givers at not having real-time laboratory data." @default.
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• W2067991012 date "2000-10-01" @default.
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• W2067991012 title "POINT OF CARE DIAGNOSTICS AND NETWORKS" @default.
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• W2067991012 doi "https://doi.org/10.1016/s0749-0704(05)70137-8" @default.
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