Evidence based practice: clinicians' use and attitudes to near patient testing in hospitals
| Autor: | C P Price, Trevor A Gray, D Burnett, D B Freedman, Ala Szczepura |
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| Jazyk: | angličtina |
| Rok vydání: | 1996 |
| Předmět: |
Evidence-based practice
Time Factors Attitude of Health Personnel Point-of-care testing Point-of-Care Systems Medical laboratory Pathology and Forensic Medicine Nursing Intensive care Medical Staff Hospital Medicine Humans Rapid response Evidence-Based Medicine business.industry Diagnostic Tests Routine General Medicine Evidence-based medicine medicine.disease Laboratories Hospital England North west Near patient testing Medical emergency business Research Article |
| Zdroj: | Scopus-Elsevier |
| Popis: | AIM: To survey the use made of laboratory services for urgent tests and clinicians' attitudes to near patient testing. METHODS: A questionnaire was sent to clinicians working in acute hospitals within Trent and North West Thames Regions. RESULTS: 197 replies were received. Most demand came from intensive care units. Overall, clinicians requested a median of six urgent tests a day. Blood glucose and dip stick urine testing were the most commonly performed bedside tests, but 41% of clinicians did not use ward testing. The most frequently cited indication for bedside testing was the need for speed. 85% of clinicians trusted results obtained in their central hospital laboratory, but there was an almost equal division between those who did (34%) and those who did not (38%) trust the results from near patient testing. A slightly larger proportion indicated they would accept responsibility (44%) for results obtained on the ward than would not (35%). Most staff indicated that better transport to the laboratory would remove the need for near patient testing. CONCLUSIONS: Clinicians have demonstrated an apparent need for rapid response testing but there is a strong preference for rapid transport systems and central laboratory analysis rather than bedside testing as a solution to this problem. There is a need to investigate the clinical and cost-effectiveness of near patient testing as a solution to rapid response testing. |
| Databáze: | OpenAIRE |
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