ORIGINAL RESEARCH
Acta Biochim. Pol.
Volume 72 - 2025 | doi: 10.3389/abp.2025.14299
This article is part of the Special IssueBiological, Chemical and Physical Factors of Public HealthView all 3 articles
Monitoring and optimization of POCT devices in a multi-specialty hospital in Poland: usage trends, quality assurance, and Clinical Impact (2017-2024)
Agnieszka Woźniak-Kosek*
Lucyna Drążek- Military Institute of Medicine (Poland), Warsaw, Poland
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Rapid access to blood laboratory test results is crucial for diagnosing and treating patients in life-threatening conditions. Oxygenation status and acid-base balance are determined on arterial blood gasometry and are vital components of modern treatment algorithms for critically ill patients, similar to capillary blood glucose level measurement.The aim of this study is to present a modern method of reporting the work of critical parameter analyzers and glucometers in a multi-speciality hospital.The material for the analysis consisted of data obtained during the supervision of POCT devices in the clinics/departments/institutes of MIM-NRI from 2017 to 2024.Analyzing the use of glucometers in MIM-NRI from 2017 to 2024, it was noted that their usagesignificantly increased during the Covid-19 pandemic compared to the previous period.Currently, 112 devices are continuously used in both locations. All of them are subject to international and national quality testing, as well as daily internal calibration checking at their workplaces.. There are currently 13 analyzers of critical parameter in the clinics and departments of MIM-NRI. All operate within the AQURE system, which allows for monitoring the correct operation of these devices and helps in quickly identifying analytical problems and reporting in real-time about the device's operational status. In the first half of 2024, 40,082 blood sample tests were performed on patients. Analysis of correctly performed gasometric tests conducted in clinics and laboratories shows similar values, ranging from 84.17% to 86.38%.In addition to external control, critical parameter devices must necessarily undergodaily internal laboratory control and calibration. The demand for POCT tests in Polish hospitals is steadily growing due to their enormous potential and the time savings associated with performing tests directly at the patient's bedside. The greatest advantage of POCT is that by providing quick access to test results, diagnosis can be accelerated, and treatment initiated more rapidly. Additionally, POCT tests conducted in emergency rooms or hospital emergency departments can help to reduce the number of unnecessary hospitalizations or costly imaging tests. Having an appropriate POCT data management system in a multi-specialty hospital and ensuring IT communication is currently indispensable for proper patient care
Keywords: POCT (Point-of-Care Testing), critical parameter analyzers, glucometers, laboratory management, quality management
Received: 04 Jan 2025; Accepted: 01 May 2025.
Copyright: © 2025 Woźniak-Kosek and Drążek. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Agnieszka Woźniak-Kosek, Military Institute of Medicine (Poland), Warsaw, Poland
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