Perspectives On Blood-Based Point-Of-Care Diagnostics

Abstract

Background

Point of Care (POC) diagnostics are an essential component of modern medicine and are employed in a variety of clinical disciplines to improve patient outcomes and provider efficiency. Despite these benefits, there are aspects of POC testing which may still hold room for improvement. In the present study, a group of healthcare professionals familiar with different facets of blood-based POC testing provided their perspectives on the benefits and challenges of POC testing within their respective fields.

Materials and methods

The study was conducted from April to June 2019, in Colorado, United States of America. Five healthcare professionals, each working in a distinct field (anesthesiology, nursing, emergency medicine, trauma surgery, and POC management) were interviewed. Results from each of the interviews were transcribed as qualitative perspectives on POC diagnostics.

Discussion

The general consensus among participants in this study is that POC testing is tremendously beneficial, providing rapid test results, increased access to diagnostics, and improvements in hospital efficiency. However, significant challenges remain in blood-based POC diagnostics, particularly in maintaining sample quality, due to the fact that devices used for sample acquisition and handling are not designed for POC. This raises the possibility for interferents like hemolysis to occur, which may alter diagnostic results. Errors in POC diagnostics, whether due to sample, operator, or instrument error, may cause providers to lose confidence in the test. This lack of confidence can lead to duplicate testing and delayed patient diagnoses.

Conclusion

The perspectives presented in this study suggest there is a significant need for improvement in the pre-analytical phase of POC testing, and that current practice employs specimen collection technology not designed for POC. Therefore, one hypothesis is that the introduction of a collection device designed specifically for POC could reduce pre-analytical errors, standardize sample quality, improve efficiency, and further benefit patient care.

Keywords:

• patient diagnostics
• point-of-care
• blood
• hemolysis
• pre-analytical phase
• emergency medicine
• trauma

Acknowledgment

This study was funded by Becton Dickinson and Company, Franklin Lakes, NJ, USA.

Disclosure

Ms Karalee Quig reports personal fees from Becton Dickinson, during the conduct of the study. Dr Elizabeth G Wheatley reports personal fees from Becton Dickinson, during the conduct of the study and outside the submitted work. Mr Matthew O’Hara reports personal fees from Becton Dickinson, during the conduct of the study and outside the submitted work. The authors report no other conflicts of interest in this work.