Evidence based practice: Clinicians' use and attitudes to near patient testing in hospitals
UNSPECIFIED. (1996) Evidence based practice: Clinicians' use and attitudes to near patient testing in hospitals. JOURNAL OF CLINICAL PATHOLOGY, 49 (11). pp. 903-908. ISSN 0021-9746Full text not available from this repository.
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 a 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 patient testing as a solution to response testing.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RB Pathology|
|Journal or Publication Title:||JOURNAL OF CLINICAL PATHOLOGY|
|Publisher:||BRITISH MED JOURNAL PUBL GROUP|
|Official Date:||November 1996|
|Number of Pages:||6|
|Page Range:||pp. 903-908|
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