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Evidence based practice: Clinicians' use and attitudes to near patient testing in hospitals

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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 0021-9746

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Abstract

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
ISSN: 0021-9746
Date: November 1996
Volume: 49
Number: 11
Number of Pages: 6
Page Range: pp. 903-908
Publication Status: Published
URI: http://wrap.warwick.ac.uk/id/eprint/18239

Data sourced from Thomson Reuters' Web of Knowledge

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