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Elizabeth Terry Named 2017 POCC of the Year!

Elizabeth Anne Terry is part of a two person POCT team that manages 1500 POCT users at the Kaiser Permanente Medical Center in Oakland, California. The POCT program encompasses a 349-bed, state-of-the-art hospital and 6 medical office buildings.

 

Betty is a native of Pennsylvania, raised in the San Francisco Bay Area, received a BA in Bacteriology from the University of California, Berkeley and completed the Curriculum in Medical Technology from University of California, San Francisco. During the course of her career Betty has worked in all shifts and all areas of the clinical lab.

Read more >

CDC Releases 2017 National Diabetes Statistics Report

The National Diabetes Statistics Report is a periodic publication of the Centers for Disease Control and Prevention (CDC) that provides updated statistics about diabetes in the United States for a scientific audience. It includes information on prevalence and incidence of diabetes, prediabetes, risk factors for complications, acute and long-term complications, deaths, and costs. These data can help focus efforts to prevent and control diabetes across the United States.

 

Click here for a copy of the report.

“Off-Label” Use of Blood Glucose Monitoring Systems in Critically ill Patients
MLO letters to the Editor, June 22, 2017

The article by Scott Isbell, PhD, DABCC, entitled “Bedside blood glucose testing in critically ill patients,” published in the April edition of MLO [2017;49(4):8-12] summarized some of the current issues related to testing capillary blood and the “Off-Label” use of blood glucose monitoring systems (BGMS) in critically ill patients. However, in our view the article did not completely nor adequately explain all the recent concerns about using BGMS in critically ill patient care settings and the reasons behind the publication of the new FDA guidance with specific critical care accuracy criteria and clearance requirements for manufacturers.

 

More specifically, the article did not address the patient dangers associated with using blood glucose meters not cleared for use in critically ill patients, nor the regulatory risks to hospitals when they use a meter not cleared for critically ill patients in an “Off-Label” application.

 

The concern about the accuracy of BGMS used in critically ill patients is related to deaths and serious adverse events reported in the US FDA MAUDE database, as well as in peer-reviewed medical journals. These reports and publications represent the tip of the iceberg and are still being reported for certain glucose meters used routinely in hospital settings. Read more >

CDC data show C. diff infection rates are falling after steady increase

Preliminary analysis of data from the CDC's Emerging Infections Program showed that the rate of new Clostridium difficile infections in hospitals and nursing homes nationwide declined by 9% to 15% from 2011 to 2014, suggesting revised antibiotic use guidelines and more aggressive cleaning standards are working. C. difficile infection rates climbed annually from 2000 to 2010, and in 2011 caused almost 500,000 illnesses and killed about 29,000 people in the US. Read more >

CDC: Flu season moderate, influenza H3N2

most dominant strain

CDC researchers reported that flu activity this season was moderate, with influenza A (H3N2) being the most dominant strain for most of the season. The findings in the agency's Morbidity and Mortality Weekly Report also showed that flu vaccines distributed this season were tied to a 42% lower overall risk of flu-related medical visits. Read more >

Untangling Glycaemia and Mortality

in Critical Care
Vincent Uyttendaele, , Jennifer L. Dickson, Geoffrey M. Shaw, Thomas Desaive and J. Geoffrey Chase

Critical Care, June 2017

Glycaemic control (GC) in the intensive care unit (ICU) is a controversial subject . Whereas some studies showed improved mortality with GC within a tight or intermediate range, several others studies and larger analyses did not reproduce these results. Increased hypoglycaemia induced by the GC protocol, patient variability and/or protocol compliance further confounds results.

 

The strong associations of blood glucose (BG) level and/or variability with mortality have been used to make a case for GC. The association of moderate or severe hypoglycaemia with increased mortality similarly indicates that improved control must be achieved safely, despite high inter- and intra- patient variability. The association of high times in intermediate bands with reduced mortality would indicate... Read more > | Online | PDF

Looking at POCT Through a New “Value” Lens
By Kim Futrell, June 22, 2017, Medical Laboratory Observer

Advances in technology, combined with the value focus of today’s healthcare system, are changing the how, when, and where of laboratory testing. As part of this shift, these trends are increasing the demand for point-of-care testing (POCT) and broadening the impact that POCT can make in improved patient outcomes and cost savings. Improvements in patient satisfaction also can be realized when laboratory results are made available in real time at the patients’ point of care. In order to utilize POCT to its fullest, however, we have to learn to look at POCT with a different perspective than in the past—through a new “value” lens. We have to carefully determine when and where POCT can have the most benefit and implement IT solutions that ease the complexity of POCT integration and oversight so that the benefits are not overshadowed by the burden of management and integration.

Read more >

Bringing Point-of-Care Testing
to the Community 

American Pharmacists Association
 
The expansion of POCT services to pharmacies increases patient access, but barriers exist. According to CDC, 8 million people have undiagnosed diabetes, 240,000 people have undiagnosed HIV, and 800,000 people have undiagnosed hepatitis C in the United States.1 POCT—medical diagnostic testing performed in close proximity to the patient and outside traditional, clinical laboratory settings—can identify all three of these diseases. The testing can be provided at primary care clinics, community pharmacies, paramedical vehicles, rural and remote areas, and during times of natural disasters or emergencies.
 
POCT offers many advantages toward improving the quality of, access to, and cost effectiveness of patient care. For example... Read more >

poctHUB Launches: Take It for a Spin

By Christopher Fetters, Nextivity, May 2017

 

poctHUB is a portal for professional POCT products that includes the ability to read and write reviews, link journal articles, browse product specifications and search for your next great POCT product.

 

poctHub is a clearinghouse of product information which is unbiased and normalized across products. Each product will be rated by its users based on Clinical Efficacy, Reliability, Ease-of-Use, Product Support, and an Overall score.  Viewers will be able to see how many other hospitals have connected to each product and how many have reviewed each product.  Scientific journal articles, case studies, and product brochures can all be linked to each product limiting the need to scour the web for product information.  poctHUB will put much of the information you need, right at your fingertips.

 

Using poctHUB is free for anyone who directly or indirectly treats clinical patients:  POCCs, lab managers, medical directors, respiratory, nursing, POL office managers, etc. 

 

Take it for a spin today!

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Last updated: 07/20/2017 Questions or corrections: editor@pointofcare.net. © 2016  BACK TO TOP