I agree Joan.
But my point is:-
Members of our profession are fully aware of the risks of POCT but as
importantly are also acutely aware of analytical shortcomings of POCT.
As a profession we should be critically considering whether some of
these devices are actually fit for purpose or not and whether there is
an unambiguous and evidence based clinical justification for providing
the assay at POCT. If so, the laboratory clearly must provide
appropriate support. If not, then lets leave well alone.
I am not sure whether we are really challenging some of these
"developments" as vigorously as we should.
Friday rant over.
Ian
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Joan Pearson
Sent: 13 May 2009 11:37
To: [log in to unmask]
Subject: Re: POCT cholesterol
The key word there is "knowingly". The vast majority of patients - and
many clinical staff who do POCT - have no conception of the risks of
POCT and what is needed (training, QC/EQA, equipment management etc) to
assure good quality results.
Hence the essential involvement of laboratory medicine to ensure
appropriate choice of POCT (or not) and safe running of any POCT
service. We must stay involved and vocal.
Dr MJ Pearson
Department of Clinical Biochemistry & Immunology
Old Medical School
Leeds General Infirmary (Leeds Teaching Hospitals NHS Trust)
LEEDS LS1 3EX
UK
tel (44)-[0]113-392-3945
fax (44)-[0]113 392-3453.
http://www.leedsth.nhs.uk
>>> Reynolds Tim <[log in to unmask]> 11/05/2009 09:33
>>>
But that won't stop DoH from pushing for its use on grounds of patient
choice - though why anyone would knowingly choose to be given the wrong
result I don't know.
http://www.jiscmail.ac.uk/
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