Please use this identifier to cite or link to this item:
Title: Sustained Quality and Service Delivery in an Expanding Point-of-Care Testing Network in Remote Australian Primary Health Care.
Authors: Matthews, Susan Janet
Spaeth, Brooke
Duckworth, Lauren
Richards, Janet Noreen
Prisk, Emma
Auld, Malcolm
Quirk, Tina
Omond, Rodney
Shephard, Mark D S
Citation: © 2020 College of American Pathologists.
Arch Pathol Lab Med. 2020 Nov 1;144(11):1381-1391. doi: 10.5858/arpa.2020-0107-OA.
Abstract: CONTEXT.—: Since 2008, the Northern Territory Point-of-Care Testing Program has improved patient access to pathology testing for acute and chronic disease management for remote health services. OBJECTIVE.—: To evaluate the analytical quality, service delivery, and clinical utility of an expanding remote point-of-care testing network. DESIGN.—: Four years (2016-2019) of data on analytical quality, test numbers, and training statistics and 6 months of clinical point-of-care testing data from Abbott i-STATs at remote health services throughout the Northern Territory were analyzed to assess analytical performance, program growth, and clinical utility. RESULTS.—: From 2016 to 2019, point-of-care test numbers increased, with chemistry and blood gas testing more than doubling to 8500 and 6000 tests, respectively, troponin I testing almost doubling (to 6000), and international normalized ratio testing plateauing at 8000 tests. Participation in quality control and proficiency testing was high, with quality comparable to laboratory-based analytical goals. A shift toward flexible training and communication modes was noted. An audit of point-of-care test results demonstrated elevated creatinine, associated with chronic kidney disease management, as the most common clinically actionable patient result. CONCLUSIONS.—: The Northern Territory Point-of-Care Testing Program provides high quality point-of-care testing within remote primary health services for acute and chronic patient management and care. Clinical need, sound analytical performance, flexibility in training provision, and effective support services have facilitated the sustainability of this expanding point-of-care testing model in the remote Northern Territory during the past 11 years.
Click to open Pubmed Article:
Journal title: Archives of pathology & laboratory medicine
Volume: 144
Pages: 1381-1391
Publication Date: 2020-11-01
Type: Journal Article
DOI: 10.5858/arpa.2020-0107-OA
Appears in Collections:(a) NT Health Research Collection

Files in This Item:
There are no files associated with this item.

Items in ePublications are protected by copyright, with all rights reserved, unless otherwise indicated.

Google Media

Google ScholarTM

Who's citing


PubMed References

Who's citing