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Diagnostic Point-of-Care Tests with an Approach to Data Management

Farkhondeh Asadi, Hamid Moghaddasi, Mahrokh Anvari, Reza Rabiei



Introduction: Diagnostic point- of- care (POC) tests are considered as an approach to ease the diagnosis of diseases, deliver quicker patient care, and improve patient safety. The aim of this study was to review the diagnostic POC tests with an approach to data management.

Material and Methods: In this review study, PubMed, Science Direct, Google Scholar, Scopus, and Wolters Kluwer databases were searched from 2000 to 2020 using a combination of related keywords. A total of 96 articles were retrieved of which 48 articles considered as relevant.  The content of these articles were then analyzed with respect to the aim of the study. The inclusion criteria for the articles were: 1) they focused the POC test; 2) addressed data management aspects; 3) written in English.  Articles that only addressed the POC tests from a clinical or technical perspective and with no indication of data management were excluded.

Results: Rapid and timely collection and processing of test results, the capability of exchanging test results, and capabilities such as documentation and data quality control play a significant role in reducing the average length of stay in hospital, planning, decision-making, organizing, controlling clinical and managerial activities, and achieving the efficiency of services provided.

Conclusion: In addition to applying diagnostic POC tests technologies, medical settings should have necessary approaches for managing data generated by these technologies to improve better use of data in service delivery.


Larsson A, Greig-Pylypczuk R, Huisman A. The state of POC testing: A European perspective. Ups J Med Sci. 2015; 120(1): 1-10. PMID: 25622619 DOI: 10.3109/03009734.2015.1006347

StJohn A, Price CP. Existing and emerging technologies for POC testing. Clin Biochem Rev. 2014; 35(3): 155-67. PMID: 25336761

Management and use of IVD point of care test devices [Internet]. 2018 [cited: 15 Jul 2021]. Available from: https://www.gov.uk/government/publications/in-vitro-diagnostic-point-of-care-test-devices/management-and-use-of-ivd-point-of-care-test-devices

Todorovic M, Research L. 5 things you need to know about the POC technology market [Internet]. 2014 [cited: 10 Jul 2021]. Available from: http://www.meddeviceonline.com/doc/things-you-need-to-know-about-the-POC-technology-market-0001

Kricka LJ, Park JY, Reiprish A, Polsky TG, Nardiello MH. The evolution and future of point-of-care testing. Point of Care. 2015; 14(4): 110-5.

Vashist SK, Luppa PB, Yeo LY, Ozcan A, Luong JH. Emerging technologies for next-generation POC testing. Trends Biotechnol. 2015; 33(11): 692-705. PMID: 26463722 DOI: 10.1016/j.tibtech.2015.09.001

Price CP, Kricka LJ. Improving healthcare accessibility through point-of-care technologies. Clin Chem. 2007; 53(9): 1665-75. PMID: 17660275 DOI: 10.1373/clinchem.2006.084707

Diesel D. Point-of-care testing (POCT): Key factors to ensure efficiency and high quality. Clinical Laboratory International. 2004; 10(2): 25.

Abbott Point of Care Data Management Group. Point-of-care testing data management: 5 critical success factors. Point of Care. 2007; 6(2): 160-2.

Rabiei R, Moghaddasi H, Hosseini A, Paydar S. A study on radiology management information system (RMIS) in teaching hospitals affiliated to medical universities in Tehran. Health Information Management. 2015; 12(1): 28-37.

Asadi F, Hosseini A, Moghaddasi H, Nasr Haydarabadi N. Primary health care information systems in health centers in Tehran, Iran. Health Information Management. 2013; 10(4): 1-10.

Kim JY, Lewandrowski K. Point-of-care testing informatics. Clin Lab Med. 2009; 29(3): 449-61. PMID: 19840679 DOI: 10.1016/j.cll.2009.06.014

Reich DL. Monitoring in anesthesia and perioperative care. Cambridge University Press; 2011.

Halpern NA, Brentjens T. Point of care testing informatics: The critical care-hospital interface. Crit Care Clin. 1999; 15(3): 577-91. PMID: 10442264 DOI: 10.1016/s0749-0704(05)70072-5

Shaw JL. Practical challenges related to point of care testing. Pract Lab Med. 2015; 4: 22-9. PMID: 28856189 DOI: 10.1016/j.plabm.2015.12.002

Blick KE. The essential role of information management in point-of-care/critical care testing. Clin Chim Acta. 2001; 307(1-2): 159-68. PMID: 11369352 DOI: 10.1016/s0009-8981(01)00460-0

Zaleski JR. Medical device data and modeling for clinical decision making. Artech House; 2011.

Irish Medicines Board (IBM). Guidelines for safe and effective management and use of point of care testing in primary and community care [Internet]. 2010 [cited: 15 Jul 2021]. Available from: http://hdl.handle.net/10147/92304

Lewandrowski K, Gregory K, Macmillan D. Assuring quality in point-of-care testing: Evolution of technologies, informatics, and program management. Arch Pathol Lab Med. 2011; 135(11): 1405-14. PMID: 22032566 DOI: 10.5858/arpa.2011-0157-RA

Ghafar-Zadeh E. Wireless integrated biosensors for point-of-care diagnostic applications. Sensors (Basel). 2015; 15(2): 3236-61. PMID: 25648709 DOI: 10.3390/s150203236

Moghaddasi H, Samzadeh HR. Investigating the quality control of laboratory information in university hospitals of Tehran. Journal of Paramedical Sciences. 2012; 3(4): 12.

Hakman M, Groth T. Connectivity infrastructure and components for POCT environments: Overall infrastructure. Journal of the Association for Laboratory Automation. 2001; 6(3): 60-8.

Luppa PB, Müller C, Schlichtiger A, Schlebusch H. Point-of-care testing (POCT): Current techniques and future perspectives. TrAC Trends in Analytical Chemistry. 2011; 30(6): 887-98.

Nichols JH. Point-of-care testing data management. Point of Care. 2004; 3(1): 8-10.

Adeogun O, Tiwari A, Alcock JR. Informatics-based product-service systems for point-of-care devices. CIRP Journal of Manufacturing Science and Technology. 2010; 3(2): 107-15.

Clinical and Laboratory Standards Institute. Implementaation guide of POCT for health care providers: Approved guideline. CLSI; 2008.

Yavari F. Point-of-care analyzers. Journal of Medical Engineering Monthly. 2014; 157(2): 34.

Williams R. The future of connectivity in point-of-care testing: Evolving standards promote seamless integration of patient data. Point of Care. 2010; 9(4): 193-5.

Nichols JH. Point-of-care connectivity: Ten years after the connectivity industry consortium. Point of Care. 2010; 9(4): 151-4.

Zharotia VK. Interoperability for point of care testing device [Internet]. 2015 [cited: 20 Jul 2021]. Available from: https://www.wipro.com/search/?q=interoperability+for+point+of+care+testing+device

DuBois JA. Point-of-care testing connectivity: Past, present and future. Point of Care. 2010; 9(4): 196-8.

Moghaddasi H, Rabiei R, Asadi F, Ostvan N. Evaluation of nursing information systems: Application of usability aspects in the development of systems. Healthc Inform Res. 2017; 23(2): 101-8. PMID: 28523208 DOI: 10.4258/hir.2017.23.2.101

Kohle-Ersher A, Chatterjee P, Osmanbeyoglu HU, Hochheiser H, Bartos C. Evaluating the barriers to point-of-care documentation for nursing staff. Comput Inform Nurs. 2012; 30(3): 126-33. PMID: 22024972 DOI: 10.1097/NCN.0b013e3182343f14

Clynch N, Kellett J. Medical documentation: Part of the solution, or part of the problem? A narrative review of the literature on the time spent on and value of medical documentation. Int J Med Inform. 2015; 84(4): 221-8. PMID: 25547194 DOI: 10.1016/j.ijmedinf.2014.12.001

Siemens Healthineers. POC celerator data management system [Internet]. 2019 [cited: 25 Jun 2021]. Available from: https://www.healthcare.siemens.com/informatics/informatics-solutions/poccelerator-software.

Lehe JD, Sitoe NE, Tobaiwa O, Loquiha O, Quevedo JI, Peter TF, et al. Evaluating operational specifications of point-of-care diagnostic tests: A standardized scorecard. PloS One. 2012; 7(10): e47459. PMID: 23118871 DOI: 10.1371/journal.pone.0047459

Gramz J, Koerte P, Stein D. Managing the challenges in point-of-care testing: An ecosystem approach. Point of Care. 2013; 12(2): 76-9.

Futrell K. Orchard trellis invited product profile point-of-care testing management and integration software laboratory point-of-care testing. The Journal of Near Patient Testing & Technology. 2018; 17(3): 95-9.

St-Louis P. Status of point-of-care testing: Promise, realities, and possibilities. Clin Biochem. 2000; 33(6): 427-40. PMID: 11074234 DOI: 10.1016/s0009-9120(00)00138-7

Asadi F, Moghaddasi H, Hosseini A, Dehghani M. Situation analysis of outpatient information management systems in hospitals affiliated with universities of medical sciences, Tehran, Iran. Health Information Management. 2012; 9(3): 432-9.

Kost GJ, Ehrmeyer SS, Chernow B, Winkelman JW, Zaloga GP, Dellinger RP, et al. The laboratory-clinical interface: Point-of-care testing. Chest. 1999; 115(4): 1140-54. PMID: 10208220 DOI: 10.1378/chest.115.4.1140

Nouri A. Cardiac markers. Journal of Medical Engineering Monthly. 2013; 142(5): 51.

Futrell K. Laboratory point-of-care testing: A future outlook. Orchard Software; 2015.

Galarraga M, Martínez I, Toledo Pd, Serrano L, García J, Jiménez S. Point of care medical device communication standars (ISO/11073;IEEE1073) in patient telemonitoring. European Medical & Biological Engineering Conference. IEEE; 2005.

Lewandrowski EL, Lewandrowski K. Implementing POC testing to improve outcomes. Journal of Hospital Administration. 2013; 2(2): 125-32.

DOI: http://dx.doi.org/10.30699/fhi.v10i1.322


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