Choosing Wisely Canada recommendations for point of care testing utilization in the acute care setting: Expert-based Delphi consensus from the Canadian Society of Clinical Chemists

IF 2.3 3区医学 Q2 MEDICAL LABORATORY TECHNOLOGY

Clinical biochemistry Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI:10.1016/j.clinbiochem.2026.111100

Sukhbir Kaur , Saranya Arnoldo , Jennifer Taher , Dana Bailey , Lori Beach , Daniel R. Beriault , Ihssan Bouhtiauy , Miranda Brun , Manal Elnenaei , Yun Huang , Adil I. Khan , David Kinniburgh , Lyne Massicotte , Atoosa Rezvanpour , Karina Rodriguez-Capote , Vinita Thakur , Paul Yip , Allison A. Venner

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引用次数: 0

Abstract

Introduction

Point of care testing (POCT) offers a broader selection of clinical testing outside of a central laboratory due to its many benefits, such as accessibility and rapid turn-around-time. However, it does have disadvantages and challenges, so proper utilization of POCT is vital to its success. A common area for POCT use is in the acute care setting, and improving the use and quality of POCT in this setting remains clinically important. The Canadian Society of Clinical Chemists (CSCC) POCT Special Interest Group (SIG) and Utilization Management SIG aimed to develop Choosing Wisely Canada recommendations for POCT in the acute care setting.

Methods

A working group consisting of 17 experts from the CSCC POCT and Utilization Management SIGs formed to develop recommendations to be evaluated through a two-round modified Delphi consensus survey. Survey consensus was reached if > 80% of the experts rated recommendations with a score of 4 or 5.

Results

A final draft of 12 recommendations were developed, with accompanying rationale and references. Choosing Wisely Canada completed their review, including review by their stakeholder national societies, which led to a finalized seven recommendations.

Conclusions

A collaborative adoption of the evidence-based, seven Choosing Wisely Canada POCT recommendations in acute care settings will help support improved patient care through strong diagnostic integrity, augmented safeguards to patients, and optimization of related healthcare resources. A strong quality management system framework embedded within the implementation of these recommendations will augment the value of POCT within a sustained patient-centered acute care healthcare setting.

查看原文本刊更多论文

明智地选择加拿大在急性护理环境中使用护理点测试的建议：来自加拿大临床化学家协会的基于专家的德尔菲共识。

导读：护理点检测（POCT）由于其诸多优点，如可及性和快速周转时间，在中心实验室之外提供了更广泛的临床检测选择。然而，它也存在着缺点和挑战，因此，正确利用POCT是其成功的关键。POCT使用的一个常见领域是在急性护理环境中，提高POCT的使用和质量在这一环境中仍然具有重要的临床意义。加拿大临床化学学会（CSCC） POCT特别兴趣小组（SIG）和利用管理SIG旨在制定明智选择加拿大在急性护理环境中POCT的建议。方法：由来自CSCC POCT和利用管理小组的17名专家组成的工作组，通过两轮修改的德尔菲共识调查来制定建议进行评估。如果 > 80%的专家给推荐评分为4或5分，则调查达成共识。结果：制定了12项建议的最终草案，并附有理由和参考文献。明智地选择加拿大完成了他们的审查，包括他们的利益相关者国家协会的审查，最终提出了七项建议。结论：在急性护理环境中协作采用基于证据的七项明智选择加拿大POCT建议，将有助于通过强大的诊断完整性、增强对患者的保障和优化相关医疗资源来改善患者护理。在这些建议的实施中嵌入一个强大的质量管理体系框架，将增加POCT在持续以患者为中心的急性护理医疗保健环境中的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical biochemistry 医学-医学实验技术

CiteScore

5.10

自引率

0.00%

发文量

151

审稿时长

25 days

期刊介绍： Clinical Biochemistry publishes articles relating to clinical chemistry, molecular biology and genetics, therapeutic drug monitoring and toxicology, laboratory immunology and laboratory medicine in general, with the focus on analytical and clinical investigation of laboratory tests in humans used for diagnosis, prognosis, treatment and therapy, and monitoring of disease.