Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice

Claudette de Vries (Corresponding Author), Carine Doggen, Ellen Hilbers, Robert Verheij, Maarten IJzerman, Robert Geertsma, Ron Kusters

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)
31 Downloads (Pure)

Abstract

Background: Point-of-care (POC) tests are devices or test strips that can be used near or at the site where care is delivered to patients, enabling a relatively fast diagnosis. Although many general practitioners (GPs) in the Netherlands are using POC tests in their practice, little is known on how they manage the corresponding patient safety aspects.

Methods: To obtain information on this aspect, an invitation to participate in a web-based questionnaire was sent to a random sample of 750 GP practices. Of this sample 111 GP practices returned a complete questionnaire. Data was analysed by using descriptive statistics.

Results: Results show that there is not always attention for quality control measures such as checking storage conditions, executing calibration, and maintenance. In addition, universal hygienic measures, such as washing hands before taking a blood sample, are not always followed. Refresher courses on the use of POC tests are hardly organized. Only a few of the GPs contact the manufacturer of the device when a device failure occurs. Well-controlled aspects include patient identification and actions taken when ambiguous test results are obtained.

Conclusions: We observed a number of risks for errors with POC tests in GP practices that may be reduced by proper training of personnel, introduction of standard operating procedures and measures for quality control and improved hygiene. To encourage proper use of POCT in general practices, a national POCT guideline, dedicated to primary care and in line with ISO standards, should be introduced.
Original languageEnglish
Article number9
JournalBMC family practice
Volume16
Issue number9
DOIs
Publication statusPublished - 2015

Fingerprint

Point-of-Care Systems
Patient Safety
General Practice
General Practitioners
Quality Control
Equipment Failure
Hand Disinfection
Equipment and Supplies
Hygiene
Netherlands
Calibration
Primary Health Care
Maintenance
Point-of-Care Testing
Surveys and Questionnaires
Guidelines

Keywords

  • IR-95832
  • METIS-310465
  • Blood glucose
  • Test strip
  • Blood glucose test
  • Solo practice

Cite this

@article{3bf49b080a3c41ba909f70c272f5a3b0,
title = "Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice",
abstract = "Background: Point-of-care (POC) tests are devices or test strips that can be used near or at the site where care is delivered to patients, enabling a relatively fast diagnosis. Although many general practitioners (GPs) in the Netherlands are using POC tests in their practice, little is known on how they manage the corresponding patient safety aspects.Methods: To obtain information on this aspect, an invitation to participate in a web-based questionnaire was sent to a random sample of 750 GP practices. Of this sample 111 GP practices returned a complete questionnaire. Data was analysed by using descriptive statistics.Results: Results show that there is not always attention for quality control measures such as checking storage conditions, executing calibration, and maintenance. In addition, universal hygienic measures, such as washing hands before taking a blood sample, are not always followed. Refresher courses on the use of POC tests are hardly organized. Only a few of the GPs contact the manufacturer of the device when a device failure occurs. Well-controlled aspects include patient identification and actions taken when ambiguous test results are obtained.Conclusions: We observed a number of risks for errors with POC tests in GP practices that may be reduced by proper training of personnel, introduction of standard operating procedures and measures for quality control and improved hygiene. To encourage proper use of POCT in general practices, a national POCT guideline, dedicated to primary care and in line with ISO standards, should be introduced.",
keywords = "IR-95832, METIS-310465, Blood glucose, Test strip, Blood glucose test, Solo practice",
author = "{de Vries}, Claudette and Carine Doggen and Ellen Hilbers and Robert Verheij and Maarten IJzerman and Robert Geertsma and Ron Kusters",
note = "Open access",
year = "2015",
doi = "10.1186/s12875-014-0217-2",
language = "English",
volume = "16",
journal = "BMC family practice",
issn = "1471-2296",
publisher = "BioMed Central Ltd.",
number = "9",

}

Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice. / de Vries, Claudette (Corresponding Author); Doggen, Carine; Hilbers, Ellen; Verheij, Robert; IJzerman, Maarten; Geertsma, Robert; Kusters, Ron.

In: BMC family practice, Vol. 16, No. 9, 9, 2015.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice

AU - de Vries, Claudette

AU - Doggen, Carine

AU - Hilbers, Ellen

AU - Verheij, Robert

AU - IJzerman, Maarten

AU - Geertsma, Robert

AU - Kusters, Ron

N1 - Open access

PY - 2015

Y1 - 2015

N2 - Background: Point-of-care (POC) tests are devices or test strips that can be used near or at the site where care is delivered to patients, enabling a relatively fast diagnosis. Although many general practitioners (GPs) in the Netherlands are using POC tests in their practice, little is known on how they manage the corresponding patient safety aspects.Methods: To obtain information on this aspect, an invitation to participate in a web-based questionnaire was sent to a random sample of 750 GP practices. Of this sample 111 GP practices returned a complete questionnaire. Data was analysed by using descriptive statistics.Results: Results show that there is not always attention for quality control measures such as checking storage conditions, executing calibration, and maintenance. In addition, universal hygienic measures, such as washing hands before taking a blood sample, are not always followed. Refresher courses on the use of POC tests are hardly organized. Only a few of the GPs contact the manufacturer of the device when a device failure occurs. Well-controlled aspects include patient identification and actions taken when ambiguous test results are obtained.Conclusions: We observed a number of risks for errors with POC tests in GP practices that may be reduced by proper training of personnel, introduction of standard operating procedures and measures for quality control and improved hygiene. To encourage proper use of POCT in general practices, a national POCT guideline, dedicated to primary care and in line with ISO standards, should be introduced.

AB - Background: Point-of-care (POC) tests are devices or test strips that can be used near or at the site where care is delivered to patients, enabling a relatively fast diagnosis. Although many general practitioners (GPs) in the Netherlands are using POC tests in their practice, little is known on how they manage the corresponding patient safety aspects.Methods: To obtain information on this aspect, an invitation to participate in a web-based questionnaire was sent to a random sample of 750 GP practices. Of this sample 111 GP practices returned a complete questionnaire. Data was analysed by using descriptive statistics.Results: Results show that there is not always attention for quality control measures such as checking storage conditions, executing calibration, and maintenance. In addition, universal hygienic measures, such as washing hands before taking a blood sample, are not always followed. Refresher courses on the use of POC tests are hardly organized. Only a few of the GPs contact the manufacturer of the device when a device failure occurs. Well-controlled aspects include patient identification and actions taken when ambiguous test results are obtained.Conclusions: We observed a number of risks for errors with POC tests in GP practices that may be reduced by proper training of personnel, introduction of standard operating procedures and measures for quality control and improved hygiene. To encourage proper use of POCT in general practices, a national POCT guideline, dedicated to primary care and in line with ISO standards, should be introduced.

KW - IR-95832

KW - METIS-310465

KW - Blood glucose

KW - Test strip

KW - Blood glucose test

KW - Solo practice

U2 - 10.1186/s12875-014-0217-2

DO - 10.1186/s12875-014-0217-2

M3 - Article

VL - 16

JO - BMC family practice

JF - BMC family practice

SN - 1471-2296

IS - 9

M1 - 9

ER -