Enhancing crisis standards of care using innovative point-of-care testing.

American Journal of Disaster Medicine
Gerald J KostRichard F Louie

Abstract

To identify strategies with tactics that enable point-of-care (POC) testing (medical testing at or near the site of care) to effectively improve outcomes in emergencies, disasters, and public health crises, especially where community infrastructure is compromised. Logic model-critical path-feedback identified needs for improving practices. Reverse stress analysis showed POC should be integrated, responders should be properly trained, and devices should be staged in small-world networks (SWNs). First responder POC resources were summarized, test clusters were strategized, assay environmental vulnerabilities were assessed, and tactics useful for SWNs, alternate care facilities, shelters, point-of-distribution centers, and community hospitals were designed. PARTICIPANTS AND ENVIRONMENT: Emergency-disaster needs assessment survey respondents and Center experience. Important tactics are as follows: a) develop training/education courses and '"just-in-time" on-line web resources to ensure the competency of POC coordinators and high-quality testing performance; b) protect equipment from environmental extremes by sealing reagents, by controlling temperature and humidity to which they are exposed, and by establishing near-patient testing...Continue Reading

References

Aug 30, 2006·American Journal of Clinical Pathology·Gerald J KostNarisara Peungposop
Jan 24, 2007·Biosecurity and Bioterrorism : Biodefense Strategy, Practice, and Science·Clarence LamTara O'Toole
Jan 4, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Christopher C MooreW Michael Scheld
Jul 18, 2008·Critical Care Medicine·Steven G Venticinque, Kurt W Grathwohl
Mar 19, 2009·Disaster Medicine and Public Health Preparedness·Richard F LouieGerald J Kost
May 19, 2009·Nursing Outlook·Maura MacPhee
Oct 21, 2009·Clinics in Laboratory Medicine·Gerald J KostNam K Tran
Jan 28, 2010·JAMA : the Journal of the American Medical Association·James G Hodge, Brooke Courtney
Jun 4, 2010·The New England Journal of Medicine·George J Annas
Sep 2, 2010·Nephron. Clinical Practice·R VanholderR Wainstein
Feb 8, 2011·Critical Care Medicine·Elisabeth D RivielloMark W Newton

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Citations

Sep 17, 2013·Point of Care·Nam K TranJennifer Bockhold
Apr 17, 2020·Archives of Pathology & Laboratory Medicine·Gerald J Kost
May 24, 2016·Micromachines·Luc Bissonnette, Michel G Bergeron

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