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How Do We Achieve Concordance Between POCT and Central Lab Tests?
28 October 2009
How Do We Achieve Concordance Between POCT and Central Lab Tests?

In association with: Nova Biomedical

The second fastest growing market segment of in vitro diagnostics is point of care testing (POCT). One of the barriers to POCT has been concordance between the central lab methods and the POCT methods. In some instances the lack of agreement between methods in these two testing environments has contributed to significant discordance. This can result in creating confounding issues for clinicians and the care providers. It is important for the laboratory community (laboratory and manufacturers) to present an overview of these issues and to educate the clinical staff in the limitations of test from either the central laboratory or the POC. The workshop will address three areas of potential discordance of test methods. These include glucose, creatinine, and newborn screening test. The panel of experts will present to the workshop participants the historical, current, and the future of methods for each of these analytes and the factors that contribute to discordance.

The workshop will be interactive and result in open discussion following the presentations for each section. A review of the literature will be presented that focus on the areas of discordance and what is being done to correct these deficiencies both in the laboratory and in the clinical setting.

About the Workshop Leader:
Dr Jeff DuBois has been with Nova Biomedical since 1999. Prior to joining Nova, he was on the faculty of the School of Medicine, Case Western Reserve University and served as Executive Director of Laboratory Services at University Hospitals Health System (UHHS), Cleveland, OH. At UHHS, he established a system-wide strategy for lab consolidation, standardization, and integration. He also implemented a POC Process Improvement Initiative involving Nova’s Analyzers and Data Management System for remote connectivity of analyzers located in the ER, ICUs, and ORs to the laboratory. He represented UHHS and Nova Biomedical on the NCCLS Automation Area Committee, initiated and served as Chairperson for the NCCLS Committee on Point-of-Care Connectivity that published the POCT1A Connectivity Standard, and founded the Area Committee for POCT for which he served as its Chair for two years. Dr DuBois is well published and a frequent speaker on connectivity, lab automation, lab consolidation, and point-of-care testing. He is a fellow of the Academy of Clinical Biochemists, a member of the American Association of Clinical Chemistry, American Society of Clinical Pathologists, Association for Laboratory Automation, American Diabetes Association, American Association of Diabetes Educators, The Endocrinology Society, and the European Association for the Study of Diabetes. 

About the Organisation:
Nova Biomedical is the world technology leader in the development of fast whole blood analyzers to support the care of critically ill patients. Compared to any competitive alternative, Nova analyzers have the most extensive stat test menus and deliver these tests in the shortest time at the lowest costs. Our pioneering technologies provide the right test menu needed by clinicians at the right cost for administrators. Whether testing is performed in the central laboratory, emergency department, surgery, critical care area, or respiratory care, Nova can help improve patient outcomes while reducing the cost of care.

 

Workshop agenda

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8:30

Registration & Coffee

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9:00

Point of Care Glucose Testing - How Do We Measure Up, What Standards Apply and Where Are We Headed?

  • Understand the Sources of Error Affecting POCT Glucose
  • Understand the Ramifications of these Issues for the Lab, Clinician, and Patients
  • Understand the Impact of POCT Glucose Technology on Intensive Insulin Therapy
  • Define Areas of Discordance
  • Define The Emergence of New Technologies such as CGM, Invasive and Non-Invasive Technologies
  • How Do We Achieve Concordance?
  • Where Are We Headed?
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    9:45

    Point of Care Whole Blood Creatinine Testing - How Will Standardization Be Achieved?

  • Understand the Sources of Error Affecting POCT Creatinine
  • Understand the Ramifications of these Issues for the Lab, Clinician, and Patients
  • Understand the Impact of POCT Creatinine Technology in Radiology, Oncology, Transplant
  • Define Areas of Discordance
  • Define The Emergence of New Technologies
  • How Do We Achieve Concordance?
  • What's Next?
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    10:30

    Morning Coffee

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    11:00

    Newborn Screening Tests

  • Understand the Sources of Error Affecting Newborn Screening Tests
  • Define the pre-analytical factors that Affect Specimen Quality
  • How Does this Affect the Newborn screening Test Result
  • Define the basis for Discordance
  • How Do We Improve the Sensitivity and Specificity of these Highly Specialized Tests?
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    11:45

    Discussion

  • How Do We Achieve Concordance?
  • Where Are We Headed?
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    12:30

    Close of Workshop

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    United Kingdom

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