Health system providers, government agencies, accreditation organizations, and industry should collaborate to provide consensus security, validation, performance, emergency, safeguard, and connectivity solutions, (20) in order to identify and prevent errors, improve the performance of point-of-care testing, preserve fast therapeutic turnaround time, and help improve medical and economic outcomes.
Point-of-care testing has become the standard of practice in critical emergencies because of the immediate availability of critical results and fast therapeutic turnaround time. (4,5,36) The goals of point-of-care testing are to provide rapid response and to improve patient outcomes, (4,5) not to increase the frequency of medical errors.
Evaluating stat testing options in an academic health center: therapeutic turnaround time and staff satisfaction.
The impact of laboratory information on the management of patients has led to the development and definition of recommendations designed to reduce the therapeutic turnaround time
, thus improving the medical outcome for patients.
Fast therapeutic turnaround time (from test order to patient treatment[3,4] of two to five minutes was necessary for liver transplantation, a procedure that catapulted to more widespread significance the use of ionized calcium[6.7] and direct whole blood analysis, the concept of a critical care profile,[1,8] and the shift toward trend monitoring.
Customized services, expanded point-of-care testing, and minimized therapeutic turnaround time will be the hallmark of the hybrid laboratory.
No longer burdened by having too many results too late, physicians can synthesize a diagnosis and treat the patient within a realistic therapeutic turnaround time. Fundamental axioms providing a theoretical basis for the hybrid laboratory relate conventional laboratory functions to point-of-care testing.
However, to tolerate complacency for inaccurate point-of-care test results would undermine long-standing fundamental principles of medical practice and laboratory science. Information capture achieved by means of connectivity of point-of-care devices will help improve accuracy through timely tracking, comparison, and evaluation of quality monitors, such as quality control data, proficiency testing results, and external failure rates (eg, delays in therapeutic turnaround time that impede cardiopulmonary resuscitation).
Evaluating stat testing operations in an academic health center: therapeutic turnaround time and staff satisfaction.
Although they measured traditional analytical turnaround times, they focused on the "therapeutic turnaround time', the time between the decision to test and the initiation of a therapeutic intervention.
showed that the therapeutic turnaround time was shortest for POCT, slightly longer for the satellite laboratory, and longest for the central laboratory.
Three sets of comparators provide the basis for our evaluation of testing options: laboratory and therapeutic turnaround times
(TATs)  (1) and staff satisfaction assessments.