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| The current situation and quality management countermeasures of pre-hospital medical emergency point-of-care testing in Hangzhou City |
| SUN Baoyun1, ZHANG Jungen1, BAO Shuhua2, YUAN Yijun1, WANG Jiangang1, WANG Mingjia1
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1. Hangzhou Emergency Medical Center of Zhejiang Province, Hangzhou, Zhejiang 310021, China;
2. Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang 310007, China |
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Abstract Point-of-care testing (POCT) provides key support for clinical decision-making through rapid detection. This article introduces the development background of POCT in the field of pre-hospital emergency, as well as the development status of POCT in Hangzhou City, and analyzes the problems of quality management. Pre-hospital emergency medical institutions in Hangzhou City have been equipped with POCT equipment, and the test items include blood glucose, cardiac troponin, etc. The implementation rates of internal quality control, comparison test, and proficiency testing were 58.2%, 50.3% and 42.6%, respectively. POCT quality management has problems such as unclear responsibility subjects, insufficient professional personnel, and a lack of standardization of the process. It is proposed to build a hierarchical collaborative management system, strengthen the double access mechanism of personnel and equipment, implement the whole process quality control, and build a digital management platform, so as to provide the reference for the high-quality development of POCT in pre-hospital medical emergency institutions.
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Received: 31 October 2024
Revised: 24 April 2025
Published: 24 June 2025
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