He also laid emphasis on bedside glucose monitoring
in these critically ill patients.
Paradoxically, technological developments in the form of bedside glucose monitoring
have exacerbated rather than eased the problem by facilitating screening for an ill-characterized clinical entity.
Bedside glucose monitoring quality control practices: a College of American Pathologists Q-Probes study of program quality control documentation, program characteristics, and accuracy performance in 544 institutions.
Bedside glucose monitoring: comparison of performance as studied by the College of American Pathologists Q-Probes program.
For example, during The Joint Commission's triennial survey of the hospital two months before, the surveyor observed an ICU phlebotomist drawing blood samples from a patient who had also just completed a fingerstick for bedside glucose monitoring. The surveyor then followed that sample through the entire process--from positive sample identification through tube labeling at the patient's bedside, delivery to the lab, analysis, and reporting.
"The Joint Commission surveyor was very impressed with the speed of the laboratory's turnaround time, as well as the close correlation between the results from the bedside glucose monitoring and the blood analysis from the laboratory," says Denise Uettweiller-Geiger, PhD, administrative director of the laboratory.
Evaluation of the bedside glucose monitoring
system in neonatal units.
The frequency of bedside glucose monitoring
has also increased, and the number of instances requiring the care of the rapid-response team has dropped.
The presence of several medical conditions may produce lower blood glucose levels obtained by bedside glucose monitoring
than through standard laboratory methods.
(5) Other Q-Probes studies have shown that, compared to the utilization of nonlaboratory personnel, utilization of laboratory personnel resulted in faster emergency department stat test turnaround times, (12,13) more accurate bedside glucose monitoring
, more reliable quality control of bedside glucose monitors, (14-16) and fewer unsatisfactory and rejected chemistry (17) and complete blood count laboratory specimens.
Bedside Glucose Monitoring
: Data Analysis and Critique.
Bedside glucose monitoring
data analysis and critique.