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Article
September 25, 1987

Managing Bedside Glucose Testing in the Hospital

Author Affiliations

From the Department of Clinical Pathology (Dr Belsey) and the School of Nursing (Ms Nelson), Oregon Health Sciences University, and the Department of Laboratory Services, Veterans Administration Medical Center (Dr Baer), Portland; the Institute for the Future, Menlo Park, Calif (Dr Morrison); and the Department of Pathology, University of British Columbia, Vancouver (Drs Whitlow and Hardwick).

From the Department of Clinical Pathology (Dr Belsey) and the School of Nursing (Ms Nelson), Oregon Health Sciences University, and the Department of Laboratory Services, Veterans Administration Medical Center (Dr Baer), Portland; the Institute for the Future, Menlo Park, Calif (Dr Morrison); and the Department of Pathology, University of British Columbia, Vancouver (Drs Whitlow and Hardwick).

JAMA. 1987;258(12):1634-1638. doi:10.1001/jama.1987.03400120084030
Abstract

The scope and magnitude of bedside testing by personnel without formal laboratory training have recently increased. There has been some question about the reliability of bedside test results produced by nurses, physicians, and other ward staff that are used in clinical decisions. Glucose testing is currently the most widely performed bedside test. Because of the likelihood that the use of bedside testing will increase in the future, this article discusses various issues concerning bedside glucose analysis, including the scope of such testing, staff responsibilities, training and supervision, testing frequency, work flow and result reporting, and the reliability of bedside glucose results, in three institutions. We also suggest an approach to bedside testing quality management.

(JAMA 1987;258:1634-1638)

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