As technology makes smaller user friendly devices available with an ev
er expanding menu of tests, clinical pathologists and clinical chemist
s are faced with the challenge to evaluate not only the precision and
accuracy of these devices for point-of-care testing, but also their be
nefit to patient care cost, and reliability in the hands of individual
users. Each institution will provide its unique set of advantages and
disadvantages for each device. These factors, taken together, will le
ad to a rational decision to implement or not to implement the device.
Concepts of quality improvement for point-of-care testing programs li
ke regulations, administrative organization, specific quality assuranc
e plan, training of nonlaboratory personnel performing the point-of-ca
re tests, cost and patient outcome analysis, will aid in this decision
making and implementation process.