Evidence map›Paper›PMID 42729654›Full record

ReviewEJIFCC2026

Development of a Robust Point of Care Testing Program in Newfoundland and Labrador Using Lean Method of Rapid Process Improvement Workshop (RPIW).

Vinita Thakur, Olatunji Anthony Akerele

Abstract readReview
In one paragraph

Review in EJIFCC, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Vinita ThakurDepartment of Laboratory Medicine, Health Sciences Center, Newfoundland and Labrador Health Services, St. John's, Newfoundland and Labrador, Canada.
Olatunji Anthony AkereleDepartment of Laboratory Medicine, Health Sciences Center, Newfoundland and Labrador Health Services, St. John's, Newfoundland and Labrador, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The implementation of a provincial Point-of-Care Testing (POCT) program across Newfoundland and Labrador (NL), Canada, is designed to standardize verification processes and ensure consistent analytical performance of POCT analysers across diverse healthcare settings. The program is developed using a "Test and Treat" model to support both remote rural communities and urban populations. Many provincial locations operate as standalone POCT sites hence vendors are required to provide site-specific support services. Selection of analytically robust and cost-effective POCT devices is prioritized to support sustainability and quality patient care. Extensive project planning include Lean Six Sigma methodologies, including Rapid Process Improvement Workshop (RPIW), to standardize workflows and improve operational efficiency. Carefully selected Six Sigma team members participate in collaborative brainstorming sessions to develop streamlined verification and installation strategies across 23 provincial POCT sites. Each analyzer is assigned a Provincial Equipment Unit Identification Number (PEUIN) to enhance traceability and inventory management. Primary verification is conducted centrally at St. Clare's Mercy Hospital, St. John's, while secondary verification is completed at individual installation sites to ensure site-specific performance validation. Harmonized installation of identical analysers support a standardized and quality-driven approach to provincial POCT expansion. Structured utilization management processes are not yet fully established within NL Health Services. Development of utilization monitoring tools to evaluate financial implications and cost-effectiveness is ongoing. Quality improvement initiatives are continuously monitored using key performance indicators. Additionally, the implementation of the EPIC hospital information system in April 2026 provides opportunities for further standardization and integration of POCT processes across the province.

Indexed as

HealthcareLeanRPIWSix Sigma and Point-of-care test

Identifiers

PMID42729654
PMCPMC13563520

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.