Reducing Laboratory Turnaround Time Outliers Can Reduce Emergency Department Patient Length of Stay

Holland, Lorne L.; Smith, Linda L.; Blick, Kenneth E.

doi:10.1309/e9qp-vq6g-2fbv-mj3b

Cited by 56 publications

(52 citation statements)

References 8 publications

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“…In the United States for instance, Steindel and Howanitz reported that 90% of potassium tests were ordered and reported in 69 minutes or less in Half of laboratories surveyed while STAT chemistry tests had average TAT of less than I hr in 11 hospitals surveyed in another study. 23,24 However, the long TAT appear to be in keeping with what was obtained in a survey in Iran, a developing country. In this study, the TAT for 90% of emergency tests was 3.5 hours while the mean total TAT was 2.28 hours, with a median of 2 hours.…”

Section: Frequencysupporting

confidence: 78%

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Diagnostic challenges in critical care management of fluid and electrolyte disturbances in a poor-resource setting: a survey of critical care doctors

et al. 2017

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Background: To determine the challenges in diagnostic support for adequate fluid and electrolyte (F/E) management in a poor-resource critical care setting.Methods: This cross-sectional survey was conducted between March and May 2017 in one hundred and four (104) doctors practicing in four tertiary hospitals in North-central Nigeria. These doctors were currently working in Accidents and Emergency Units (A/E), Intensive care Units (ICU) and Children Emergency Units and have worked for at least two months prior to the study. They were given a structured questionnaire to fill and return. The questionnaire among other things, addressed laboratory-related factors that affect management of F/E disturbances.Results: Unavailability of some laboratory tests, inaccuracy of laboratory results, incomplete test results and delay in obtaining results, hampered F/E management in critical care according to more than 75% of the surveyed doctors. About sixty percent of the doctors reported a turnaround time (TAT) of ≥3 hours for electrolytes and most emergency biochemical tests (except urine dipstick and Blood gases). Also ≤25% of doctors responded that electrolytes and most emergency biochemical tests (except urine dipstick and Blood gases) were offered in the ICU/Emergency unit laboratories. Ten percent or less of doctors reported that electrolytes and the emergency biochemical test were available by Point of care testing (POCT).Conclusions: There is an urgent need for the managers of healthcare in LMICs to establish functional laboratories in ICUs, explore the use of POCT and build capacity for diagnostic critical care.

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Section: Frequencysupporting

confidence: 78%

“…Rapid TAT for emergency tests are frequently due to widespread use of POCT. 23,24,27 Critical conditions often require serial monitoring of laboratory results to enable rapid decisions so as to avoid subsequent avoidable complications. POCT is therefore ideally suited for this purpose.…”

Section: Frequencymentioning

confidence: 99%

Diagnostic challenges in critical care management of fluid and electrolyte disturbances in a poor-resource setting: a survey of critical care doctors

et al. 2017

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“…Certain studies suggest that the TAT of laboratory tests directly influences the duration of stay of patients in the Emergency Department (ED) [5], as a reduction of laboratory TAT reduces ED stay [6], and hence enhances the safety and satisfaction of patients [7]. Decreasing the TAT of laboratory tests, help in reducing overcrowding in the ED [8].…”

Section: Introductionmentioning

confidence: 99%

Monitoring and Root Cause Analysis of Clinical Biochemistry Turn Around Time at an Academic Hospital

et al. 2013

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Quality can be defined as the ability of a product or service to satisfy the needs and expectations of the customer. Laboratories are more focusing on technical and analytical quality for reliability and accuracy of test results. Patients and clinicians however are interested in rapid, reliable and efficient service from laboratory. Turn around time (TAT), the timeliness with which laboratory personnel deliver test results, is one of the most noticeable signs of laboratory service and is often used as a key performance indicator of laboratory performance. This study is aims to provide clue for laboratory TAT monitoring and root cause analysis. In a 2 year period a total of 75,499 specimens of outdoor patient department were monitor, of this a total of 4,142 specimens exceeded TAT. With consistent efforts to monitor, root cause analysis and corrective measures, we are able to decreased the specimens exceeding TAT from 7-8 to 3.7 %. Though it is difficult task to monitor TAT with the help of laboratory information system, real time documentation and authentic data retrievable, along with identification of causes for delays and its remedial measures, improve laboratory TAT and thus patient satisfaction.

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“…Nestas situações, cerca de 60% das informações de prontuários médicos são relacionados com exames laboratoriais, concluindo que atrasos nos resultados causam atrasos em diagnóstico e tratamento (5) .…”

Section: Confiabilidadeunclassified

“…Existem empresas que se pautam pela estratégia da flexibilidade, inserindo sempre novos produtos no mercado, assim como outras que optam pela velocidade como o seu principal diferencial, entregando seus resultados com Adaptada de Slach, N. (5) …”

Section: Figura 4 -Matriz De Importância/desempenho No Mercado De Apoiounclassified

Fatores competitivos de produção em medicina diagnóstica: da área técnica ao mercado

Campana¹,

Faro²,

Gonzalez³

2009

J. Bras. Patol. Med. Lab.

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A medicina diagnóstica é, hoje, um conglomerado de especialidades direcionadas à realização de exames complementares no auxílio ao diagnóstico. A maior competitividade do mercado fez com que os gestores realizassem os denominados trade offs entre diferentes fatores estratégicos de produção -qualidade, confiabilidade, flexibilidade, velocidade e custo -, com o objetivo de definir o posicionamento ante a contribuição da área de produção para a organização. A determinação dos fatores escolhidos, diante das expectativas dos clientes e de um benchmarking com a concorrência, analisados de forma sistemática, define o posicionamento estratégico da organização. Para sedimentar os conceitos defendidos neste artigo, uma simulação de um caso de definição da estratégia da área de produção é apresentada. 1. Médicos patologistas clínicos; sócios diretores da Formato Clínico. 2. Biomédica; mestra em Microbiologia; sócia diretora da Formato Clínico.

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Reducing Laboratory Turnaround Time Outliers Can Reduce Emergency Department Patient Length of Stay

Cited by 56 publications

References 8 publications

Diagnostic challenges in critical care management of fluid and electrolyte disturbances in a poor-resource setting: a survey of critical care doctors

Diagnostic challenges in critical care management of fluid and electrolyte disturbances in a poor-resource setting: a survey of critical care doctors

Monitoring and Root Cause Analysis of Clinical Biochemistry Turn Around Time at an Academic Hospital

Fatores competitivos de produção em medicina diagnóstica: da área técnica ao mercado

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