Timeliness of automated routine laboratory tests: A College of American Pathologists Q-Probes study of 653 institutions

Steindel, Steven J.; Jones, Bruce A.; Howanitz, Peter J.

doi:10.1016/0009-8981(96)06298-5

Cited by 34 publications

(22 citation statements)

References 14 publications

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“…It has been reported that results were available sooner in non-teaching than teaching and in smaller rather than larger institutions. 9 The figures in delay of TAT available in the literature from the western world are quiet high as in our figures. The management of the section, regular quality assurance, meeting with the technical staff and strict vigilance are required in our setting.…”

Section: Discussionsupporting

confidence: 67%

“…It has also been shown that outcomes in certain situations such as operation theaters and in emergency departments have been affected by timely reporting of lab tests results. 4 Hence, rapid laboratory turnaround times is important both from a medical and commercial point of view. The study was conducted to evaluate the delay and reasons of delay of turnaround time (TAT) of stat tests in the section of clinical chemistry of the clinical laboratory.…”

Section: Introductionmentioning

confidence: 99%

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Study of determination of laboratory turnaround time in tertiary care hospital in India

Wankar

2014

Int J Res Med Sci

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Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Study of determination of laboratory turnaround time in tertiary care hospital in India

Wankar

2014

Int J Res Med Sci

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“…Mostly, staff shortages found to be associated with long TAT as a result of delay in the test ordering and collection [15]. In contrast, a study performed in 653 institutions, participating in the College of American Pathologists Q-Probes program, for inpatients early morning routine clinical laboratory tests and found little evidence that longer routine test TAT affects patient length of stay [16]. On the other hand, faster TAT does not necessarily improving patient outcome as reported at Howanitz's study [17].…”

Section: Discussionmentioning

confidence: 99%

Physician's Satisfaction from Laboratory Services in Maternity and Children Hospital in Makkah

Zaini¹,

Zaini²

2015

Int J Lab Med Res

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Background: Physicians are primary customers of laboratory services and their perception of the provided services is considered an important measure of quality assurance. This study investigates the physicians' satisfaction of laboratories' services, in Maternity and Children Hospital in Makkah, to identify strength and possible limitations, which might inform the development plans for more efficient services. Methods: The study measured satisfaction of laboratories' primary customer (physicians) of provided services in fourfold: quality of reports, communication, management, and TAT. Paper-based survey of 5-Likert Scale, ranged from Strongly Disagree (1) to Strongly Agree (5) was developed based on the CAP survey and related published studies. The questionnaire was piloted and then demonstrated between May and June 2014. Results: Sixty-three physicians complete the survey. The overall satisfaction of the provided services were limited with mean score 64/120. Respondents were not pleased with the majority of items with mean ranged between 3.4 (Unsure) to 2.3 (Disagree). Physicians were most satisfied with courtesy of laboratory personnel (mean= 3.4), accuracy of laboratory results (mean= 3.2) and staff support to research projects (mean= 3.1). However, the lowest satisfaction rete was reported with the test turnaround times (TAT) for state, and routine tests for inpatient and outpatient. Conclusion: This study presented a number of negative observations of laboratory services at the Maternity and Children Hospital in Makkah, which mainly related to administration, communication, quality and delay in TAT. The efficiency and optimization of laboratory service need to be readdressed by the laboratory administration. Effective extra laboratory communication channels needed to be established to improve interaction between laboratory and physicians. Point-of-care testing (POCT) is one of the promising implementing to improve TAT since, no time required for sample's preparation and transportation.

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“…There is also little evidence that hospital length of stay is affected by laboratory turnaround time for routine testing in inpatients. 16 Although there is conflicting evidence as to the influence laboratory turnaround time has on length of stay, it seems that failure to meet stat turnaround time expectations will often lead to various forms of near-patient testing, such as point-of-care testing or a satellite stat laboratory in the ED. Such approaches increase costs through duplication of equipment and duplication of personnel.…”

Section: Participantsmentioning

confidence: 99%

Utilization of Stat Test Priority in the Clinical Laboratory: A College of American Pathologists Q-Probes Study of 52 Institutions

Volmar

Wilkinson

Wagar

et al. 2013

Archives of Pathology &Amp; Laboratory Medicine

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Context.-Utilization of stat testing priority is a balance between safe, efficient patient management and resource expenditure.Objective.-To determine the rate of stat testing, compare rates among institutions, and determine the distribution of turnaround time expectations for different turnaround time priorities.Design.-During a 7-day period, participants prospectively determined the total number of chemistry, hematology, and coagulation billable tests from inpatients and emergency department patients. Among these, the total numbers of billable tests performed stat were identified. Laboratories also reported the levels of test priority they offered and turnaround expectations for each level of test priority.Results.-Fifty institutions submitted data for the study, with 2 additional participants submitting partial results.Participants identified 639 589 chemistry, hematology, and coagulation billable tests, with 229 896 (35.9%) performed stat. The stat rate varied from 21.3% at the 10th percentile to 55.4% at the 90th percentile, with a median of 37.0% of participants' tests performed stat. Laboratories include a mean of 206 tests in chemistry, hematology, and coagulation test menus, with 67% of these tests offered stat. The fraction of the test menu offered stat varied from 29.0% at the 10th percentile to 97.8% at the 90th percentile, with a median of 73.3% of tests on the menu offered stat. The most common number of testing priorities offered by participating laboratories was 3 (44.2%).Conclusions.-Among the 52 participating laboratories, the median stat testing rate was 37.0% and a median 73.3% of the test menu was offered stat.

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Timeliness of automated routine laboratory tests: A College of American Pathologists Q-Probes study of 653 institutions

Cited by 34 publications

References 14 publications

Study of determination of laboratory turnaround time in tertiary care hospital in India

Study of determination of laboratory turnaround time in tertiary care hospital in India

Physician's Satisfaction from Laboratory Services in Maternity and Children Hospital in Makkah

Utilization of Stat Test Priority in the Clinical Laboratory: A College of American Pathologists Q-Probes Study of 52 Institutions

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