Araştırma Makalesi
Yıl 2023,
Cilt: 4 Sayı: 3, 153 - 177, 27.09.2023
Öz
Background: The aim of our study was to compare the request-to-result times in the central biochemistry laboratory of Etlik City Hospital temporally and between clinics and to reveal the reasons for the changes in these times.
Methods: The time of acceptance of the samples to the Central Biochemistry Laboratory of Etlik City Hospital and the time of confirmation of the results were noted and the difference between these two times was taken.
Results: Delay rates were significantly different between the inpatients in October, November and December (P<0.001). For troponin tubes, the delay rates were significantly different between the inpatients in October, November and December (P<0.001). In the emergency department, the highest delay rate was for troponin: 73.8% and the lowest for hormone (12.1%), regardless of time. In the outpatient clinic, the highest delay rate was in biochemistry (43.2%) and the lowest in complete blood count (3.7%). When the tubes were compared according to the inpatients, it was observed that the highest percentage of delay was for troponin in the emergency department.
Conclusions: The benefits we expect from our study are to clearly demonstrate the fast turnaround times of newly established biochemistry laboratories in large hospitals and centers, to show the changes in these times between clinics, to increase clinicians' satisfaction with the laboratory, to reduce costs by shortening hospital stay times and to develop measures that can be taken.
Anahtar Kelimeler
Proje Numarası
Yok
Kaynakça
- Pati HP, Singh G. Turnaround time (TAT): difference in concept for laboratory and clinician. Indian J Hematol Blood Transfus. 2014;30:81- 84.
- Howanitz JH, Howanitz PJ. Timeliness as a quality attribute and strategy. Am J Clin Pathol. 2001;116:311–315.
- Dighe AS, Rao A, Coakley AB, Lewandrowski KB. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;1255:758-764.
- Dawande PP, Wankhade RS, Akhtar FI, Noman O. Turnaround Time: An Efficacy Measure for Medical Laboratories. Cureus. 2022;149:e28824.
- Manor PG. Turnaround times in the laboratory: a review of the literature. Clin Lab Sci. 1999;12:85–89.
- Guss DA, Chan TC, Killeen JP. The impact of a pneumatic tube and computerized physician order management on laboratory turnaround time. Ann Emerg Med. 2008;512:181-185.
- Storrow AB, Zhou C, Gaddis G, et al. Decreasing lab turnaround time improves emergency department throughput and decreases emergency medical services diversion: a simulation model. Acad Emerg Med. 2008;1511:1130-1135.
- Kilinckaya MF, Yucel Ç, Turhan T. An evaluation of efficiency in an emergency laboratory by turnaround time. Int J Med Biochem. 2018;1:57-61.
- Novis DA, Jones BA, Dale JC, Walsh MK; College of American Pathologists. Biochemical markers of myocardial injury test turnaround time: a College of American Pathologists Q-Probes study of 7020 troponin and 4368 creatine kinase-MB determinations in 159 institutions. Arch Pathol Lab Med. 2004;1282:158-164.
- Chien TI, Lu JY, Kao JT, Cheng YC, Lee YF. Evaluation and improvement strategy of analytical turnaround time in the stat laboratory. J Formos Med Assoc. 2007;1067:558-564.
- Goswami B, Singh B, Chawla R, Gupta VK, Mallika V. Turn Around Time (TAT) as a Benchmark of Laboratory Performance. Indian J Clin Biochem. 2010;25(4):376-379.
- Lundberg GD. Acting on Significant Laboratory Results. JAMA. 1981;245:1762-3.
- Valiquette L, Laupland KB. Looking beyond the laboratory is not preposterous. J Assoc Med Microbiol Infect Dis Can. 2020;51:4-7.
- Ehrler F, Tuor C, Trompier R, et al. Effectiveness of a Mobile App in Reducing Therapeutic Turnaround Time and Facilitating Communication between Caregivers in a Pediatric Emergency Department: A Randomized Controlled Pilot Trial. J Pers Med. 2022;123:428.
- Nam M, Yoon S, Hur M, et al. Digital Morphology Analyzer Sysmex DI-60 vs. Manual Counting for White Blood Cell Differentials in Leukopenic Samples: A Comparative Assessment of Risk and Turnaround Time. Ann Lab Med. 2022;42:398-405.
- Veljkovic K, Rodríguez-Capote K, Bhayana V, Pickersgill R, Beattie J, Clark L, et al. Assessment of a four hour delay for urine samples stored without preservatives at room temperature for urinalysis. Clin Biochem. 2012;45:856–858.
- Boelstler AM, Rowland R, Theoret J, Takla RB, Szpunar S, Patel SP, et al. Decreasing troponin turnaround time in the emergency department using the central laboratory: A process improvement study. Clin Biochem. 2015;48:308–12.
- Hwang U, Baumlin K, Berman J, Chawla NK, Handel DA, Heard K, et al. Acad Emerg Med. 2010;17:501–7. 2712.
- Zhang X, Fei Y, Wang W, Zhao H, Wang M, Chen B, et al. National survey on turnaround time of clinical biochemistry tests in 738 laboratories in China. J Clin Lab Anal. 2018;32:e22251.
Yıl 2023,
Cilt: 4 Sayı: 3, 153 - 177, 27.09.2023
Öz
Destekleyen Kurum
Yok
Proje Numarası
Yok
Teşekkür
Yok
Kaynakça
- Pati HP, Singh G. Turnaround time (TAT): difference in concept for laboratory and clinician. Indian J Hematol Blood Transfus. 2014;30:81- 84.
- Howanitz JH, Howanitz PJ. Timeliness as a quality attribute and strategy. Am J Clin Pathol. 2001;116:311–315.
- Dighe AS, Rao A, Coakley AB, Lewandrowski KB. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;1255:758-764.
- Dawande PP, Wankhade RS, Akhtar FI, Noman O. Turnaround Time: An Efficacy Measure for Medical Laboratories. Cureus. 2022;149:e28824.
- Manor PG. Turnaround times in the laboratory: a review of the literature. Clin Lab Sci. 1999;12:85–89.
- Guss DA, Chan TC, Killeen JP. The impact of a pneumatic tube and computerized physician order management on laboratory turnaround time. Ann Emerg Med. 2008;512:181-185.
- Storrow AB, Zhou C, Gaddis G, et al. Decreasing lab turnaround time improves emergency department throughput and decreases emergency medical services diversion: a simulation model. Acad Emerg Med. 2008;1511:1130-1135.
- Kilinckaya MF, Yucel Ç, Turhan T. An evaluation of efficiency in an emergency laboratory by turnaround time. Int J Med Biochem. 2018;1:57-61.
- Novis DA, Jones BA, Dale JC, Walsh MK; College of American Pathologists. Biochemical markers of myocardial injury test turnaround time: a College of American Pathologists Q-Probes study of 7020 troponin and 4368 creatine kinase-MB determinations in 159 institutions. Arch Pathol Lab Med. 2004;1282:158-164.
- Chien TI, Lu JY, Kao JT, Cheng YC, Lee YF. Evaluation and improvement strategy of analytical turnaround time in the stat laboratory. J Formos Med Assoc. 2007;1067:558-564.
- Goswami B, Singh B, Chawla R, Gupta VK, Mallika V. Turn Around Time (TAT) as a Benchmark of Laboratory Performance. Indian J Clin Biochem. 2010;25(4):376-379.
- Lundberg GD. Acting on Significant Laboratory Results. JAMA. 1981;245:1762-3.
- Valiquette L, Laupland KB. Looking beyond the laboratory is not preposterous. J Assoc Med Microbiol Infect Dis Can. 2020;51:4-7.
- Ehrler F, Tuor C, Trompier R, et al. Effectiveness of a Mobile App in Reducing Therapeutic Turnaround Time and Facilitating Communication between Caregivers in a Pediatric Emergency Department: A Randomized Controlled Pilot Trial. J Pers Med. 2022;123:428.
- Nam M, Yoon S, Hur M, et al. Digital Morphology Analyzer Sysmex DI-60 vs. Manual Counting for White Blood Cell Differentials in Leukopenic Samples: A Comparative Assessment of Risk and Turnaround Time. Ann Lab Med. 2022;42:398-405.
- Veljkovic K, Rodríguez-Capote K, Bhayana V, Pickersgill R, Beattie J, Clark L, et al. Assessment of a four hour delay for urine samples stored without preservatives at room temperature for urinalysis. Clin Biochem. 2012;45:856–858.
- Boelstler AM, Rowland R, Theoret J, Takla RB, Szpunar S, Patel SP, et al. Decreasing troponin turnaround time in the emergency department using the central laboratory: A process improvement study. Clin Biochem. 2015;48:308–12.
- Hwang U, Baumlin K, Berman J, Chawla NK, Handel DA, Heard K, et al. Acad Emerg Med. 2010;17:501–7. 2712.
- Zhang X, Fei Y, Wang W, Zhao H, Wang M, Chen B, et al. National survey on turnaround time of clinical biochemistry tests in 738 laboratories in China. J Clin Lab Anal. 2018;32:e22251.
Toplam 19 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Tıbbi Biyokimya ve Metabolomik (Diğer) |
| Bölüm | ORIGINAL ARTICLE |
| Yazarlar | |
| Proje Numarası | Yok |
| Yayımlanma Tarihi | 27 Eylül 2023 |
| Gönderilme Tarihi | 28 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 4 Sayı: 3 |
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