Day 1 : Poster Presentations (Theme: Education for Service)

Event Title

Improvement in patient care through stat reporting from emergency department satellite laboratory

Presenter Information

Lubna Khaleeq, Aga Khan University

Location

Auditorium Pond Side

Start Date

26-1-2013 3:30 PM

Abstract

Background: Increased volume of STAT test and prolonged reporting time of laboratory results were causing concomitant delay in the diagnosis and management of patients in the emergency department also causing overcrowding and delay in patient care.

Methods: Prospective study, conducted in the hematology section of clinical laboratory and emergency department satellite lab of The Aga Khan University Hospital.Satelitte aboratory was established in Emergency department, new staff was hired and trained, satellite lab was connected through ILMS to other areas of hospital. Data of previous 9 months i-e from January 2012 to October 2012 was taken into consideration.

Results: During the study period, a total of 1166310 samples were received in Hematology section. Out of these samples, stat samples were 60108(5.1% of total volume). STAT samples received in emergency department were 29039(48.3% of total stat test received. Among these samples, CBC were 24701(85% of STAT test) and MP were 4338(14.9%of STAT test). Results reported with in time with morphology were 28944 (99.6%) while the delayed results were (0.32%).CBC samples delayed were 0.11% while MP were 0.21%.

Conclusions: In a tertiary care hospital, satellite emergency department laboratory can improve the turnover reporting time of STAT test in management of patients,initially the problems like delay in reporting of malarial parasite due to delayed transportation , abnormal results requiring verification, spurious results due to nucleated red cell or platelets clumps were encountered. Further workup on these issues are required.

Key words: Patient safety,Emergency department satellite lab Quality Improvement,Improve turnaroun reporting time

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Jan 26th, 3:30 PM Jan 26th, 5:00 PM

Improvement in patient care through stat reporting from emergency department satellite laboratory

Auditorium Pond Side

Background: Increased volume of STAT test and prolonged reporting time of laboratory results were causing concomitant delay in the diagnosis and management of patients in the emergency department also causing overcrowding and delay in patient care.

Methods: Prospective study, conducted in the hematology section of clinical laboratory and emergency department satellite lab of The Aga Khan University Hospital.Satelitte aboratory was established in Emergency department, new staff was hired and trained, satellite lab was connected through ILMS to other areas of hospital. Data of previous 9 months i-e from January 2012 to October 2012 was taken into consideration.

Results: During the study period, a total of 1166310 samples were received in Hematology section. Out of these samples, stat samples were 60108(5.1% of total volume). STAT samples received in emergency department were 29039(48.3% of total stat test received. Among these samples, CBC were 24701(85% of STAT test) and MP were 4338(14.9%of STAT test). Results reported with in time with morphology were 28944 (99.6%) while the delayed results were (0.32%).CBC samples delayed were 0.11% while MP were 0.21%.

Conclusions: In a tertiary care hospital, satellite emergency department laboratory can improve the turnover reporting time of STAT test in management of patients,initially the problems like delay in reporting of malarial parasite due to delayed transportation , abnormal results requiring verification, spurious results due to nucleated red cell or platelets clumps were encountered. Further workup on these issues are required.

Key words: Patient safety,Emergency department satellite lab Quality Improvement,Improve turnaroun reporting time