Turnaround Times for Hematology and Chemistry Tests in the Emergency Department: Experience of a Teaching Hospital in Iran

lranian journal of Clinical Infectious Diseases

Seyed Masoom Masoompour¹  Massood Hosseinzadeh³  Hamideh Mahdaviazad²  Fatemeh Javidialesaadi⁴ 

[1] Non-Communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran;Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran;Department of Pathology, Shiraz University of Medical Sciences, Shiraz, IR Iran;Student Research Committee, Shiraz University of Medical Sciences, Shiraz, IR Iran

关键词: Turnaround Time;    Chemistry;    Hematology;    Test;    Emergency Department;   

DOI  :  10.17795/semj37101

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

Background:Trackingturnaroundtimes(TATs)canimprovethequalityofcareanddecreasetheeconomicburdenofpatientcare.Objectives:TheaimofthisstudywastomeasurecurrentTATsinahospitalemergencydepartment(ED)andtoanalyzethecontributionofprelaboratoryandlaboratoryphasestothetotalTAT.MaterialsandMethods:Thiscross-sectionalstudywasperformedduringNovemberandDecember2014andincludedallpatientsadmittedtotheEDandforwhomthephysicianhadorderedroutinehematologyandchemistrytests.ThetotalTATcomprisedseventimepointsandsixtimeintervals.Thestartpointwaswhenthetestwasorderedbythephysician,andtheendpointwaswhentheresultswereverifiedandreported.ThedatawereanalyzedwithSPSSsoftware(version11.5).APvalueoflessthan0.05wasconsideredstatisticallysignificant.Results:Duringthestudyperiod,timedatawereprovidedfor1400EDtests.ThemeantotalTATforalltestsrangedfrom1.3to3.1hour.Onweekdays,thelongestTAT(2.5±0.9hours)wasonSundays,andtheshortestTAT(1.9±0.7hours)wasonFridays(Plt;0.001).ThemeantotalTATforalltestswassignificantlylongerinthemorningshiftthaninthenightshift(2.8±1.2hoursvs.2.0±0.7hours,Plt;0.001).ThelaboratoryphaseaccountedforasignificantlyhigherproportionoftheTAT(57.4%)thantheprelaboratoryphase.Conclusions:ThisstudysuggeststhatthemeanTATinthisteachinghospitalislongerthanthebenchmark.Furtherresearchisneededtodeterminethecausesofdelaysanddevelopinterventionstosolvethisproblem.

【 授权许可】

Unknown