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Biochemia Medica, Vol. 27 No. 2, 2017.

Original scientific paper

https://doi.org/10.11613/BM.2017.037

Impact of reference change value (RCV) based autoverification on turnaround time and physician satisfaction

Esther Fernández-Grande orcid id orcid.org/0000-0002-2585-9968 ; Servicio de Análisis Clínicos, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
Carolina Varela-Rodriguez ; Servicio de Medicina Preventiva, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
Luis Sáenz-Mateos ; Servicio de Análisis Clínicos, Complejo Hospitalario de Navarra, Pamplona, Spain
Amparo Sastre-Gómez ; Servicio de Análisis Clínicos, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
Pilar García-Chico ; Servicio de Análisis Clínicos, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
Teodoro J. Palomino-Muñoz orcid id orcid.org/0000-0002-6587-0854 ; Servicio de Análisis Clínicos, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain

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Abstract

BackgroundFor a quicker delivery of laboratory test results to the hospital emergency department (ED), we implemented an autoverification system based on the reference change value (RCV). The aim of this study was to assess how the RCV based autoverification reflected on turnaround time (TAT) and on physician satisfaction. Materials and methodsThe laboratory information system (LIS) was programmed to autoverify the results as long as they were within the range settled by RCV, so that the autoverified results were reported to the physician as soon as the tests were carried out, without any further intervention. We analyzed the same three-month periods’ TAT and verification time (VFT) from the years prior to and following the implementation of RCV autoverification. The change in physicians’ satisfaction levels was assessed using the hospital’s Annual Physician Satisfaction Survey (APSS). Over sixty percent of physicians completed the questionnaire, and the amount of daily ED test requests (nearly three hundred) did not vary throughout the duration of this study. ResultsMann-Whitney U test showed that the VFT was significantly reduced in all the test but troponin I. There were substantial reductions in TAT medians (haemogram, 75%; fibrinogen, 41%; prothrombin time, 40%; sodium, 27%). The percentage of physicians satisfied with the haematological and biochemical tests´ TAT increased from 84% to 93% and from 86% to 91% respectively. ConclusionsOur results reveal that VFT and TAT were severely reduced in most emergency tests, greatly improving physicians’ satisfaction with TAT.

Keywords

autoverification; reference change value; turnaround time; physician satisfaction

Hrčak ID:

183386

URI

https://hrcak.srce.hr/183386

Publication date:

15.6.2017.

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