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https://doi.org/10.11613/BM.2013.035

Policy change to improve pathology turnaround time and reduce costs – possible to do both?

Goce Dimeski ; Chemical Pathology, Princess Alexandra Hospital, Pathology Queensland, Australia; The University of Queensland, School of Medicine Southside, Queensland, Australia
Breeann Silvester ; The University of Queensland, School of Medicine Southside, Queensland, Australia
Jacobus Ungerer ; Chemical Pathology, Royal Brisbane and Women’s Hospital, Pathology Queensland, Australia
Jennifer H. Martin ; The University of Queensland, School of Medicine Southside, Queensland, Australia; Division of Medicine, Princess Alexandra Hospital, Queensland, Australia

Puni tekst: engleski, pdf (99 KB) str. 296-302 preuzimanja: 307* citiraj
APA 6th Edition
Dimeski, G., Silvester, B., Ungerer, J. i Martin, J.H. (2013). Policy change to improve pathology turnaround time and reduce costs – possible to do both?. Biochemia Medica, 23 (3), 296-302. https://doi.org/10.11613/BM.2013.035
MLA 8th Edition
Dimeski, Goce, et al. "Policy change to improve pathology turnaround time and reduce costs – possible to do both?." Biochemia Medica, vol. 23, br. 3, 2013, str. 296-302. https://doi.org/10.11613/BM.2013.035. Citirano 26.01.2021.
Chicago 17th Edition
Dimeski, Goce, Breeann Silvester, Jacobus Ungerer i Jennifer H. Martin. "Policy change to improve pathology turnaround time and reduce costs – possible to do both?." Biochemia Medica 23, br. 3 (2013): 296-302. https://doi.org/10.11613/BM.2013.035
Harvard
Dimeski, G., et al. (2013). 'Policy change to improve pathology turnaround time and reduce costs – possible to do both?', Biochemia Medica, 23(3), str. 296-302. https://doi.org/10.11613/BM.2013.035
Vancouver
Dimeski G, Silvester B, Ungerer J, Martin JH. Policy change to improve pathology turnaround time and reduce costs – possible to do both?. Biochemia Medica [Internet]. 2013 [pristupljeno 26.01.2021.];23(3):296-302. https://doi.org/10.11613/BM.2013.035
IEEE
G. Dimeski, B. Silvester, J. Ungerer i J.H. Martin, "Policy change to improve pathology turnaround time and reduce costs – possible to do both?", Biochemia Medica, vol.23, br. 3, str. 296-302, 2013. [Online]. https://doi.org/10.11613/BM.2013.035

Sažetak
Background: Overcrowding and prolonged length of stay in emergency departments (ED) are increasing problems in hospitals. Rapid availability of all laboratory results has an impact on clinical decision-making, admissions or discharge decisions and resource utilisation. Increasing number of our urinary drugs of abuse (DOA) screens had a turnaround time (TAT) of up to 33 days after the discharge of the patient.
Materials and methods: Following an audit and a consultation period with clinicians using the service, a policy change was implemented to reduce the use of gas chromatography mass spectroscopy (GCMS): all requests would have a standard immunoassay (IA) test panel undertaken unless specifically they requested GCMS (including medico-legal) analysis.
Results: Almost all of the clinicians interviewed had no understanding of the DOA screening or the difference in the information generated between a confirmatory GCMS urine toxicology screen and IA DOA panel. It appeared none of the patients surveyed in the audit would have had a different clinical decision made if a GCMS had not been undertaken. Post change audit showed only 4.3% of drug requests for IA also received a confirmatory GCMS testing. The estimated saving post change implementation was $127,000 (AU $) in test costs alone over a two year period. The TAT of GCMS results was reduced to 3-4 days.
Conclusion: A laboratory-led behavioural change in test requesting is possible and sustainable provided the reason is clinically sound and accompanied by consultation and availability of advice by phone when requested on test requesting or interpretation.

Ključne riječi
immunoassay; gas-chromatography mass spectrometry; pathology requests; drugs of abuse; urine testing; behavioural change; turnaround time

Hrčak ID: 109252

URI
https://hrcak.srce.hr/109252

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