Stat laboratory testing: Integration or autonomy?

Clinical Chemistry and Laboratory Medicine

Volumn 48, Issue 7, 2010, Pages 927-930

  Soffiati, Giuliano ^a   Giavarina, Davide ^a  

^a SAN BORTOLO HOSPITAL   (Italy)

Author keywords

automation; emergency laboratory; laboratory service delivery; length of stay; outcomes; process improvement; turnaround time

Indexed keywords

AUTOMATION; EVALUATION; HEALTH SERVICE; LABORATORY TEST; LENGTH OF STAY; PATIENT CARE; PRIORITY JOURNAL; SHORT SURVEY; TURNAROUND TIME;

DELIVERY OF HEALTH CARE; EMERGENCY SERVICE, HOSPITAL; HUMANS; LABORATORIES, HOSPITAL; PATIENT CARE;

EID: 77954241274     PISSN: 14346621     EISSN: 14374331     Source Type: Journal    
DOI: 10.1515/CCLM.2010.187     Document Type: Short Survey

References (22)

1. Novis DA, Walsh MK, Dale JC, Howanitz PJ. Continuous monitoring of stat and routine outlier turnaround times. Arch Pathol Lab Med 2004;128:621-626
2. Shahangian S, Snyder SR. Laboratory medicine quality indicators. Am J Clin Pathol 2009;131:418-431
3. Kost JK, editor. Handbook of clinical automation, robotics, and optimization. Davis CA: Welsh J, 1996.
4. Betlej TM, Maturen A. Clinical laboratory testing and Emergency Department. Clin Lab News 1999;25:12-13
5. Steindel SJ, Novis DA. Using outlier events to monitor test turnaround time. Arch Pathol Lab Med 1999;123:607-614
6. Steindel SJ. Timeliness of clinical laboratory tests: a discussion based on five College of American Pathologists Q-Probes studies. Arch Pathol Lab Med 1995;119:918-923
7. Fitch JC, Mirto GP, Geary KL, Byrne DW, Hines RL. Pointof- care and standard laboratory coagulation testing during cardiovascular surgery: balancing reliability and timeliness. J Clin Monit Comput 1999;15:197-204.
8. Lewandrowski K. How the clinical laboratory and the emergency department can work together to move patients through quickly. Clin Leadersh Manag Rev 2004;18:155-161
9. Lazarenko GC, Dobson C, Enokson R, Brant R. Accuracy and speed of urine pregnancy tests done in the emergency department: a prospective study. CJEM 2001;3:292-295
10. Howanitz JH, Howanitz PJ. Laboratory results. Am J Clin Pathol 2001;116:311-315
11. Kilgore ML, Steindel SJ, Smith JA. Evaluating stat testing options in an academic health center: therapeutic turnaround time and staff satisfaction. Clin Chem 1998;44:1597-1603
12. Fernandes CM, Walker R, Price A, Marsden J, Haley L. Root cause analysis of laboratory delays to an emergency department. J Emerg Med 1997;15:735-739
13. Steindel SJ, Howanitz PJ. Physician satisfaction and emergency department laboratory test turnaround time. Arch Pathol Lab Med 2001;125:863-871
14. Storrow AB, Zhou C, Gaddis G, Han JH, Miller K, Klubert D, et al. Decreasing lab turnaround time improves emergency department throughput and decreases emergency medical services diversion: a simulation model. Acad Emerg Med 2008;15: 1130-1135
15. Leman P, Guthrie D, Simpson R, Little F. Improving access to diagnostics: an evaluation of a satellite laboratory service in the emergency department. Emerg Med J 2004;21:452-456
16. Lee-Lewandrowski E, Corboy D, Lewandrowski K, Sinclair J, McDermot S, Benzer TI. Implementation of a point-of-care satellite laboratory in the emergency department of an academic medical center. Impact on test turnaround time and patient emergency department length of stay. Arch Pathol Lab Med 2003;127:456-460
17. Guss DA, Chan TC, Lilleen JP. The impact of a pneumatic tube and computerized physician order management on laboratory turnaround time. Ann Emerg Med 2008;51:181-185
18. Sheppard C, Franks N, Nolte F, Fantz C. Improving quality of patient care in emergency department. Am J Clin Pathol 2008; 130:573-577
19. Lien J, Steiner JW, Bissell MG. The clinical services manager: a curriculum for the 21st century. Clin Lab Manage Rev 1998; 12:145-149
20. Singer AJ, Viccellio P, Thode HC Jr, Bock JL, Henry MC. Introduction of a stat laboratory reduces emergency department length of stay. Acad Emerg Med 2008;15:324-328
21. Blick KE. No more stat testing. MLO Med Lab Obs 2005;37: 22, 24, 26.
22. Holland LL, Smith LL, Blick KE. Total laboratory automation can help eliminate the laboratory as a factor in emergency department length of stay. Am J Clin Pathol 2006;125:765-770