Use of a comprehensive metabolic panel point-of-care test to reduce length of stay in the emergency department: A randomized controlled trial

Annals of Emergency Medicine

Volumn 61, Issue 2, 2013, Pages 145-151

  Jang, Ji Yeon ^a   Shin, Sang Do ^a   Lee, Eui Jung ^b   Park, Chang Bae ^a   Song, Kyoung Jun ^a   Singer, Adam J ^c  

^a Seoul National University   (South Korea)

^b Korea University College of Medicine   (South Korea)

^c STONY BROOK UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; COMPREHENSIVE METABOLIC PANEL POINT OF CARE TEST; CONTROLLED STUDY; EMERGENCY WARD; FEMALE; HOSPITAL DISCHARGE; HUMAN; LABORATORY TEST; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; POINT OF CARE TESTING; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; TURNAROUND TIME; UNIVERSITY HOSPITAL;

DIAGNOSTIC TESTS, ROUTINE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; LABORATORIES, HOSPITAL; LENGTH OF STAY; MALE; MIDDLE AGED; POINT-OF-CARE SYSTEMS; TIME FACTORS;

EID: 84872607689     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2012.07.021     Document Type: Article

References (20)

1. B.C. Sun, J. Adams, E.J. Orav Determinants of patient satisfaction and willingness to return with emergency care Ann Emerg Med 35 2000 426 434
2. S.L. Bernstein, D. Aronsky, R. Duseja The effect of emergency department crowding on clinically oriented outcomes Acad Emerg Med 16 2009 1 10
3. P. Yoon, I. Steiner, G. Reinhardt Analysis of factors influencing length of stay in the emergency department CJEM 5 2003 155 161
4. L. Chan, K.M. Reilly, R.F. Salluzzo Variables that affect patient throughput times in an academic emergency department Am J Med Qual 12 1997 183 186
5. S. Oredsson, H. Jonsson, J. Rognes et al. A systematic review of triage-related interventions to improve patient flow in emergency departments Scand J Trauma Resusc Emerg Med 19 2011 43
6. C. Loten, J. Attia, C. Hullick Point of care troponin decreases time in the emergency department for patients with possible acute coronary syndrome: a randomised controlled trial Emerg Med J 27 2010 194 198
7. E. Lee-Lewandrowski, J. Nichols, E. Van Cott Implementation of a rapid whole blood D-dimer test in the emergency department of an urban academic medical center: impact on ED length of stay and ancillary test utilization Am J Clin Pathol 132 2009 326 331
8. K. Lewandrowski, J. Flood, C. Finn Implementation of point-of care rapid urine testing for drugs of abuse in the emergency department of an academic medical center: impact on test utilization and ED length of stay Am J Clin Pathol 129 2008 796 801
9. A.L. Hsiao, K.A. Santucci, J. Dziura A randomized trial to assess the efficacy of point-of-care testing in decreasing length of stay in a pediatric emergency department Pediatr Emerg Care 23 2007 457 462
10. A.J. Singer, J. Ardise, J. Gulla Point-of-care testing reduces length of stay in emergency department chest pain patients Ann Emerg Med 45 2005 587 591
11. S. Goodacre, M. Bradburn, P. Fitzgerald The RATPAC (Randomised Assessment of Treatment using Panel Assay of Cardiac Markers) trial: a randomised controlled trial of point-of-care cardiac markers in the emergency department Health Technol Assess 15 2011 iii xi 1-102
12. E. Lee-Lewandrowski, D. Corboy, K. Lewandrowski 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 127 2003 456 460
13. A.J. Singer, P. Viccellio, H.C. Thode Jr Introduction of a stat laboratory reduces emergency department length of stay Acad Emerg Med 15 2008 324 328
14. Abaxis Piccolo Comprehensive Metabolic Reagent Disc 2007 Abaxis, Inc Union City, CA
15. Abaxis Piccolo comprehensive metabolic reagent disc http://www. piccoloxpress.com/wp-content/uploads/2011/09/400-7139-1-CMP-PI.pdf Accessed June 6, 2012
16. N. Gilboy, P. Tanabe, D.A. Travers Emergency Severity Index, Version 4: Implementation Handbook 2005 Agency for Healthcare Research & Quality Rockville, MD AHRQ Publication No. 05-0046-2 http://www.ahrq.gov/research/esi/ Accessed January 30, 2012
17. E.J. Lee, S.D. Shin, K.J. Song A point-of-care chemistry test for reduction of turnaround and clinical decision time Am J Emerg Med 29 2011 489 495
18. C.A. Parvin, S.F. Lo, S.M. Deuser Impact of point-of-care testing on patients' length of stay in a large emergency department Clin Chem 42 1996 711 717
19. J. Kendall, B. Reeves, M. Clancy Point of care testing: randomised controlled trial of clinical outcome BMJ 316 1998 1052 1057
20. J. Broder, D.M. Warshauer Increasing utilization of computed tomography in the adult emergency department, 2000-2005 Emerg Radiol 13 2006 25 30