Process optimization in the emergency department by the use of point-of-care-testing (poct) in life-threatening conditions: Comparative best practice examples from Germany and Malta

Advances in Health Care Management

Volumn 17, Issue , 2015, Pages 195-219

  Buttigieg, Sandra C ^a   Von Eiff, Wilfried ^b   Farrugia, Patrick ^c   Von Eiff, Maximilian C ^d  

^a UNIVERSITY OF MALTA   (Malta)

^b HHL LEIPZIG GRADUATE SCHOOL OF MANAGEMENT   (Germany)

^c MATER DEI HOSPITAL   (Malta)

^d UNIVERSITY OF PÉCS   (Hungary)

Author keywords

Emergency department; life threatening conditions; point of care testing (POCT), Germany, Malta

Indexed keywords

BIOLOGICAL MARKER;

ABDOMINAL INJURY; ACUTE CORONARY SYNDROME; BLOOD; BLUNT TRAUMA; COMPARATIVE STUDY; DIAGNOSTIC PROCEDURE; ECHOGRAPHY; EMERGENCY HEALTH SERVICE; GERMANY; HEALTH CARE QUALITY; HOSPITAL INFORMATION SYSTEM; HUMAN; MALTA; ORGANIZATION AND MANAGEMENT; STANDARDS;

ABDOMINAL INJURIES; ACUTE CORONARY SYNDROME; BIOLOGICAL MARKERS; CLINICAL LABORATORY TECHNIQUES; EFFICIENCY, ORGANIZATIONAL; EMERGENCY SERVICE, HOSPITAL; GERMANY; HUMANS; MALTA; POINT-OF-CARE SYSTEMS; PROCESS ASSESSMENT (HEALTH CARE); QUALITY ASSURANCE, HEALTH CARE; WOUNDS, NONPENETRATING;

EID: 84923936507     PISSN: 14748231     EISSN: None     Source Type: Book Series    
DOI: 10.1108/S1474-823120140000017012     Document Type: Review

References (60)

1. Allgeyer, D. O. (2011). Arm and wrist cuffs and pulse oximeter clip with conductive material for electrodes on small medical home monitors. U.S. Patent Application 13/066,593, filed April 19.
2. Andersen, G. N., Haugen, B. O., Graven, T., Salvesen, O., Mjølstad, O. C., & Dalen, H. (2011). Feasibility and reliability of point-of-care pocket-sized echocardiography. European Journal of Echocardiography, 12(9), 665-670.
3. Arthur, J. (2011). Lean Six Sigma for hospitals: Simple steps to fast, affordable, flawless healthcare. New York, NY: McGraw-Hill.
4. Berenson, R. A., Pronovost, P. J., & Krumholz, H. M. (2013). Achieving the potential of health care performance measures. Timely analysis of immediate health policy issues. Urban Institute Report. Retrieved from http://www.rwjf.org/content/dam/farm/reports/reports/2013/rwjf406195
5. Bertolaccini, L., Rizzardi, G., Filice, M. J., & Terzi, A. (2011). "Six Sigma approach"-An objective strategy in digital assessment of postoperative air leaks: A prospective randomised study. European Journal of Cardio-Thoracic Surgery, 39(5), e128-e132.
6. Boehme, C. C., Nicol, M. P., Nabeta, P., Michael, J. S., Gotuzzo, E., Tahirli, R., & Perkins, M. D. (2011). Feasibility, diagnostic accuracy, and effectiveness of decentralised use of the Xpert MTB/RIF test for diagnosis of tuberculosis and multidrug resistance: A multicentre implementation study. The Lancet, 377(9776), 1495-1505.
7. Buchanan, D. (2013). Pure plays and hybrids: Acute trust management profile and capacity. Journal of Health Services Research & Policy, 18(2), 90-97.
8. Buttigieg, S. C., & Farrugia, P. (2014). Process optimization in the Emergency Department by the use of Point-of-Care-Testing (POCT): A best practice example from Malta [EHMA 2014 Annual]. Retrieved from http://www.ehma.org/index.php?q=node/1885/. Accessed on May 4, 2014.
9. Cannon, C. P., Gibson, C. M., Lambrew, C. T., Shoultz, D. A., Levy, D., French, W. J., & Tiefenbrunn, A. J. (2000). Relationship of symptom-onset-to-balloon time and door-toballoon time with mortality in patients undergoing angioplasty for acute myocardial infarction. Journal of the American Medical Association, 283(22), 2941-2947.
10. Clarke, J. R., Trooskin, S. Z., Doshi, P. J., Greenwald, L., & Mode, C. J. (2002). Time to laparotomy for intra-abdominal bleeding from trauma does affect survival for delays up to 90 minutes. Journal of Trauma and Acute Care Surgery, 52(3), 420-425.
11. Ehrenkranz, J. R., Turbeville, P. J., Yoon, J. Y., & You, D. J. (2012). Device and method for performing a diagnostic test. U.S. Patent Application 13/612,293.
12. Ehrmeyer, S. S., & Laessig, R. H. (2007). Point-of-care testing, medical error, and patient safety: A 2007 assessment. Clinical Chemical Laboratory Medicine, 45(6), 766-773.
13. Fitzgerald, P., Goodacre, S. W., Cross, E., & Dixon, S. (2011). Cost-effectiveness of point-ofcare biomarker assessment for suspected myocardial infarction: The Randomized Assessment of Treatment Using Panel Assay of Cardiac markers (RATPAC) trial. Academic Emergency Medicine, 18(5), 488-495.
14. Fortune, P. M., Davis, M., Hanson, J., & Phillips, B. (Eds.). (2012). Human factors in the health care setting: A pocket guide for clinical instructors. Sussex, UK: Wiley.
15. Fukuda, T., Kasai, H., Kusano, T., Shimazu, C., Kawasugi, K., & Miyazawa, Y. (2007). A rapid and quantitative D-dimer assay in whole blood and plasma on the point-ofcare PATHFAST analyzer. Thrombosis Research, 120(5), 695-701.
16. Gijo, E. V., Antony, J., Hernandez, J., & Scaria, J. (2013). Reducing patient waiting time in a pathology department using the Six Sigma methodology. Leadership in Health Services, 26(4), 253-267.
17. Gilkar, A., Fink, R., Eardley, P., & Barron, C. (2013). The effect of 'On-Line' POCT on patient waiting times in an accident and emergency department. BMJ Quality Improvement Reports, 2(1). doi:10.1136/bmjquality.u201027.w685.
18. Govindarajan, V., & Ramamurti, R. (2013). Delivering world-class health care, affordably. Harvard Business Review, 91(11), 117-124.
19. Gowen, C. R., III, McFadden, K. L., & Settaluri, S. (2012). Contrasting continuous quality improvement, Six Sigma, and lean management for enhanced outcomes in US hospitals. American Journal of Business, 27(2), 133-153.
20. Graban, M. (2011). Lean hospitals. New York, NY: CRC Press, Taylor and Francis.
21. Greinacher, A., Fendrich, K., Brzenska, R., Kiefel, V., & Hoffmann, W. (2011). Implications of demographics on future blood supply: A population-based cross-sectional study. Transfusion, 51(4), 702-709.
22. Gygi, C., & Williams, B. (2012). Six sigma for dummies. New York, NY: Wiley.
23. Hilligoss, B., & Cohen, M. D. (2013). The unappreciated challenges of between-unit handoffs: Negotiating and coordinating across boundaries. Annals of Emergency Medicine, 61(2), 155-160.
24. Hilton, R., Balla, M., & Sohal, A. S. (2008). Factors critical to the success of a Six-Sigma quality program in an Australian hospital. Total Quality Management, 19(9), 887-902.
25. Holbrook, T. L., Anderson, J. P., Sieber, W. J., Browner, D., & Hoyt, D. B. (1998). Outcome after major trauma: Discharge and 6-month follow-up results from the trauma recovery project. Journal of Trauma and Acute Care Surgery, 45(2), 315-324
26. International Monetary Fund (IMF). (2013). World economic outlook database 2013. Retrieved from http://www.imf.org/external/pubs/ft/weo/2013/02/weodata/index.aspx. Accessed on August 15, 2014.
27. Iwashyna, T. J., & Odden, A. J. (2013). Sepsis after Scotland: Enough with the averages, show us the effect modifiers. Critical Care, 17(3), 148.
28. Joynt, K. E., Orav, E. J., & Jha, A. K. (2011). The association between hospital volume and processes, outcomes, and costs of care for congestive heart failure. Annals of Internal Medicine, 154(2), 94-102.
29. Karanikolos, M., Mladovsky, P., Cylus, J., Thomson, S., Basu, S., Stuckler, D., & McKee, M. (2013). Financial crisis, austerity, and health in Europe. The Lancet, 381(9874), 1323-1331
30. Kö rner, M., Krö tz, M. M., Degenhart, C., Pfeifer, K. J., Reiser, M. F., & Linsenmaier, U. (2008). Current role of emergency US in patients with major trauma1. Radiographics, 28(1), 225-242.
31. Kriegel, J., Jehle, F., Dieck, M., & Mallory, P. (2013). Advanced services in hospital logistics in the German health service sector. Logistics Research, 6(2-3), 47-56.
32. Krumholz, H. M., Curry, L. A., & Bradley, E. H. (2011). Survival after acute myocardial infarction (SAMI) study: The design and implementation of a positive deviance study. American Heart Journal, 162(6), 981-987.
33. Lichtenberg, F. R., & Pettersson, B. (2014). The impact of pharmaceutical innovation on longevity and medical expenditure in Sweden, 1997-2010: Evidence from longitudinal, disease-level data. Economics of Innovation and New Technology, 23(3), 1-35.
34. Lindenau-Stockfisch, V., Searle, J., & Mö ckel, M. (2013). POCT in emergency rooms: One key factor for process streamlining with lean management, Conference Papers in Medicine, Vol. 2013, Article ID 143985, 6 pp. doi:10.1155/2013/143985
35. Luppa, P. B., Mü ller, C., Schlichtiger, A., & Schlebusch, H. (2011). Point-of-care testing (POCT): Current techniques and future perspectives. TrAC Trends in Analytical Chemistry, 30(6), 887-898.
36. Maryan, M., & Abed, R. (2013). Point of care testing, a study at a governmental hospital. International Journal of Biological and Medical Research, 4(2), 3159-3161.
37. Moore, L. (1999). Measuring quality and effectiveness of prehospital EMS. Prehospital Emergency Care, 3(4), 325-331.
38. Nagdev, A., & Stone, M. B. (2011). Point-of-care ultrasound evaluation of pericardial effusions: Does this patient have cardiac tamponade? Resuscitation, 82(6), 671-673.
39. OECD. (2013). Retrieved from http://www.oecd-ilibrary.org/social-issues-migration-health/hospital-beds-20758480-table5. Accessed on May 4, 2014.
40. Oredsson, S., Jonsson, H., Rognes, J., Lind, L., Goransson, K. E., Ehrenberg, A., & Farrohknia, N. (2011). A systematic review of triage-related interventions to improve patient flow in emergency departments. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 19(43), 1-9.
41. Pai, N. P., & Pai, M. (2012). Point-of-care diagnostics for HIV and tuberculosis: Landscape, pipeline, and unmet needs. Discovery Medicine, 13(68), 35-45.
42. Pai, N. P., Vadnais, C., Denkinger, C., Engel, N., & Pai, M. (2012). Point-of-care testing for infectious diseases: Diversity, complexity, and barriers in low-and middle-income countries. PLoS Medicine, 9(9), e1001306.
43. Peetz, D., Schweigert, R., Jachmann, N., Post, F., Schinzel, H., & Lackner, K. J. (2005). Method comparison of cardiac marker assays on PATHFAST, StratusCS, AxSYM, Immulite 2000, triage, elecsys and cardiac reader. Clinical Laboratory, 52(11-12), 605-614.
44. Rademakers, J., Delnoij, D., & de Boer, D. (2011). Structure, process or outcome: Which contributes most to patients' overall assessment of healthcare quality? British Medical Journal Quality and Safety, 20(4), 326-331.
45. Reeder, R. A., Vogel, J. D., Boone, O., Hausman, P., Lestienne, J., Rothwell, M. W., & Schuman, R. J. (2002). Patient point of care computer system. U.S. Patent No. 20,020,044,059. Washington, DC: U.S. Patent and Trademark Office.
46. Rohini, R., & Mallikarjun, J. (2011). Six sigma: Improving the quality of operation theatre. Procedia-Social and Behavioral Sciences, 25, 273-280.
47. Saghafian, S., Hopp, W. J., Van Oyen, M. P., Desmond, J. S., & Kronick, S. L. (2012). Patient streaming as a mechanism for improving responsiveness in emergency departments. Operations Research, 60(5), 1080-1097.
48. Saltman, R. B. (2004). Social health insurance in perspective: The challenge of sustaining stability. Series Editors' Introduction, 3.
49. Sarafoff, N., Schuster, T., Vochem, R., Fichtner, S., Martinoff, S., Schwaiger, M., Ibrahim, T. (2013). Association of ST-elevation and non-ST-elevation presentation on ECG with transmurality and size of myocardial infarction as assessed by contrast-enhanced magnetic resonance imaging. Journal of Electrocardiology, 46(2), 100-106.
50. Schubert, C. C., Denmark, T. K., Crandall, B., Grome, A., & Pappas, J. (2013). Characterizing novice-expert differences in macrocognition: An exploratory study of cognitive work in the emergency department. Annals of Emergency Medicine, 61(1), 96-109.
51. Schroeder, R. G., Linderman, K., Liedtke, C., & Choo, A. S. (2008). Six sigma: Definition and underlying theory. Journal of Operations Management, 26(4), 536-554.
52. Skar, P. (2013). Organizational culture in emergency departments and the older adult. Doctoral dissertation, University of Victoria.
53. St John, A., & Price, C. P. (2013). Economic evidence and point-of-care testing. The Clinical Biochemist Reviews, 34(2), 61.
54. Studdert, D. M., Mello, M. M., Sage, W. M., DesRoches, C. M., Peugh, J., Zapert, K., & Brennan, T. A. (2005). Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. Journal of American Medical Association, 293(21), 2609-2617.
55. Tran, N. K., & Kost, G. J. (2006). Worldwide point-of-care testing: Compendiums of POCT for mobile, emergency, critical, and primary care and of infectious diseases tests. Point of Care, 5(2), 84-92.
56. van den Heuvel, J., Does, R. J., & Vermaat, M. B. (2004). Six Sigma in a Dutch hospital: Does it work in the nursing department? Quality and Reliability Engineering International, 20(5), 419-426.
57. Vincent, C. (2011). Patient safety. West Sussex, UK: Wiley.
58. von Eiff, W. (2014). Process optimization in the Emergency Department by the use of Pointof-Care-Testing (POCT): A best practice example from Germany [EHMA 2014 Annual Meeting]. Retrieved from http://www.ehma.org/index.php?q=node/1885/. Accessed on May 4, 2014
59. World Health Organization. (2010). The world health report: Health system financing: The path to universal health care. Switzerland: WHO. Retrieved from http://whqlibdoc. who.int/whr/2010/9789241564021-eng.pdf?ua=1. Accessed on August 10, 2014.
60. Zaninotto, M., Mion, M. M., Di Serio, F., Caputo, M., Ottomano, C., & Plebani, M. (2010). PATHFAST™ NT-proBNP (N-terminal-pro B type natriuretic peptide): A multicenter evaluation of a new point-of-care assay. Clinical Chemistry and Laboratory Medicine, 48(7), 1029-1034.