PMID- 26981019
OWN - NLM
STAT- MEDLINE
DCOM- 20160519
LR  - 20190110
IS  - 1330-0962 (Print)
IS  - 1846-7482 (Electronic)
IS  - 1330-0962 (Linking)
VI  - 26
IP  - 1
DP  - 2016
TI  - Failure to review STAT clinical laboratory requests and its economical impact.
PG  - 61-7
LID - 10.11613/BM.2016.005 [doi]
AB  - BACKGROUND: Failure to follow-up laboratory test results has been described as 
      one of the major processes contributing to unsafe patient care. Currently, most 
      of the laboratories do not know with certainty not only their rate of missed (or 
      unreviewed) requests but the economical cost and impact that this issue implies. 
      The aim of our study was to measure that rate and calculate the resulting costs. 
      MATERIAL AND METHODS: In January 2015, we checked in our Laboratory Information 
      Management System (LIMS) for every emergency request from 1(st) July 2011 to 
      30(th) June 2014, if they had been reviewed by any allowed user or not. 319,064 
      requests were ordered during that period of time. Results were expressed as 
      "ordered requests", "missed requests" and its percentage. Additionally, total 
      cost of missed requests was calculated in euros (euro). "Non-productive days" were 
      theorised (as the days producing requests that were not reviewed) based on these 
      results. RESULTS: 7924 requests (2.5%) were never reviewed by clinicians. This 
      represented a total cost of 203,039 euro and 27 "non-productive" days in three 
      years. Significant differences between inpatients, outpatients and emergency 
      department as well as different emergencies units were found after application of 
      statistical analysis. CONCLUSIONS: In terms of resources, never reviewed or 
      missed requests appear to be a not negligible problem for the clinical laboratory 
      management. Electronic result delivery, with electronic endorsement to indicate 
      follow-up of requests along with better systems of electronic requesting should 
      be investigated as a way of improving patient outcomes and save unnecessary 
      expenses.
FAU - Rodriguez-Borja, Enrique
AU  - Rodriguez-Borja E
AD  - Laboratory of Biochemistry, Hospital Clinico Universitario Valencia, Valencia, 
      Spain.
FAU - Villalba-Martinez, Celia
AU  - Villalba-Martinez C
AD  - Laboratory of Biochemistry, Hospital Clinico Universitario Valencia, Valencia, 
      Spain.
FAU - Barba-Serrano, Esther
AU  - Barba-Serrano E
AD  - Laboratory of Biochemistry, Hospital Clinico Universitario Valencia, Valencia, 
      Spain.
FAU - Carratala-Calvo, Arturo
AU  - Carratala-Calvo A
AD  - Laboratory of Biochemistry, Hospital Clinico Universitario Valencia, Valencia, 
      Spain.
LA  - eng
PT  - Journal Article
PL  - Croatia
TA  - Biochem Med (Zagreb)
JT  - Biochemia medica
JID - 9610305
SB  - IM
MH  - Clinical Chemistry Tests/economics/standards/*statistics & numerical data
MH  - Clinical Laboratory Information Systems/*statistics & numerical data
MH  - Cost-Benefit Analysis
MH  - Diagnostic Tests, Routine/economics/standards/statistics & numerical data
MH  - Efficiency
MH  - Electronic Health Records/statistics & numerical data
MH  - Emergency Service, Hospital/economics/standards/statistics & numerical data
MH  - Hematologic Tests/economics/standards/*statistics & numerical data
MH  - Hospitals, University
MH  - Humans
MH  - Laboratories, Hospital/economics/standards/*statistics & numerical data
MH  - Medical Records Systems, Computerized/statistics & numerical data
MH  - Patient Care Management/*statistics & numerical data
MH  - Retrospective Studies
PMC - PMC4783091
OTO - NOTNLM
OT  - clinical laboratory information systems
OT  - extra-analytical phase
OT  - health care
OT  - quality indicators
OT  - total quality management
COIS- None declared.
EDAT- 2016/03/17 06:00
MHDA- 2016/05/20 06:00
PMCR- 2016/02/15
CRDT- 2016/03/17 06:00
PHST- 2015/09/06 00:00 [received]
PHST- 2015/11/19 00:00 [accepted]
PHST- 2016/03/17 06:00 [entrez]
PHST- 2016/03/17 06:00 [pubmed]
PHST- 2016/05/20 06:00 [medline]
PHST- 2016/02/15 00:00 [pmc-release]
AID - bm-26-61 [pii]
AID - 10.11613/BM.2016.005 [doi]
PST - ppublish
SO  - Biochem Med (Zagreb). 2016;26(1):61-7. doi: 10.11613/BM.2016.005.