Potential cost savings by minimisation of blood sample delays on care decision making in urgent care services

Bodansky, David; Lumley, Sophie; Chakraborty, Rudrajoy; Mani, Dhanasekaran; Hodson, James; Hallissey, M. T.; Tucker, Olga

doi:10.1016/j.amsu.2017.06.016

Cited by 8 publications

(6 citation statements)

References 12 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nevertheless, venepuncture is an invasive technique that can cause trauma at the insertion site and can be painful for the patient, and these effects are potentiated when repeated blood samples are required (Buowari, 2013). Difficulty in finding and accessing a suitable venepuncture site can also cause a delay in treatment particularly during an emergency situation (Bodansky et al, 2017). This delay can occur despite the presence of a PIVC if the device is not permitted for use for blood samples (Ortells-Abuye et al, 2014).…”

Section: Literature Reviewmentioning

confidence: 99%

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

et al. 2020

View full text Add to dashboard Cite

Background: Sampling blood from a peripheral intravenous cannula offers an alternative to venepuncture. This practice can reduce frequency of venepuncture and patient discomfort. Opponents argue the practice increases the chance of haemolysis, risk of infection and device failure. Aim: To describe the prevalence and practice of blood sampling from peripheral intravenous cannulas by Australian nurses. Methods: This study used a descriptive cross-sectional design and data were collected using an electronic survey. The survey examined Australian nurses' practice of sampling blood from peripheral intravenous cannulas. Quantitative descriptive data was analysed and presented as frequencies, percentages, medians and ranges. Findings: A total of 542 nurses participated in the survey. Of these, 338 (62.4%) completed the survey. The majority of responses came from the State of Victoria (n = 137, 40.5%) and one-third were emergency nurses (n = 112, 33.1%). Sampling of blood from peripheral intravenous cannulas occurred between 37.5% and 66.7% throughout the State and Territories of Australia. Peripheral intravenous cannula blood sampling was most common in the emergency department (n = 93, 53.4%). The most frequent reasons given were difficulty of access (n = 223, 66.0%) followed by patient comfort (n = 194, 57.4%). Discussion: Blood sampling is required to diagnose and monitor treatment responses. A peripheral intravenous cannula offers the opportunity to sample blood without the need for venepuncture. Practice recommendations on when to sample blood and correct sampling technique are based on limited or conflicting evidence. Conclusion: Findings from this study indicate it is common practice to draw blood samples from a peripheral intravenous cannula. Further research is required to examine the accuracy and safety of this practice to further inform policy.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Based on US data for 2006-2008 from the national register of services within the ED (the National Hospital Ambulatory Medical Care Survey-NHAMCS), it was found that compared with interventions in the ED based on treatment, ordering any tests during the patient's stay in an ED increased its length, which was particularly noticeable when it comes to visiting patients in the ED completed discharge to home [27]. In this area, it is also worth citing an interesting analysis by Bodansky et al They showed that in as many as 40% of cases, ED doctors did not re-order tests that were initially ordered but proved impossible to be performed in the laboratory from the samples, which might suggest that routine testing is unnecessary in the first place [28]. These results confirm the validity of recommendations for prudent commissioning of laboratory tests appearing in other studies dealing with cost reduction in emergency departments.…”

Section: Discussionmentioning

confidence: 99%

Searching for the Optimal Method of Financing Hospital Emergency Departments—Comparison of Polish and Selected European Solutions

Tyrańska-Fobke

Robakowska

Ślęzak

et al. 2022

IJERPH

View full text Add to dashboard Cite

Hospital emergency departments are units of the State Medical Rescue system in Poland, which was established to help people in a state of a health emergency. The aim of this study is to develop an optimal method of financing emergency departments in Poland. The study used Polish data from 2016–2019 on the financing of services at the Clinical Emergency Department of the University Clinical Center in Gdańsk. For benchmarking and mathematical modeling, data for the Czech Republic, Germany and Latvia was used. The results of the analysis shows significant differences, to the disadvantage of Clinical Emergency Department, between the potential contract values in the tested models and the actual amounts of funds transferred by the National Health Fund Pomeranian Voivodeship Branch for the activities of Clinical Emergency Department under the concluded contracts. The introduction of co-payment on the part of patients reporting to the emergency departments with minor ailments that do not require hospitalization generates financial revenues, but does not significantly improve the financial results of the analyzed ward. However, it may be educational for patients in terms of raising their awareness of the correct place to seek assistance in the event of a sudden illness.

show abstract

“…In an emergency department study, specimen rejections have been associated with increased in-hospital stay and cost. 1 A retrospective review of incident reports in a pediatric emergency department revealed that the majority of errors occurred in the pre-analytic phase involving improper collection, labelling, or loss of specimens. 2 17.4% of patients were harmed by these errors.…”

Section: Introductionmentioning

confidence: 99%

Pre-analytical specimen labelling and processing errors in the ICU

Nguyen

Microys

2022

UOJM

View full text Add to dashboard Cite

Introduction: Specimen rejections have been associated with increased in-hospital stay and cost. The majority of errors occur in the pre-analytic phase. Specimen rejection can lead to high rate of recollection, delay in result availability, and high rate of test abandonment. These factors affect patient care and safety. Methods: This study conducted a retrospective review of Patient Safety Learning System (PSLS) reports for the intensive care unit (ICU) at The Ottawa Hospital General Campus (TOH) between 2010 and 2018, and a prospective review using interviews, surveys, and process mapping. Results: From 2098 PSLS reports, 52.6% were related to laboratory specimen collection and processing (pre-analytic phase). Specimen mislabelling with the wrong patient identifier accounted for 9.8% of pre-analytical error reports, while 16.4% of errors were due to non-sufficient quantity (NSQ) of specimen. 12.2 % of pre-analytical error reports involved cytology specimens. Conclusions: Pre-analytical errors are not only costly and resource draining, but may also place a burden on patients. Areas where errors were found include labels and requisitions stored in bedside cabinets, inconsistencies between specimen labels and requisitions, out-dated and difficult to access laboratory manuals, and non-sufficient quantity specimen collection. In the future we hope to start new initiatives to tackle these issues to improve patient safety and hospital efficiencies. This includes the development of a website for the laboratory manual, so that it is more easily accessible and user-friendly. With a new electronic medical record (EMR) system at TOH in 2019, we will explore the affects of pre-analytical processing of specimens.

show abstract

Potential cost savings by minimisation of blood sample delays on care decision making in urgent care services

Cited by 8 publications

References 12 publications

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

Blood sampling through peripheral intravenous cannulas: A look at current practice in Australia

Searching for the Optimal Method of Financing Hospital Emergency Departments—Comparison of Polish and Selected European Solutions

Pre-analytical specimen labelling and processing errors in the ICU

Contact Info

Product

Resources

About