I like this approach, and I think it will be pressure-relieving, and we
need all of that we can get. We currently get weekly breach reports for
everyone in the ED who isn't in a nursed bed in 4 hrs etc. Does
everyone in England now get these? "Breaches" attributed to LM are a
minor contribution but there are usually a few each week. In-lab TaT is
a very minor cause of delays.
We've also explored ED investigations being driven by pre-arranged
protocols. Managers usually assume these will decrease numbers of
investigations: my feeling is that the opposite is true, but I don't
have much data. My concern is that clinicians in non-protocol models
can use judgement to decide investigations aren't necessary using
information that isn't available as an input to the protocols.There is
an artefact in the way we study this problem: I haven't yet seen a LIMS
that records investigations that clinicians could have requested but
chose not to...
Jonathan
On 8 Feb 2005, at 11:41, Mike Howell wrote:
> Hi
> we agreed a bsic set of tests with our Casualty department and a 1
> hour turnaround. It's much faster to add extra tests to this (10
> minutes) rather than start again with another 1 hours turnaround
>
> Mike Howell
> Hillingdon ospital
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
|