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It’s an enormous task and I backed away from it many times.

But would it be better to reword the question and think of it as something more like “Getting TDM done right” rather than “getting samples collected at the right time”?

That’s a bigger task, but:
1 It includes not doing investigations that don’t help, and the patients in whom no-one remembered to collect any specimens at all (see also AKI for the latter)
2 It points towards clinical education and organisational behaviour that’s much wider than specimen timing
3 The outcome measures you identify to define success would be different
4 It’s closer to seeing it from the patient's point of view.

Jonathan


On 25 Aug 2014, at 03:06, Graham Jones <[log in to unmask]> wrote:

Dear Colleagues,
 
We are aiming to tackle the vexed issue of getting samples collected at the right time for therapeutic drug measurement (TDM) testing. A local survey linking dosing times and sample collection times for one drug has confirmed our suspicions that sample collection is done very poorly.
 
We would appreciate any advice, suggestions, success stories, valiant attempts or other information on how to get TDM samples taken at the right time.
 
I am happy to summarise for the mailbase if replies come to me personally.

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