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Clinical Chemistry and Laboratory Medicine (CCLM)

Published in Association with the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)

Editor-in-Chief: Plebani, Mario

Ed. by Gillery, Philippe / Lackner, Karl J. / Lippi, Giuseppe / Melichar, Bohuslav / Payne, Deborah A. / Schlattmann, Peter / Tate, Jillian R.

12 Issues per year


IMPACT FACTOR 2016: 3.432

CiteScore 2016: 2.21

SCImago Journal Rank (SJR) 2016: 1.000
Source Normalized Impact per Paper (SNIP) 2016: 1.112

Online
ISSN
1437-4331
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Volume 46, Issue 10 (Oct 2008)

Issues

Impact of a satellite laboratory on turnaround times for the emergency department

Gurdeep Dhatt
  • 1Department of Pathology and Laboratory Medicine, Tawam Hospital in association with Johns Hopkins Medicine, Al Ain, United Arab Emirates
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Joseph Manna
  • 2Department of Emergency Medicine, Tawam Hospital in association with Johns Hopkins Medicine, Al Ain, United Arab Emirates
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Bassam Bishawi
  • 3Department of Pathology and Laboratory Medicine, Tawam Hospital in association with Johns Hopkins Medicine, Al Ain, United Arab Emirates
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  • De Gruyter OnlineGoogle Scholar
/ Diane Chetty
  • 4Department of Emergency Medicine, Tawam Hospital in association with Johns Hopkins Medicine, Al Ain, United Arab Emirates
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  • De Gruyter OnlineGoogle Scholar
/ Ahlam Al Sheiban
  • 5Department of Quality Management, Tawam Hospital in association with Johns Hopkins Medicine, Al Ain, United Arab Emirates
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/ David James
  • 6Clinical Services, Tawam Hospital in association with Johns Hopkins Medicine, Al Ain, United Arab Emirates
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Abstract

Background: Prolonged laboratory turnaround time (TAT) contributes to prolonged length of stay in emergency departments (EDs). The TAT of laboratory test results is a common key performance indicator by which clinicians and regulatory bodies evaluate laboratory performance. Establishing satellite laboratories in EDs staffed by laboratory technologists is one approach towards reducing TAT.

Methods: TAT data were collected for three time intervals: (a) sampling time to time samples received in the laboratory (transportation time), (b) sample received in the laboratory until results were available for viewing on the laboratory information system monitor or collection by ED staff (within laboratory TAT), and (c) sampling to availability of results (total TAT, e.g., a+b). The target was to achieve a median within laboratory TAT of 45 min for samples received from the ED.

Results: The median transportation times for samples to be delivered to the central and satellite laboratory were 22 min and 1 min, respectively (p<0.0001). The median within laboratory TATs were 45 [95% confidence interval (CI) 43–49] and 34 (95% CI 33–35) min for the central and satellite laboratories, respectively (p<0.001).

Conclusions: A satellite laboratory in the ED can significantly reduce laboratory TAT.

Clin Chem Lab Med 2008;46:1464–7.

Keywords: emergency department; laboratory; satellite; turnaround times

About the article

Corresponding author: Dr. G.S. Dhatt, Department of Pathology, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates Phone: +971-3-707-2417, Fax: +971-3-707-2418,


Received: 2008-01-17

Accepted: 2008-07-02

Published in Print: 2008-10-01


Citation Information: Clinical Chemistry and Laboratory Medicine, ISSN (Online) 1437-4331, ISSN (Print) 1434-6621, DOI: https://doi.org/10.1515/CCLM.2008.290.

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©2008 by Walter de Gruyter Berlin New York. Copyright Clearance Center

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