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

David M.s. Bodansky, Sophie E. Lumley, Rudrajoy Chakraborty, Dhanasekaran Mani, James Hodson, Mike T. Hallissey, Olga N. Tucker

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
219 Downloads (Pure)

Abstract

Background: Timely availability of blood sample results for interpretation affects planning and delivery of patient care from initial assessment in Accident and Emergency (A&E) departments.Materials and methods: Rates of, and reasons for, rejected blood samples submitted from all clinical areas over one month were evaluated. Haemoglobin (Hb) represented haematology and potassium (K+), biochemistry. A prospective observational study evaluated the methodology of sample collection and impact on utility.Results: 16,061 haematology and 16,209 biochemistry samples were evaluated; 1.4% (n = 229, range 0.5–7.3%) and 4.7% (n = 762, range 0.9–14%) respectively were rejected, with 14% (n = 248/1808) K+ rejection rate in A&E. Patients with rejected K+ and Hb had a longer median in-hospital stay of 9 and 76 h respectively and additional stay fixed costs of £26,824.74 excluding treatment. The rejection rate with Vacutainer and butterfly (4.0%) was lower than Vacutainer and cannula (28%).Conclusion: Sample rejection rate is high and is associated with increased in-hospital stay and cost. Blood sampling technique impacts on rejection rates. Reduction in sample rejection rates in emergency care areas in acute hospitals has the potential to impact on patient flow and reduce cost.
Original languageEnglish
Pages (from-to)37-40
JournalAnnals of Medicine and Surgery
Volume20
Early online date16 Jun 2017
DOIs
Publication statusPublished - 1 Aug 2017

Keywords

  • Urgent care
  • Emergency
  • Cost saving
  • Blood specimen collection

Fingerprint

Dive into the research topics of 'Potential cost savings by minimisation of blood sample delays on care decision making in urgent care services'. Together they form a unique fingerprint.

Cite this