Process Optimization to Improve Immunosuppressant Drug Testing Turnaround Time.
Objectives: Timely reporting of immunosuppressant (ISP) drug level results is needed for transplant patient management. This study characterized the local ISP testing process, identified bottlenecks and implemented process improvements to meet turnaround time requirements.Methods: Laboratory informa...
| Publicado en: | American Journal of Clinical Pathology Vol. 146; no. 2; pp. 182 - 191 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117142881&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117142881 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00029173 2RW jtl: American Journal of Clinical Pathology issn: 00029173 maglogo: N pubinfo: dt: Aug2016 vid: 146 iid: 2 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 117142881 117142881 NLM27453440 117142881 10.1093/ajcp/aqw087 NLM27453440 117142881 ppf: 182 ppct: 9 formats: tig: atl: Process Optimization to Improve Immunosuppressant Drug Testing Turnaround Time. aug: au: Barakauskas, Vilte E. Bradshaw, Tiffany A. Smith, Lonnie D. Lehman, Christopher M. Johnson-Davis, Kamisha L. affil: Department of Pathology and Laboratory Medicine, Children's and Women's Health Centre of British Columbia, Vancouver, Canada sug: subj: Blood Chemical Analysis Methods Process Assessment (Health Care) Methods Drug Monitoring Methods Specimen Handling Methods Immunosuppressive Agents Blood Clinical Laboratories, Hospital Human ab: Objectives: Timely reporting of immunosuppressant (ISP) drug level results is needed for transplant patient management. This study characterized the local ISP testing process, identified bottlenecks and implemented process improvements to meet turnaround time requirements.Methods: Laboratory information time stamps, direct observation and discussion with staff were used to construct a value stream map of the ISP testing process to identify process bottlenecks. Improvements were implemented to attain the required turnaround time.Results: Baseline performance of the existing ISP process (seven weeks, n = 272 samples) indicated that only 28% of samples were reported by 2:00 pm Major bottlenecks were identified to be the analytical run schedule, instrument delays, difficulty identifying ISP samples at intake, and difficulty collecting specimens. Process changes resulted in a median of 76% samples reported by 2:00 pmConclusions: : Adjusting ISP collection and analysis processes improved the laboratory's ability to meet physician requested result reporting time of 2:00 pm. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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