A Daily Operational Huddle and a Real-Time Communication Application Improve Efficiency of Laboratory Processes.
Context.--Clinical laboratory processes that require cooperation among geographically distinct sections often face challenges. We describe these challenges as related to the Gram staining of cerebrospinal fluid, a key test in the management of patients with suspected central nervous system infection...
| Publicado en: | Archives of Pathology & Laboratory Medicine Vol. 146; no. 3; pp. 379 - 386 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
College of American Pathologists
Mar2022
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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=155408851&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155408851 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039985 1FS jtl: Archives of Pathology & Laboratory Medicine issn: 00039985 maglogo: N pubinfo: dt: Mar2022 vid: 146 iid: 3 pid: 2550 pub: College of American Pathologists place: Northfield, Illinois artinfo: ui: 155408851 155408851 155408851 10.5858/arpa.2020-0729-OA 155408851 ppf: 379 ppct: 7 formats: fmt: @attributes: type: P tig: atl: A Daily Operational Huddle and a Real-Time Communication Application Improve Efficiency of Laboratory Processes. aug: au: Jing Cao Dowlin, Michael West, Aaron Mutandiro, Clarah Mpwo, Marcus Singh, Ila R. affil: Department of Pathology and Immunology, Baylor College of Medicine, Texas Children's Hospital, Houston sug: subj: Communication Organizational Efficiency Quality Improvement Turnaround Time Workflow Cerebrospinal Fluid Analysis Staining and Labeling Clinical Laboratories, Hospital Administration Human Diagnosis, Laboratory Central Nervous System Infections Therapy Outcomes (Health Care) Child Health Services United States Clinical Laboratory Information Systems Interprofessional Relations ab: Context.--Clinical laboratory processes that require cooperation among geographically distinct sections often face challenges. We describe these challenges as related to the Gram staining of cerebrospinal fluid, a key test in the management of patients with suspected central nervous system infections, and our attempts to improve quality outcomes. Objective.--To evaluate multiple tools and strategies for their effectiveness in optimizing the turnaround time of tests sharing a specimen or workflow. Design.--Over the course of 5 years, the turnaround time of cerebrospinal fluid Gram stain was studied at one of the largest children's health systems in the United States. Baseline data showed suboptimal compliance to targeted turnaround times. A conventional approach to process standardization and 2 innovative tools that facilitate horizontal integration were applied to the main campus laboratory as follows: a daily operational huddle and a novel electronic communication application that was interfaced with the laboratory information system. Turnaround time and its variation were assessed. Two other hospital laboratories within the health system that did not undergo these quality interventions served as controls. Results.--Standardization of processes reduced the variability of turnaround time but only minimally shortened it. In contrast, an interteam daily huddle that monitored key quality metrics together with the communication application improved turnaround time significantly and sustainably. Conclusions.--Communication strategies involving a physical or virtual gathering of laboratory representatives encourage horizontal communication and improve turnaround times. These tools are generally applicable and could be used to improve other processes in healthcare, especially those where a workflow is shared between 2 geographically distinct areas of a health system. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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