114 - Risk management triggers in postanalytical phase
Autor(s): M. Morandini
Issue: RIMeL - IJLaM, Vol. 5, N. 3-S1, 2009 (MAF Servizi srl ed.)
Page(s): 114
Background. The Laboratory routinely monitors TAT at each step of the testing process to maintain stated quality goals. Aim: Assessing the compliance with the meeting criteria (TAT <1 h) for pivot test (Hb, glucose, potassium, cTnI) ordered in the Emergency Department (ED); mapping the risk and assessing the impact of a prolonged TAT (> 2h) on the outcome of the patient. Methods. The TATs (analytical, preanalytical, postanalytical) of 5000 patients were retrospectively collected and the causes of delays were analyzed with Root Cause Analysis (RCA). Moreover, clinical data of 245 consecutive patients were collected to map the patient’s risk associated with delays in TAT. By a questionnaire ED professionals (14 physicians, 32 nurses) evaluated the risk induced by a delayed TAT (> 2 h)..……