Continuous monitoring of stat and routine outlier turnaround times: two College of American Pathologists Q-Tracks monitors in 291 hospitals.

Abstract:

CONTEXT:The laboratory test turnaround times (TATs) that exceed the expectations of clinicians who order those tests, the so-called outlier test reporting rates, may be responsible for perceptions of inadequate laboratory service. OBJECTIVE:To monitor outlier test reporting rates for emergency department stat potassium results and routine inpatient morning blood tests. DESIGN:In 2 different monitors, each conducted for 2 years, laboratory personnel in institutions enrolled in the College of American Pathologists (CAP) Q-Tracks program tracked the percentages of emergency department stat potassium results and/or the percentages of morning rounds routine test results that were reported later than self-imposed reporting deadlines. SETTING:A total of 291 hospitals participating in 2 CAP Q-Tracks monitors. RESULTS:Participants monitored 225,140 stat emergency department potassium TATs, of which 33,402 (14.8%) were outliers, and 1,055040 routine morning test reporting times, of which 123,554 (11.7%) were outliers. For both monitors, there was a significant (P <.05) downward trend in the outlier rates as the number of quarters in which participants submitted data increased. CONCLUSION:Outlier reporting rates for emergency department stat potassium and routine morning test results decreased during the 2-year period of continuous monitoring. The CAP Q-Tracks program provides an effective vehicle by which providers of laboratory services may improve the timeliness with which they deliver the results of laboratory tests.

journal_name

Arch Pathol Lab Med

authors

Novis DA,Walsh MK,Dale JC,Howanitz PJ,College of American Pathologists Q-Tracks.

doi

10.1043/1543-2165(2004)128<621:CMOSAR>2.0.CO;2

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

621-6

issue

6

eissn

0003-9985

issn

1543-2165

pii

CP-2003-205

journal_volume

128

pub_type

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