دورية أكاديمية
أعرض في EDS

Therapeutic turnaround times for common laboratory tests in a tertiary hospital in Kenya.

التفاصيل البيبلوغرافية
العنوان: Therapeutic turnaround times for common laboratory tests in a tertiary hospital in Kenya.
المؤلفون: Mwogi T; Centre for International Health, University of Bergen, Bergen, Norway.; Directorate of Medicine, Moi Teaching and Referral Hospital, Eldoret, Uasin Gishu, Kenya.; Institute of Biomedical Informatics, Moi University, Eldoret, Uasin Gishu, Kenya., Mercer T; Department of Population Health, The University of Texas at Austin Dell Medical School, Austin, Texas, United States of America., Tran DNT; Department of Pharmacy Practice, College of Pharmacy, Purdue University, West Lafeyette, IN, United States of America., Tonui R; Department of Immunology, Moi University, Eldoret, Uasin Gishu, Kenya.; Laboratory Services Division, Moi Teaching and Referral Hospital, Eldoret, Kenya., Tylleskar T; Centre for International Health, University of Bergen, Bergen, Norway., Were MC; Department of Biomedical Informatics and Medicine, Vanderbilt University Medical Center, Nashville, TN, United States of America.; Vanderbilt Institute for Global Health, Nashville, TN, United States of America.; Institute of Biomedical Informatics, Moi University, Eldoret, Uasin Gishu, Kenya.
المصدر: PloS one [PLoS One] 2020 Apr 08; Vol. 15 (4), pp. e0230858. Date of Electronic Publication: 2020 Apr 08 (Print Publication: 2020).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Quality Assurance, Health Care*, Laboratories, Hospital/*statistics & numerical data , Tertiary Care Centers/*statistics & numerical data, Humans ; Kenya ; Time Factors ; Workflow
مستخلص: Methods: We evaluated therapeutic TAT for a tertiary hospital in Western Kenya, using a time-motion study focusing specifically on common hematology and biochemistry orders. The aim was to determine significant bottlenecks in diagnostic testing processes at the institution.
Results: A total of 356 (155 hematology and 201 biochemistry) laboratory tests were fully tracked from the time of ordering to availability of results to care providers. The total therapeutic TAT for all tests was 21.5 ± 0.249 hours (95% CI). The therapeutic TAT for hematology was 20.3 ± 0.331 hours (95% CI) while that for biochemistry tests was 22.2 ± 0.346 hours (95% CI). Printing, sorting and dispatch of the printed results emerged as the most significant bottlenecks, accounting for up to 8 hours of delay (Hematology-8.3 ± 1.29 hours (95% CI), Biochemistry-8.5 ± 1.18 hours (95% CI)). Time of test orders affected TAT, with orders made early in the morning and those in the afternoon experiencing the most delays in TAT.
Conclusion: Significant inefficiencies exist at multiple steps in the turnaround times for routine laboratory tests at a large referral hospital within an LMIC setting. Multiple opportunities exist to improve TAT and streamline processes around diagnostic testing in this and other similar settings.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20200409 Date Completed: 20200706 Latest Revision: 20240328
رمز التحديث: 20240329
مُعرف محوري في PubMed: PMC7141613
DOI: 10.1371/journal.pone.0230858
PMID: 32267844
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0230858