Onsite Laboratories in Freestanding Emergency Centers: Fast, Furious, Heart-saving

2.50
Hdl Handle:
http://hdl.handle.net/10755/306619
Category:
Abstract
Type:
Poster
Title:
Onsite Laboratories in Freestanding Emergency Centers: Fast, Furious, Heart-saving
Author(s):
Parel, Hazel
Lead Author STTI Affiliation:
Non-member
Author Details:
Hazel Parel, BSN, RN, hparel@sleh.com
Abstract:

Evidence-based Practice Abstract

Purpose: To determine if the development of onsite laboratory ancillary services within a hospital affiliated freestanding emergency center improves the length of stay for chest pain patients.

Design: A quality improvement project based on data collected from July 2012 thru December 2012.

Settings: A 15 bed hospital affiliated freestanding emergency center in an urban area in a Southwestern state with 25,734 visits per year and a 29 bed hospital Emergency Department of 31,463 visits per year.

Participants/Subjects: Male or Female patients, ages 40 and above, Chief complaint of chest pain.

Methods: Retrospective sampling of 100 charts in last 6 months of 2012 from the hospital affiliated freestanding emergency center and100 charts in last 6 months of 2012 from the hospital Emergency Department. Collection parameters were the following: laboratory collection time, results time and physician disposition time. Results time was based on cardiac laboratory results particularly Troponin time. The difference between collection time and results time demonstrates laboratory turnaround times and the difference between results time and physician disposition times demonstrates patient disposition times. The final sums of these results were averaged among 100 charts per location. Cardiac laboratory specimens collected were tested in the hospital affiliated freestanding emergency center onsite laboratory and cardiac laboratory specimens collected from the hospital Emergency Department were tested in the hospital main laboratory.

Results/Outcomes: Laboratory turnaround times from the hospital Emergency Department showed an average of 52 minutes and patient disposition times showed an average of 1 hour and 8 minutes. Laboratory turnaround times from the hospital affiliated freestanding emergency center showed an average of 30 minutes and patient disposition times showed an average of 46 minutes.

Implications: The existence of an onsite laboratory within a hospital affiliated freestanding emergency center decreased length of stay for chest pain patients as evidenced by shorter laboratory turnaround times and patient disposition times compared to that of the hospital Emergency Department. Based on the outcomes of the study, the hospital Emergency Department would benefit from having their own onsite laboratory. It has also been noted that there were variables in the work process flow that contributed to faster patient disposition times in the hospital affiliated freestanding emergency center. These variables contributed to overall decreased length of stay of chest pain patients. It would be interesting to explore and identify these variables in further studies.

Presenters, non-authors: Javier Lopez, BSN, RN; Christopher Boullion, BSN, RN

Keywords:
Onsite laboratories in Freestanding EDs and chest pain
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleOnsite Laboratories in Freestanding Emergency Centers: Fast, Furious, Heart-savingen_GB
dc.contributor.authorParel, Hazelen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsHazel Parel, BSN, RN, hparel@sleh.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306619-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: To determine if the development of onsite laboratory ancillary services within a hospital affiliated freestanding emergency center improves the length of stay for chest pain patients.</p><p>Design: A quality improvement project based on data collected from July 2012 thru December 2012.</p><p>Settings: A 15 bed hospital affiliated freestanding emergency center in an urban area in a Southwestern state with 25,734 visits per year and a 29 bed hospital Emergency Department of 31,463 visits per year.</p><p>Participants/Subjects: Male or Female patients, ages 40 and above, Chief complaint of chest pain.</p><p>Methods: Retrospective sampling of 100 charts in last 6 months of 2012 from the hospital affiliated freestanding emergency center and100 charts in last 6 months of 2012 from the hospital Emergency Department. Collection parameters were the following: laboratory collection time, results time and physician disposition time. Results time was based on cardiac laboratory results particularly Troponin time. The difference between collection time and results time demonstrates laboratory turnaround times and the difference between results time and physician disposition times demonstrates patient disposition times. The final sums of these results were averaged among 100 charts per location. Cardiac laboratory specimens collected were tested in the hospital affiliated freestanding emergency center onsite laboratory and cardiac laboratory specimens collected from the hospital Emergency Department were tested in the hospital main laboratory.</p><p>Results/Outcomes: Laboratory turnaround times from the hospital Emergency Department showed an average of 52 minutes and patient disposition times showed an average of 1 hour and 8 minutes. Laboratory turnaround times from the hospital affiliated freestanding emergency center showed an average of 30 minutes and patient disposition times showed an average of 46 minutes.</p><p>Implications: The existence of an onsite laboratory within a hospital affiliated freestanding emergency center decreased length of stay for chest pain patients as evidenced by shorter laboratory turnaround times and patient disposition times compared to that of the hospital Emergency Department. Based on the outcomes of the study, the hospital Emergency Department would benefit from having their own onsite laboratory. It has also been noted that there were variables in the work process flow that contributed to faster patient disposition times in the hospital affiliated freestanding emergency center. These variables contributed to overall decreased length of stay of chest pain patients. It would be interesting to explore and identify these variables in further studies.</p><p>Presenters, non-authors: Javier Lopez, BSN, RN; Christopher Boullion, BSN, RN</p>en_GB
dc.subjectOnsite laboratories in Freestanding EDs and chest painen_GB
dc.date.available2013-12-09T17:00:50Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:50Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Centeren_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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