Application of quality improvement techniques to the reduction of turnaround time for "STAT" and "ASAP" orders

This project educated a multidisciplinary team on the techniques of continuous quality improvement, which were then used to analyze the total medication cycle process in order to reduce the total turnaround time for STAT and ASAP orders. Members were trained in the appropriate analytical techniques, developed flow charts of the medication cycle, and developed and conducted a study of the turnaround time for STAT and ASAP orders. Three data collections were obtained: 1) baseline, 2) after flagging orders and medications to help quickly identify both, and 3) after implementation of guidelines for physicians to properly use the terms STAT and ASAP. The interventions seem to have resulted in system improvement based upon an overall decrease in turnaround time (70% for STAT orders, 54% for ASAP orders). The majority of the medication cycle time was on the patient care unit after medication delivery. Problems with the process were identified and recommendations made for future quality improvement teams.