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Improvement in 'stat' laboratory turnaround time. A model continuous quality improvement project
E I Bluth1, D J Lambert, T P Lohmann
1Department of Radiology, Ochsner Clinic, New Orleans, LA 70121.
Archives of Internal Medicine
|April 1, 1992
Summary
Continuous quality improvement (CQI) significantly reduced laboratory turnaround times in a large outpatient facility, decreasing patient wait times and saving costs. This demonstrates CQI
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Clinical Laboratory Operations
Background:
- Continuous quality improvement (CQI) is proposed to enhance medical institution efficiency and quality.
- A model project was implemented in a tertiary-care multispecialty group practice.
- The project focused on improving turnaround times for urgent laboratory tests.
Purpose of the Study:
- To assess the effectiveness of CQI techniques in a large outpatient setting.
- To reduce the turnaround time for stat laboratory examinations.
- To evaluate the impact of CQI on operational efficiency and cost.
Main Methods:
- A multidisciplinary team of 10 members was formed.
- The existing laboratory testing process was evaluated.
- Data were collected, statistically analyzed, and changes were implemented and re-evaluated.
Main Results:
- Preanalytic delays decreased by 76%, and postanalytic delays by 88%.
- Average patient waiting time was reduced by 62%.
- The institution achieved one-time savings of $225,000 and recurring savings of $40,000-$50,000 annually.
Conclusions:
- CQI techniques are a valuable management strategy for healthcare institutions.
- Implementing CQI can optimize the quality of patient care.
- CQI adoption helps minimize healthcare costs effectively.