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Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes
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Code labs: expediting laboratory test results during a code.

Shannon K Hurliman, Kristin Paston

    Critical Care Nurse
    |October 4, 2011
    PubMed
    Summary

    This study aimed to improve the speed and efficiency of laboratory testing during emergency resuscitations. A team of nurses and laboratory staff introduced a system that included electronic order sets, prepackaged supplies, and a communication protocol for the lab. The new system reduced the average time from ordering to receiving lab results by nearly 40%. Laboratory processing time also improved significantly. Staff across disciplines reported higher satisfaction with the new process. The authors suggest that these changes can be easily adopted in any hospital to improve emergency care outcomes.

    Keywords:
    code blue lab testingemergency lab workflowhospital resuscitation protocolslaboratory specimen processing

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    Area of Science:

    • Clinical laboratory science in emergency medicine
    • Healthcare process optimization

    Background:

    In emergency resuscitation, timely access to laboratory data is vital for decision-making. Prior to this initiative, no standardized system existed for handling lab specimens during code blue events. Existing practices led to delays and inconsistencies in specimen collection and processing. This lack of coordination caused frustration among clinical teams. No prior work had resolved the disconnect between code protocols and laboratory workflows. It was already known that delays in lab results affect patient outcomes. However, the specific challenges during codes remained unaddressed. This gap motivated the development of a streamlined system for code laboratory testing.

    Purpose Of The Study:

    The aim of this initiative was to improve the efficiency of laboratory specimen handling during code blue situations. The problem centered on the lack of a unified process for ordering, collecting, and processing lab tests during emergencies. The motivation stemmed from the need to reduce delays in critical care. No prior work had tested a system integrating electronic orders with physical supply management. The goal was to simplify the process for clinical staff. The challenge was to align laboratory protocols with code procedures. The focus was on minimizing the time between specimen collection and result availability. This approach aimed to enhance interdisciplinary coordination.

    Main Methods:

    The initiative involved placing code lab tests in a computerized order set to streamline ordering. Prepackaged supply bags were placed in each code cart to ensure readiness. A laboratory supervisor carried a code pager to alert staff of incoming specimens. A standardized protocol was developed for processing code labs. Units without electronic ordering systems were given alternative procedures. The workflow was tested in real code scenarios. Data on turnaround times and processing times were collected before and after implementation. Staff satisfaction was measured through surveys.

    Main Results:

    The mean turnaround time for code lab results decreased from 52.0 to 31.3 minutes (P = .002). Laboratory processing time improved from 34.9 to 21.5 minutes (P = .01). These reductions indicate a significant improvement in efficiency. The new system reduced the time between specimen collection and result posting. The data suggest that the changes had a measurable impact on workflow. Survey responses showed increased satisfaction among clinical staff. The improvements were consistent across multiple units. The results support the effectiveness of the streamlined process.

    Conclusions:

    The authors propose that the implemented changes can be easily adopted in any hospital setting. The system reduces delays in laboratory testing during code blue events. The findings suggest that basic workflow adjustments can lead to significant improvements. The authors emphasize the importance of integrating electronic and physical systems. The results indicate that the new process enhances interdisciplinary coordination. The authors note that the changes are straightforward to implement. The findings support the value of standardized protocols in emergency care. The authors conclude that the system improves both efficiency and staff satisfaction.

    The main outcome was a 39.4% reduction in mean turnaround time for code lab results (from 52.0 to 31.3 minutes).

    Processing time decreased from 34.9 to 21.5 minutes after implementing the new protocol and supply system.

    The code pager ensured laboratory staff were alerted and prepared to handle incoming specimens during codes.

    The bags ensured all necessary supplies were readily available in each code cart for immediate specimen collection.

    Staff satisfaction was assessed through surveys administered before and after the implementation of the new process.

    The authors propose that the system can be easily implemented in any hospital setting to improve code lab efficiency.