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Updated: Mar 27, 2026

Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting

Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting

Published on: November 30, 2015

Saving the NHS one blood test at a time.

Waqas Akhtar¹, Yooyun Chung¹

¹St Bartholomew's Hospital.

BMJ Quality Improvement Reports

|January 7, 2016

Summary

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Junior doctors reduced unnecessary blood tests by implementing a new collection form. This initiative saved costs and highlighted potential for improving nursing staff levels and patient care.

Area of Science:

Healthcare Management
Clinical Pathology
Health Economics

Background:

Stem cell units require regular biochemical monitoring for chemotherapy response and immunocompromised patient complications.
Rising healthcare costs necessitate strategies for financial efficiency within National Health Service (NHS) hospitals.
Optimizing diagnostic test utilization is crucial for resource reallocation and maintaining quality patient care.

Purpose of the Study:

To reduce the number of clinically non-indicated biochemical investigations in stem cell units.
To implement a cost-saving measure by minimizing unnecessary blood tests.
To explore strategies for reallocating saved funds towards improving nursing staff levels.

Main Methods:

A new blood collection proforma was designed for nursing staff.

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Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting

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Published on: November 30, 2015

Cell Capture Using a Microfluidic Device

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An audit of blood tests was conducted for two weeks before and after the proforma's introduction.

Inappropriate tests were defined as those not clinically indicated or not on the collection schedule.

Main Results:

The number of inappropriate blood tests decreased by 937 over the two-week audit period.
A cost saving of £1,478.42 was achieved through the reduction of unnecessary tests.
The intervention demonstrated a significant reduction in biochemical investigations.

Conclusions:

Implementing standardized blood collection protocols can substantially reduce unnecessary investigations and associated costs.
Cost savings from optimized testing can be reinvested into essential areas like nursing staff levels.
Similar strategies focusing on clinically indicated tests can support the NHS in its financial challenges while ensuring safe staffing and quality care.