在三级儿科医院护理中,血液抽取有分析前错误的直接成本
Henrik Hjelmgren1,2, Emelie Heintz3, Britt-Marie Ygge1,2
1Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
PloS one
|August 25, 2023
概括
儿科血液抽取前分析错误 (PAE) 显著增加了医院费用,每10,000次抽取估计需要13756欧元. 避免这些错误可以将资金重新分配到其他必要的儿科医疗保健活动.
科学领域:
- 儿科医疗保健管理的管理
- 临床实验室科学 临床实验室科学
- 卫生经济学 卫生经济学
背景情况:
- 抽血对于儿科诊断和治疗至关重要.
- 抽血中的分析前错误 (PAE) 会导致医疗保健成本增加.
- 在儿科护理中与PAE相关的直接成本尚未完全理解.
研究的目的:
- 为了估计PAE每10,000次血液抽取在三级儿科护理中的平均年度直接成本.
- 量化PAE对医院资源的财务影响.
主要方法:
- 使用医院实验室和临床数据 (2013-2014) 进行了自下而上的成本分析.
- 费用包括采样材料,医疗人员的时间,实验室分析和住院病房.
- 该研究假设对所有带有PAE的血液抽取进行重新采集.
主要成果:
- 估计PAE的年度成本为74,267欧元,用于54,040次抽血.
- 这相当于每1万次抽血13,756欧元,或每次抽血1.5欧元.
- 人员成本 (60.1%) 是PAE成本的最大贡献者,其次是住院治疗 (25.2%).
结论:
- 在第三级儿科医院护理中,PAE显著增加了成本.
- 避免PAE可以节省大量的成本.
- 从避免的PAE中重新分配的资金可以支持其他促进住院儿童健康的倡议.
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