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Beth Israel Deaconess Hospital-Milton
Laboratory: Decreasing Emergency Department Troponin Result Times
The Results/Progress to Date
The Problem
During 2012, the Lab did not achieve its goal for 1 hour resulted time for ED
Troponin testing (Mean: 61.1%).
G
O
L
Troponin testing is critical in the determination of Acute Myocardial Infarction
in patients presenting to the Emergency Department.
Aim/Goal
Increase % of ED Troponin tests that are resulted within 1 hour of collection
time from 61.1% in 2012, to 82.5% by the end of 2013.
The Team
Phlebotomists
Laboratory Technicians
Emergency Department Nursing Staff
Transport Services
Volunteer Services
Medical Staff
Although goal was not met, there has been significant improvement in ED Troponin
tests that are resulted within 1 hour of collection
Once samples have been received in the Laboratory, 95.6% are resulted within one
hour of receipt in the lab, with an average time of 38 minutes
The Interventions (Select Actions Taken)
Laboratory staff educated as to importance of timely processing and testing
Auto-verification of tests allows for more rapid release of results that are
within “normal limits”
New instrumentation allows Troponin testing to be run on multiple platforms
Shortened centrifugation time to five minutes to speed up testing
Close monitoring of “specimen received” to “specimen verified” time
New Troponin assay introduced in December 2013
Lessons Learned
Major opportunities for further reduction in the analytical time for Troponin
testing exhausted
Mean time from collecting the ED sample to receiving it in the lab is currently
16 minutes (down from 26 minutes)
Phlebotomist draws multiple patients in the ED, thus increasing ‘transport time’
and ‘result time’
Specimen transport time by volunteers is slower than by other modalities
Demand-capacity matching of Phlebotomy staffing implemented in November 2013
Next Steps/What Should Happen Next
Examine other transport options (pneumatic tube system, robot )
Work with ED to reduce the ‘order to collect time’ to less than 10 minutes
For More Information Please Contact: Alex Campbell, MSN, RN, NE-BC, CPHQ, Director HCQ & PS
alex_campbell@miltonhospital.org
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Alex Campbell (<a href="mailto:alex_campbell@miltonhospital.org">alex_campbell@miltonhospital.org</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Laboratory
Nursing
Medical Staff
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BID-Milton
Project Team
Phlebotomists
Laboratory Technicians
Emergency Department
Nursing Staff
Transport Services
Volunteer Services
Medical Staff
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Laboratory: Decreasing Emergency Department Troponin Result Times
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Format
The file format, physical medium, or dimensions of the resource
pdf
Safety
Timeliness