Session Time: 4:30pm-6:00pm
Presentation Time: 5:30pm-5:42pm
Location: Room 2AB
Patients' routine labs, including immunosuppression drug levels, are drawn with each clinic visit starting at 6am.
Because the drug levels are not reported by the time the patients leave clinic
mid-morning, the levels must be reviewed later in the day. Once review by the physician is
completed, transplant coordinators commence calling each patient with plan of care changes late
in the afternoon and early evening. We identified substantial delays in lab result turnaround
times, thus; the plan of care was unable to be relayed to the patient until end of day
and also resulted in inefficient use of staff time. This process was not in line
with standard practices in California transplant centers. The goal was to achieve completed lab
results in less than 2 hours on post kidney clinic days.
Specific electronic medical record-generated reports were created by our Quality Data Team.
The data collected was lab result turnaround times. The process included the time of blood draw
to the time of result in a post kidney/pancreas transplant clinic. This data was gathered and
analyzed from each step of the process involved between 2015 to 2017. This analysis was
completed monthly to identify trends in average result times. We met with
leadership to review the findings and seek support in improving lab result times.
The analysis revealed that there were significant time delays which were associated with the
pretreatment and processing of the immunosuppressive levels in the laboratory. Thus, the
laboratory implemented several changes to expedite the process including: decreased transport
times, internal tracking systems, laboratory staff education/competency and standardized
workflows. Weekly reports were reviewed to monitor the progress.
Following the implementation of changes made by the laboratory, the lab result turnaround times
significantly improved. The two year data analysis revealed a 51% increase in completed lab
results within two hours, from 3 hours, 33 minutes to 1 hour, 45 minutes. The outcome of this
change resulted in efficiencies including: an increase in the number of patients discharged from
clinic with a complete plan of care, a decrease in the number of results for physician review after
clinic, a decrease in the number of calls to patients to relay plan of care. Also, this efficiency
improved staff satisfaction and achieved turnaround times in line with the community standard.
CITATION INFORMATION: Farrell M., Kapadia S. Lab Turnaround Times: A Performance Improvement Project in Post Kidney/Pancreas Transplant Clinic Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:Farrell M, Kapadia S. Lab Turnaround Times: A Performance Improvement Project in Post Kidney/Pancreas Transplant Clinic [abstract]. https://atcmeetingabstracts.com/abstract/lab-turnaround-times-a-performance-improvement-project-in-post-kidney-pancreas-transplant-clinic/. Accessed January 24, 2020.
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