Exploring the impact of over requesting of laboratory tests in biochemistry, MUH and devising a demand management strategy to reduce costs without compromising patient care and safety
AffiliationStephanie Yates, Eithne Barden, Cáit White, Biochemistry Laboratory/Pathology IT, Mercy University Hospital, Grenville Place, Cork, Ireland
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Is Part OfMercy University Hospital Clinical Audit and Quality Improvement Day 2020
CitationYates, S., Barden, E., White, C. (2020) 'Exploring the impact of over requesting of laboratory tests in biochemistry, MUH and devising a demand management strategy to reduce costs without compromising patient care and safety', Mercy University Hospital Clinical Audit and Quality Improvement Day 2020. Cork, Mercy University Hospital, July 2020.
AbstractLike many other areas of the health care sector, there is increasing pressure being put on medical laboratories to cut costs and eliminate wastefulness, while still maintaining and improving standards and expanding test repertoire. As a result many laboratories are turning to demand management as a way of cutting excess costs. It is estimated that up to 25% of pathology investigations are unnecessary indicating a significant potential waste. The aim of demand management is to control the appropriateness of tests that are requested. There are 3 main categories used when trying to achieve demand management; (1) Pre laboratory. This involves educating and engaging with requestors with regards to testing, examining the test repertoire available and also the withdrawal of obsolete tests. (2) Within laboratory. This is largely based around using minimum retest interval rules to prevent duplicate testing. (3) Post laboratory. This involves liaising with clinical teams to review the influence of test results on patient care.
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