The Effect of Li-Heparin Plasma Preference In Emergency Unit And New Emergency Test Request Panel On Troponin I Turnaround Time
Journal Title: Dokuz Eylul Universitesi Tip Fakultesi Dergisi - Year 2019, Vol 33, Issue 1
Abstract
INTRODUCTION: Serum to plasma sample type change and renewal of the emergency test request panel were carried out in our laboratory workflow to decrease the turnaround time (TAT) of the troponin I test requested from the emergency department. The aim of the present study was to compare the TATs of the troponin I test between the short and long term periods before and after the workflow arrangements.METHODS: In our study, TAT times of the emergency service troponin I test were compared in the study groups as; three months before the organization (n=1852), short-term post organization (n=1278) and long-term post organization (n=2786) at three months intervals. The data were obtained retrospectively from the Laboratory Information System.RESULTS: Troponin I TAT times were compared between the study groups and statistically significant decreases were observed; before and after short-term workflow organization (48±20 vs 43±16 minutes, p=0.0007) before and after long-term workflow organization (48±20 vs 35±12 minutes, p=0.0002). The percentages of the troponin I values exceeding the target TAT emergency periods were also found to be significantly decreased between the study groups; before and after short-term workflow organization (p=0.001) before and after long-term workflow organization (p<0.001).DISCUSSION AND CONCLUSION: The use of Li-heparin plasma instead of serum as a sample type and the application of new emergency test panel significantly shortened the TAT of troponin I results and the number troponin I specimen exceeding the troponin I target TAT were also found to be significantly decreased and the laboratory quality emergency unit was increased.
Authors and Affiliations
Yeşim Güvenç Demirağcı, Fatma Taneli, Ece Onur, Zeki Arı, Beyhan Cengiz Özyurt, Habib Özdemir, İsmail Taştan, Cevval Ulman
Keywords
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- EP ID EP532619
- DOI 10.5505/deutfd.2019.26122
- Views 53
- Downloads 0
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