REASONABLE LABORATORY APPLICATIONS ANALYSIS EXAMPLE

Main Article Content

Elife Özkan

Keywords

Smart laboratory, SAS, SKS, HIMSS

Abstract

The Ministry of Health has initiated studies to reduce the number of unnecessary tests requested from medical laboratories in order to increase the efficiency and standardization of the test results, with the minimum number of tests to be diagnosed in a shorter time with the minimum number of tests. In this context, accurate, low-cost and less time-consuming practices have been planned under the title of “Reasonable Laboratory”. This application is followed by SAS (Health Accreditation Standards) and quality and accreditation applications in health systems, and platforms such as SINA, where statistics are made by combining the data of all health institutions. Our hospital has SAS and HIMSS (Healthcare Information and Management System Society) level 7 certificate. In this context, laboratory SAS indicators and HIMSS laboratory decision supports, which provide efficiency and accuracy traceability in hospital laboratories, are implemented and followed with HIMS integration. “Rational laboratory” practices, which were initiated by the Ministry of Health in all health institution laboratories in 2020, are also included in these practices. Our aim is to evaluate all these applications created in the laboratory in terms of cost per patient. For this purpose, the total number of outpatient clinics and per-patient examination rates were calculated before and after laboratory applications. The total number of patients who applied for the years 2019 and 2022 and the number of biochemistry tests requested were taken and the number of examinations per patient was calculated. Biochemistry parameters were preferred because of the easy standardization of sampling conditions, especially at the preanalytical stage, and because of the increasing kit prices. There was a 65% decrease in the number of examinations per patient in every 2 years. Similar applications are made in other laboratories. In addition, such applications can be applied in pharmaceutical materials and other health service offerings and added value can be provided.

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References

1. Hindmarsh JT, Lyon AW. “Strategies to promote rational clinical chemistry test utilization.” Clinical Biochemistry. 1996, 29,4, 291-299. https://doi. org/10.1016/0009-9120(96)00042-2.
2. Maria Werner “Appropriate utilization and cost control of the hospital laboratory: panel testing and repeat orders” Clinica Chimica ActaVolume 233, Issues 1–2, 16 January 1995, Pages 1-17
3. HMSS-EMRAM stages
4. SAS Göstergeleri https://www.tuseb.gov.tr/enstitu/tuska/tuska-hakkinda (19.03.2019
5. SKS Göstergeleri
6. Sağlık Bakanlığı “Akılcı laboratuvar uygulamaları” .https://dosyamerkez.saglik. gov.tr/Eklenti/ 15140,akilci-laboratuvar-kullanimi-aek42422915pdf.pdf?0. Erişim Tarihi: 24.09.2019.
7. E.Özkan, A.Ün “laboratuvar göstergelerinde preanalitik, analitik ve postanalitik süreçlerin değerlendirilmesi” Sağlıkta Kalite ve Akreditasyon Dergisi, 27-35 (2020)
8. Dilek Tarhan “SKS Bakış Açısıyla Preanalitik Evre Kalite Yönetimi”
9. Andrew Georgiou (2009)”The organisational and communicationimplications of electronic orderingsystems for hospital pathology services” Faculty of Health SciencesThe University of Sydney A thesis in fulfillment of the requirements for thedegree of Doctor of Philosophy
10. Üregil, D. (2011). ‘TS EN ISO/IEC 17025 Laboratuvar Akreditasyonu Ve Bir Uygulama’, Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Toplam Kalite Yönetimi Anabilim Dalı Yayımlanmamış Yüksek Lisans Tezi, İzmir