Salinas Maria, López-Garrigós Maite, Santo-Quiles Ana, Gutierrez Mercedes, Lugo Javier, Lillo Rosa, Leiva-Salinas Carlos
J Clin Pathol. 2014 Sep;67(9):797-801. doi: 10.1136/jclinpath-2014-202333.
The purpose of this study is, first to present a 10-year monitoring of postanalytical turnaround time (TAT) adapted to different clinicians and patient situations, second to evaluate and analyse the indicators results during that period of time, and finally to show a synthetic appropriate indicator to be included in the balanced scorecard management system.
TAT indicator for routine samples was devised as the percentage of certain key tests that were verified before a specific time on the phlebotomy day. A weighted mean synthetic indicator was also designed. They were calculated for inpatients at 15:00 and 12:00 and for primary care patients only at 15:00. The troponin TAT of emergency department patients, calculated as the difference between the troponin verification and registration time, was selected as the stat laboratory TAT indicator.
The routine and stat TAT improved along the 10-year study period. The synthetic indicator showed the same trend.
The implementation of systematic and continuous monitoring over years, promoted a continuous improvement in TAT which will probably benefit patient outcome and safety.
本研究的目的，一是针对不同临床医生和患者情况，对分析后周转时间（TAT）进行为期10年的监测；二是评估和分析该时间段内的指标结果；最后是展示一个适合纳入平衡计分卡管理系统的综合指标。
常规样本的TAT指标被设计为在采血日特定时间之前得到验证的某些关键检测的百分比。还设计了一个加权平均综合指标。分别针对15:00和12:00的住院患者以及仅针对15:00的初级保健患者进行计算。将急诊科患者肌钙蛋白的TAT（计算为肌钙蛋白验证时间与登记时间之差）选为检验科TAT指标。
在为期10年的研究期间，常规和急诊TAT均有所改善。综合指标呈现相同趋势。
多年来实施系统且持续的监测，促进了TAT的持续改善，这可能有益于患者的治疗结果和安全。
