Kantartjis Michalis, Melanson Stacy E F, Petrides Athena K, Landman Adam B, Bates David W, Rosner Bernard A, Goonan Ellen, Bixho Ida, Tanasijevic Milenko J
Departments of Medicine.
Pathology, Brigham and Women's Hospital, Boston, MA.
Lab Med. 2017 Aug 1;48(3):282-289. doi: 10.1093/labmed/lmx024.
Patient satisfaction in outpatient phlebotomy settings typically depends on wait time and venipuncture experience, and many patients equate their experiences with their overall satisfaction with the hospital.
We compared patient service times and preanalytical errors pre- and postimplementation of an integrated electronic health record (EHR)-laboratory information system (LIS) and electronic specimen collection module. We also measured patient wait time and assessed patient satisfaction using a 5-question survey.
The percentage of patients waiting less than 10 minutes increased from 86% preimplementation to 93% postimplementation of the EHR-LIS (P ≤.001). The median total service time decreased significantly, from 6 minutes (IQR, 4-8 minutes), to 5 minutes (IQR, 3-6 minutes) (P = .005). The preanalytical errors decreased significantly, from 3.20 to 1.93 errors per 1000 specimens (P ≤.001). Overall patient satisfaction improved, with an increase in excellent responses for all 5 questions (P ≤.001).
We found several benefits of implementing an electronic specimen collection module, including decreased wait and service times, improved patient satisfaction, and a reduction in preanalytical errors.
门诊静脉采血环境中的患者满意度通常取决于等待时间和静脉穿刺体验，许多患者将他们的体验与对医院的总体满意度等同起来。
我们比较了集成电子健康记录（EHR）-实验室信息系统（LIS）和电子标本采集模块实施前后的患者服务时间和分析前误差。我们还测量了患者等待时间，并使用一份包含5个问题的调查问卷评估了患者满意度。
等待时间少于10分钟的患者比例从实施EHR-LIS前的86%增至实施后的93%（P≤0.001）。总服务时间中位数显著缩短，从6分钟（四分位间距，4 - 8分钟）降至5分钟（四分位间距，3 - 6分钟）（P = 0.005）。分析前误差显著减少，从每1000份标本3.20次误差降至1.93次误差（P≤0.001）。患者总体满意度有所提高，所有5个问题的优秀回答比例均上升（P≤0.001）。
我们发现实施电子标本采集模块有诸多益处，包括缩短等待和服务时间、提高患者满意度以及减少分析前误差。
