Fisher Amelia, Katumba Alvin, Musa Khalid, Wijethilleke Shehana, Khan Zaibun, Chung Yooyun, Akhtar Waqas
St James's University Hospital, Leeds, UK
Bradford Royal Infirmary, Bradford, UK.
Clin Med (Lond). 2021 Mar;21(2):142-146. doi: 10.7861/clinmed.2020-0250.
Haematology inpatients are subject to extensive blood testing and many of these tests could be deemed inappropriate as they are not indicated for monitoring or clinical symptoms. Unnecessary testing exposes the patient to the risks of phlebotomy and adds resources' strain to the NHS.Our aim was to reduce the number of inappropriate blood tests performed on haematology inpatient wards.Quality improvement projects (QIPs) were performed in four haematology units introducing inpatient blood testing schedules (BTS) or providing staff education on current schedules.A reduction in inappropriate or overall blood testing was achieved at every site where a BTS was implemented, with a median reduction in inappropriate blood testing of 24.7% and estimated cost savings of up to £38,438 per annum.This QIP can be safely adapted to a variety of inpatient settings and is associated with cost savings. This initiative could be extended to other inpatient departments throughout the NHS.
血液科住院患者需要接受大量血液检测，其中许多检测可能被认为是不恰当的，因为它们并非用于监测或临床症状。不必要的检测使患者面临静脉穿刺的风险，并给英国国家医疗服务体系（NHS）增加资源负担。我们的目标是减少血液科住院病房进行的不恰当血液检测数量。在四个血液科单位开展了质量改进项目（QIPs），引入住院患者血液检测时间表（BTS）或就现行时间表对工作人员进行培训。在实施BTS的每个地点，不恰当或总体血液检测数量均有所减少，不恰当血液检测的中位数减少了24.7%，估计每年可节省成本高达38438英镑。该质量改进项目可以安全地适用于各种住院环境，并能节省成本。这一举措可扩展至NHS的其他住院科室。
