Green M
Clinical Laboratories, Stanford Health Services, CA 94305, USA.
Arch Pathol Lab Med. 1995 Oct;119(10):943-7.
We evaluated the use of several modes of alternate site versus central laboratory testing in our hospital to provide improved processing of stat specimens from the Emergency Department and the Operating Room. Using the principle of parallel processing for sample analysis, coupled with installation of a computerized pneumatic tube specimen delivery system, we provided improved turnaround time, a larger test menu, and 24-hour-a-day service from the central laboratory. As a result, the satellite laboratory in the Emergency Department was closed and 16 full-time equivalent positions were saved in the hospital. A separate tube zone was established for the Operating Room, and a critical care whole-blood test unit was established in the central laboratory, providing 7-minute turnaround time for blood gases, electrolytes, and glucose. Testing in the Operating Room by nonlaboratory personnel was discontinued.
我们评估了在我院使用多种替代检测点与中心实验室检测模式，以改善对急诊科和手术室急诊标本的处理流程。通过采用样本分析并行处理原则，并安装计算机化气动管道标本输送系统，我们缩短了周转时间，增加了检测项目菜单，并实现了中心实验室全天24小时服务。结果，急诊科的卫星实验室关闭，医院节省了16个全职等效岗位。为手术室设立了单独的标本管区域，并在中心实验室设立了重症全血检测单元，血气、电解质和葡萄糖检测的周转时间缩短至7分钟。停止了非实验室人员在手术室进行的检测。
