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Saving the NHS one blood test at a time

As a team of junior doctors our aim has been to save costs in day to day work so that money can be reallocated to improving nursing staff levels on our wards. Stem cell units have regular blood collection schedules in order to monitor organ response to chemotherapy and to look for complications in i...

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Detalles Bibliográficos
Autores principales: Akhtar, Waqas, Chung, Yooyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663853/
https://www.ncbi.nlm.nih.gov/pubmed/26734249
http://dx.doi.org/10.1136/bmjquality.u204012.w1749
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author Akhtar, Waqas
Chung, Yooyun
author_facet Akhtar, Waqas
Chung, Yooyun
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description As a team of junior doctors our aim has been to save costs in day to day work so that money can be reallocated to improving nursing staff levels on our wards. Stem cell units have regular blood collection schedules in order to monitor organ response to chemotherapy and to look for complications in immunocompromised patients. We set out to reduce the number of biochemical investigations to a minimum that would be clinically indicated. We designed a new blood collection proforma for nursing staff to follow and audited all blood tests taken during a 2 week period before and after its introduction. The number of inappropriate blood tests were recorded as those that were not clinically indicated or not present on the collection schedule. After the introduction of the change the number of inappropriate tests were reduced by 937 over the 2 week period, with a cost saving of £1,478.42. Similar strategies for reducing unnecessary investigations and focusing on tests that will change management could help the NHS cope with a difficult financial future and provide continued safe staffing levels and quality care.
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spelling pubmed-46638532016-01-05 Saving the NHS one blood test at a time Akhtar, Waqas Chung, Yooyun BMJ Qual Improv Rep BMJ Quality Improvement Programme As a team of junior doctors our aim has been to save costs in day to day work so that money can be reallocated to improving nursing staff levels on our wards. Stem cell units have regular blood collection schedules in order to monitor organ response to chemotherapy and to look for complications in immunocompromised patients. We set out to reduce the number of biochemical investigations to a minimum that would be clinically indicated. We designed a new blood collection proforma for nursing staff to follow and audited all blood tests taken during a 2 week period before and after its introduction. The number of inappropriate blood tests were recorded as those that were not clinically indicated or not present on the collection schedule. After the introduction of the change the number of inappropriate tests were reduced by 937 over the 2 week period, with a cost saving of £1,478.42. Similar strategies for reducing unnecessary investigations and focusing on tests that will change management could help the NHS cope with a difficult financial future and provide continued safe staffing levels and quality care. British Publishing Group 2014-02-21 /pmc/articles/PMC4663853/ /pubmed/26734249 http://dx.doi.org/10.1136/bmjquality.u204012.w1749 Text en © 2014, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Akhtar, Waqas
Chung, Yooyun
Saving the NHS one blood test at a time
title Saving the NHS one blood test at a time
title_full Saving the NHS one blood test at a time
title_fullStr Saving the NHS one blood test at a time
title_full_unstemmed Saving the NHS one blood test at a time
title_short Saving the NHS one blood test at a time
title_sort saving the nhs one blood test at a time
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663853/
https://www.ncbi.nlm.nih.gov/pubmed/26734249
http://dx.doi.org/10.1136/bmjquality.u204012.w1749
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