Utjecaj uvođenja minimalnih retestnih intervala na poslovanje Kliničkog zavoda za laboratorijsku dijagnostiku Kliničkog bolničkog centra Zagreb

master's thesis

• Title (english): The effects of introducing minimum retesting intervals on business transactions of Clinical Institute of Laboratory Diagnostics at University Hospital Center Zagreb
• Author: Luka Bender
• Mentor: Dunja Rogić (mentor)
• Committee member: Dunja Rogić (predsjednik povjerenstva)
• Committee member: Nada Vrkić (član povjerenstva)
• Committee member: Ružica Galović Rengel (član povjerenstva)
• Granter: University of Zagreb; Faculty of Pharmacy and Biochemistry; (Department of medical biochemistry and haematology); Zagreb
• Defense date and country: 2018-06-04, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Pharmacy; Medical Biochemistry

Abstract

Prekomjerno, nedovoljno i pogrešno naručivanje laboratorijskih testova sve je češća pojava u bolnicama. Postoji longitudinalni trend povećanja korištenja laboratorijskih usluga na svjetskoj razini što dovodi do generiranja većih troškova. Mišljenje je laboratorijskih djelatnika da se uvođenjem elektronskih smjernica za smisleno ponavljanje testova može pozitivno utjecati na poslovanje KBC-a Zagreb to jest da se mogu smanjiti troškovi izrade nalaza. Cilj ovog rada je dobivanje objektivnog uvida u učinak ove intervencije kako bi se u konačnici ostvarila racionalnija upotreba laboratorijskih usluga. U ovome radu obrađeni su i prikazani podaci o broju zadavanja, prihvaćanju i neprihvaćanju upozorenja o kršenju smjernica za smisleno ponavljanje 7 izabranih pretraga u 27 klinika KBC-a Zagreb u 2017. godini. Na temelju prethodno spomenutih podataka izračunate su pripadajuća ušteda te postotak smanjivanja naručivanja testova. Provedena je i usporedba obrazaca naručivanja pretraga triju različitih odjela. U protekloj godini u KBC-u Zagreb 41 915 narudžbi za pretrage nije zadovoljavalo smjernice za smisleno ponavljanje testova. Liječnici su odustali od naručivanja pretrage u prosječno 20,4% slučajeva, te je postignuta ukupna ušteda od 259 498 kuna. Na Zavodu za imunologiju i reumatologiju ostvarena je ušteda od 17 843 kune, na Zavodu za gastroenterologiju, hepatologiju i prehranu ušteda je iznosila 3 015 kuna, a na Odjelu za intenzivno kardiološko liječenje 2300 kuna. Ograničavanje zadavanja laboratorijskih pretraga putem uvođenja smjernica o smislenom vremenu za njihovo ponavljanje u bolnički informacijski sustav donijelo je znatnu uštedu koja potiče daljnju primjenu ovakvoga ili sličnoga oblika upravljanja.

Abstract (english)

Excessive, inadequate and wrong ordering of laboratory tests is becoming more and more common in hospitals. Laboratory utilization has increased longitudinaly over the years on the global scale. This growth generates more costs and expenditures. Laboratory staff's oppinion is that application of minimum retesting intervals through electronic order forms could positively influence the operations of Department of Laboratory Diagnostics, University Hospital Centre Zagreb. The aim of this thesis is to get an objective insight into the effect of this intervention in order to eventually accomplish a more rational laboratory utilization. In this research, dana on the number of test ordering, acceptance and non-acceptance of warnings for violation of the minimum retesting intervals for 7 selected laboratory tests were analyzed. Savings and percentage of ordering reduction were calculated based on the aforementioned data. A comparison of laboratory utilization between three different departments was also performed. In the past year, in University Hospital Centre Zagreb, 41 915 test orders did not meet their minimum retesting intervals. Doctors cancelled an average of 20.4% of alerted tests, and a total savings of 259 498 HRK were achieved. At the Department of Imunology and Reumatology savings of 17,843 HRK were achieved. At the Department of Gastroenterology, Hepatology and Nutrition the savings amounted to 3,015 HRK, and at the Intensive Cardiac Treatment Unit 2,300 HRK.Restriction of test ordering by application of minimum retesting intervals through electronic order form has resulted in significant savings that encourage further implementation of this or similar forms of management.

• Keywords: minimalni retestni intervali; laboratorijski testovi; poslovanje laboratorija
• Keywords (english): minimum retesting intervals; laboratory tests; laboratory management
• Language: croatian
• URN:NBN: urn:nbn:hr:163:778681
• Study programme: Title: Medical biochemistry; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: magistar/magistra medicinske biokemije (magistar/magistra medicinske biokemije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-12-03 11:30:05