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The economic and clinical efficiency of point-of-care testing for critically ill patients: a decision-analysis model.
- Source :
-
American journal of medical quality : the official journal of the American College of Medical Quality [Am J Med Qual] 1998 Spring; Vol. 13 (1), pp. 3-12. - Publication Year :
- 1998
-
Abstract
- Our study objective was to assess economic and clinical outcomes of use of a point-of-care (POC) blood analysis device for postoperative coronary artery bypass graft (CABG) patients. A decision analytic model was developed for patients with high expected use of blood analysis, high potential benefit from rapid turn around time of results, a large annual volume of patients, and substantial expense associated with surgery. Published literature and clinical experts provided incidence, outcome, and cost estimates associated with four clinical scenarios potentially influenced by POC testing (ventricular arrhythmias, cardiac arrest, severe postoperative bleeding, and iatrogenic anemia). We found that changes in clinical outcomes were predominantly dependent on comparative turn around time or CABG patient volume. The positive clinical impact of using POC testing was consistently associated with a positive economic impact. POC blood gas analysis may be associated with decreased incidence of adverse clinical events or earlier detection of such events, resulting in significant cost savings. This study also supports previous findings that the costs of STAT blood analysis are more personnel-related than equipment-related.
- Subjects :
- Blood Gas Analysis instrumentation
Coronary Artery Bypass
Hospital Costs
Humans
Laboratories, Hospital organization & administration
Outcome Assessment, Health Care
Postoperative Period
Time and Motion Studies
United States
Blood Gas Analysis economics
Critical Care economics
Decision Support Systems, Clinical
Laboratories, Hospital economics
Point-of-Care Systems economics
Subjects
Details
- Language :
- English
- ISSN :
- 1062-8606
- Volume :
- 13
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- American journal of medical quality : the official journal of the American College of Medical Quality
- Publication Type :
- Academic Journal
- Accession number :
- 9509589
- Full Text :
- https://doi.org/10.1177/106286069801300102