scholarly journals Evaluation of Laboratory Tests in Hospitals

1980 ◽  
Vol 17 (6) ◽  
pp. 281-286 ◽  
Author(s):  
JA Stilwell ◽  
D Young ◽  
A Cunnington
Keyword(s):  
Laboratory Tests ◽  
Patient Management ◽  
Value For Money ◽  
Unique Information ◽  
A Value ◽  
Medical Emergencies ◽  
The Cost ◽  
Test Request ◽  
Test Result

The use of laboratory tests in the management of 174 randomly selected patients admitted as acute medical emergencies was monitored in detail. The occasions when a test result changed patient management, and the nature of that change, were noted. Tests were classified according to information yielded and the importance of any action taken. For biochemistry alone every test result was costed. A ranking for all tests was produced, in terms of expected actions per test, and for biochemistry a ‘value for money’ table giving actions per pound spent. Every test request was classified as either discretionary or non-discretionary. The discretionary category was further subdivided into diagnostic and monitoring. The values, in terms of action-producing results, of non-discretionary, diagnostic, and monitoring tests were compared, and this comparison showed that the cost per item of helpful information was about £10 for diagnostic, £23 for monitoring, and £20 for non- discretionary tests. In total, £1790 was spent, and 28 items of unique information were yielded, enabling clinicians to discharge five patients, take seven courses of action which would have had serious consequences if omitted, and 16 actions the omission of which would have led to very serious consequences.

What is the return on investment for laboratory medicine? The antidote to silo budgeting in diagnostics

2020 ◽  
Vol 26 (6) ◽  
pp. 1-8
Author(s):  
Christopher P Price ◽  
Patrick McGinley ◽  
Andrew St John
Keyword(s):  
Return On Investment ◽  
Care Pathway ◽  
Laboratory Medicine ◽  
Value Proposition ◽  
Clinical Process ◽  
A Value ◽  
Laboratory Services ◽  
The Cost ◽  
The Impact ◽  
Test Result

Procuring and managing diagnostic services, such as laboratory medicine, is generally based on cost and activity. Improving productivity of laboratory services therefore tends to focus on reducing the cost per test. However, this approach fails to recognise the impact of the test result on the other stakeholders involved in delivering care to the patient across the care pathway. Any assessment of the return on investment from a diagnostic service therefore needs to be undertaken together with a value proposition established for the service. This will enable the clinical, process and economic impact for all stakeholders to be assessed, which can then be used to develop an implementation plan that ensures the expectations of all stakeholders can be addressed.

REKAYASA NILAI HARGA PEMBUATAN TERHADAP EFEKTIFITAS PENGGUNAAN BAHAN PADA PEMBANGUNAN PERUMAHAN TIRTO PENATARAN ASRI TIPE 70/135 KECAMATAN NGLEGOK KABUPATEN BLITAR

2017 ◽  
Vol 7 (1) ◽  
pp. 43-52
Author(s):  
Mochamad Tamim Ma’ruf
Keyword(s):  
Engineering Application ◽  
Cost Savings ◽  
Comparison Method ◽  
Value Engineering ◽  
Design Work ◽  
Housing Projects ◽  
Initial Design ◽  
A Value ◽  
The Cost ◽  
Design Proposal

One-solving methods and techniques necessary to avoid inefficiencies and not economic costs as well as reduce the cost of housing construction is the method of Value Engineering. Value engineering is a method and cost control techniques to analyze a function to its value at the lowest cost alternative (most economical) without reducing the quality desired.At the writing of this study used a comparison method by comparing the initial design to the design proposal of the author. In the housing projects Upgrading Tirto Penataran Asri type 70, the application of Value Engineering conducted on the job a couple walls and roofs pair by replacing some work items with a more economical alternative but does not change the original function and high aesthetic level and still qualify safe. For that performed the step of determining a work item, the alternative stage, the analysis stage, and the stage of recommendations to get a Value Engineering application and cost savings against the wall a couple of work items and partner roof.The proposed design as compared to the initial design. Work items discussed was the work of a couple wall having analyzed obtained savings of Rp. 2,747,643.56 and the work of the roof pair obtained savings of Rp. 2,363,446.80. Thus the total overall savings gained is Rp 5,111,090.36 or savings of 0048%.

scholarly journals Legal Complexities of Animal Welfare in Australia: Do On-Animal Sensors Offer a Future Option?

Animals ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 91
Author(s):  
Jaime Manning ◽  
Deborah Power ◽  
Amy Cosby
Keyword(s):  
Animal Welfare ◽  
Data Transmission ◽  
Continuous Measurement ◽  
Mental Wellbeing ◽  
Value Proposition ◽  
Data Governance ◽  
Behavioural State ◽  
A Value ◽  
Welfare Measures ◽  
The Cost

The five freedoms and, more recently, the five domains of animal welfare provide internationally recognised frameworks to evaluate animal welfare practices which recognise both the physical and mental wellbeing needs of animals, providing a balanced view of their ability to cope in their environment. Whilst there are many techniques to measure animal welfare, the challenge lies with how best to align these with future changes in definitions and expectations, advances in science, legislative requirements, and technology improvements. Furthermore, enforcement of current animal welfare legislation in relation to livestock in Australia and the reliance on self-audits for accreditation schemes, challenges our ability to objectively measure animal welfare. On-animal sensors have enormous potential to address animal welfare concerns and assist with legislative compliance, through continuous measurement and monitoring of an animal’s behavioural state and location being reflective of their wellbeing. As reliable animal welfare measures evolve and the cost of on-animal sensors reduce, technology adoption will increase as the benefits across the supply chain are realised. Future adoption of on-animal sensors by producers will primarily depend on a value proposition for their business being clear; algorithm development to ensure measures are valid and reliable; increases in producer knowledge, willingness, and trust in data governance; and improvements in data transmission and connectivity.

scholarly journals Utilisation of laboratory test results for patient management by clinicians at two large referral hospitals in Zambia

2020 ◽  
Author(s):  
Sabe Mwape ◽  
Victor Daka ◽  
Scott Matafwali ◽  
Kapambwe Mwape ◽  
Jay Sikalima ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Laboratory Tests ◽  
Patient Management ◽  
Medical Laboratory ◽  
Test Results ◽  
Cross Sectional ◽  
Childrens Hospital ◽  
Laboratory Test Results ◽  
Laboratory Results ◽  
Referral Hospitals

Background Medical laboratory diagnosis is a critical component of patient management in the healthcare setup. Despite the availability of laboratory tests, clinicians may not utilise them to make clinical decisions. We investigated utilsation of laboratory tests for patient management among clinicians at Ndola Teaching Hospital (NTH) and Arthur Davison Childrens Hospital (ADCH), two large referral hospitals in the Copperbelt Province, Ndola, Zambia. Method We conducted a descriptive cross-sectional study among clinicians. The study deployed self-administered questionnaires to evaluate clinician utilisation, querying and confidence in laboratory results. Additional data on demographics and possible laboratory improvements were also obtained. Data were entered in Microsoft excel and exported to SPSS version 16 for statistical analysis. Results Of the 80 clinicians interviewed, 96.2% (77) reported using laboratory tests and their results in patient management. 77.5% (62) of the clinicians indicated they always used laboratory results to influence their patient management decisions. Of the selected laboratory tests, clinicians were more confident in using haemoglobin test results (91.2%). There was no statistically significant association between the clinicians gender or qualification and use of test results in patient management. Conclusion Our findings show that despite the majority querying laboratory results, most of the clinicians use laboratory results for patient management. There is need for interactions between the laboratory and clinical area to assure clinician confidence in laboratory results. Key words: utilisation, clinicians, laboratory tests, Ndola Teaching Hospital, Arthur Davison Childrens Hospital

scholarly journals Analisis Kinerja Anggaran Pemerintah Provinsi Sumatera Selatan Dengan Pendekatan Konsep Value For Money

2021 ◽  
Vol 7 (1) ◽  
pp. 1-10
Author(s):  
Periansya Periansya ◽  
Dendy Pratama ◽  
Rosi Armaini
Keyword(s):  
Data Analysis ◽  
Linear Regression ◽  
Hypothesis Testing ◽  
Multiple Linear Regression ◽  
Sample Selection ◽  
Value For Money ◽  
Selection Technique ◽  
A Value ◽  
Analysis Technique ◽  
Independent Variable

This research is intended as an effort to analyze the budget performance of Regional Apparatus Organizations in South Sumatra Province with a value for money concept approach. This study consisted of the dependent variable, namely the performance of the regional apparatus organization budget, while the independent variable consisted of transparency, accountability, and supervision. The data used in this research is the result of distributing questionnaires to selected respondents in 21 Regional Apparatus Organizations. The sample selection technique used purposive sampling, while the data analysis technique used multiple linear regression. The results of the analysis and discussion of hypothesis testing show that partially transparency, accountability, and supervision have a positive and significant effect on-budget performance, including simultaneously also showing a positive and significant effect on-budget performance, but it is necessary to increase budget performance, this shows that the R2 value is 0.446. or 44.6%.

scholarly journals EFEKTIFITASPELAYANANPUBLIK DIKECAMATAN SAMARINDA KOTA DI SAMARINDA

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Ahmad Jubaidi
Keyword(s):  
Data Collection ◽  
Service Delivery ◽  
Public Service ◽  
Research Method ◽  
Public Awareness ◽  
Field Research ◽  
Civil Registration ◽  
A Value ◽  
Factors Influencing ◽  
The Cost

The purpose of this study is to determine the effectiveness of KK, KTP, and AK services in Samarinda Kota sub district and its factors influencing the effectiveness of KK, KTP, AKservices.The research used field research method which gives an overview on the effectiveness of KK, KTP, and AK services in Samarinda Kota sub district. Data collection techniques use observation techniques, interviews, and media questionnaires by selecting informants who play a role and are involved technically and functionally in service delivery to the community. The data obtained are then analyzed qualitatively and supported by quantitative data.The results showed that service implementation in Samarinda Kota sub-district, especially in the field of population administration and civil registration is done in accordance with existing mechanism and regulation which have been determined by seeing some service indicator such as simplicity is in very safe category with 6.67% and certainty of service procedure and tariff cost are in accordance with the value of 88.33% and 70% respectively, the security and convenience of facilities and infrastructure are in safe and comfortable category with 65% and 73.33% respectively, openness about the ease of obtaining information and provisions services in the categories easy and explained if requested with the value of 71.67% and 63.33% respectively, economical about the cost of KK rates, ID cards, AK category Rp 10,000 - Rp 15,000, equitable fairness with a value of 60%, the timeliness is in category 1 - 2 days, and the efficiency is an exact category with a value of 80%.  And the factors that affect the service is the resources apparatus, facilities and infrastructure, and public awareness. Keywords: Effectiveness, Public Service

scholarly journals Hubungan Kualitas Pelayanan Dimensi Servqual dengan Loyalitas Pasien di Poliklinik RSUD Arosuka Tahun 2018

2019 ◽  
Vol 19 (3) ◽  
pp. 694
Author(s):  
Titen Yasril ◽  
Dachriyanus Dachriyanus ◽  
Harmawati Harmawati
Keyword(s):  
Sampling Technique ◽  
Dominant Factor ◽  
Chi Square ◽  
Waiting Room ◽  
Cross Sectional ◽  
Old Patients ◽  
A Value ◽  
Patient Loyalty ◽  
Chi Square Test ◽  
The Cost

The lack of repeated visits of old patients will increase the cost of promotion to get new patients, one way to maintain old patients is to grow patient loyalty. Some patients in Arosuka General Hospital are still not loyal because they come to the hospital only for the first examination, then the patient goes to another hospital, some patients have not recommended the hospital to others, one of the factors that influence patient loyalty is the quality of service. This study aims to determine the relationship between service quality servqual dimensions and patient loyalty in Arosuka Hospital. The type of this study is cross sectional. The population in this study were all patients who came to the Arosuka Hospital polyclinic in 2018, a sample of 203 people with a proportional random sampling sampling technique conducted in April 2018 with the analysis used was the chi square test. The statistical test results obtained 60.1% of respondents not loyal, 61.6% of respondents stated that tangible was not good, 37.9% of respondents stated that reliability was not good, 51.2% of respondents stated that they were less responsive, 43.3% of respondents said assurace was not good, and 48.8% of respondents said empaty not good. There is a significant relationship between tangible, reliability, responsive, assurance, empathy and patient loyalty in Arosuka Hospital with a value of p <0.05 (p = 0.001, p = 0.015, p = 0.010, p = 0.002, p = 0.022). Tangible is the most dominant factor associated with patient loyalty. It is expected that the director will make a policy on service hours, sanctions for those who do not obey the service hours, coordinate with the local government in procuring transportation for patients, the head of the ward designing a comfortable waiting room, and providing suggestion boxes for patients.

scholarly journals Benefits of venom immunotherapy: How soon can they be expected

2017 ◽  
Vol 145 (3-4) ◽  
pp. 173-177
Author(s):  
Sasa Kadivec ◽  
Mitja Kosnik
Keyword(s):  
First Year ◽  
Severe Reaction ◽  
Allergic Reactions ◽  
Venom Immunotherapy ◽  
Emergency Situations ◽  
Sting Reaction ◽  
Life Threatening ◽  
Medical Emergencies ◽  
The Cost ◽  
Patients Experience

Introduction/Objective. Allergic reactions to insect stings are medical emergencies that could be prevented by venom immunotherapy (VIT). The main purpose of VIT is to prevent fatal or life-threatening reactions. We aimed to show the rapidity with which patients experience the benefits of VIT and estimate the number of emergency treatments that are prevented. Methods. We reviewed the medical files of patients who started VIT between 2010 and 2014. We calculated the costs of treatment of the sting reactions, the costs of immunotherapy, and estimated the costs of prevented allergic reactions. Results. In a cohort of 514 patients (40.9% female, age 47.2 ? 14.4 years), the cost of treatment of the index sting reaction was 180.4 ? 166.8 euros. During VIT, 195 patients experienced 446 field stings. In 86.3% of patients, stings were well tolerated, and only one patient experienced a severe reaction (grade III, according to Mueller). A total of 20.4% of VIT treated patients were stung during the first year of VIT and 57% during five years of VIT. The expenditure for five years of VIT was 2,886 euros per patient, which corresponded to an average of 16 emergency treatments for systemic reactions. Conclusion. Emergency situations are prevented in a substantial number of venom-allergic patients and a beneficial effect was already observed during the first year of VIT.

Reducing the number of unnecessary laboratory tests within hospital through the use of educational interventions

2021 ◽  
pp. 000456322110406
Author(s):  
Michael Thurm ◽  
Helen Craggs ◽  
Merlin Watts ◽  
Anthony Brooks
Keyword(s):  
Cohort Study ◽  
Cost Saving ◽  
General Hospital ◽  
Laboratory Tests ◽  
Patient Management ◽  
District General Hospital ◽  
Educational Interventions ◽  
Blood Tests ◽  
Medical Teams ◽  
The Impact

Background The growing number of laboratory investigation requests is placing an increased burden upon NHS resources. Around a quarter of all tests are unnecessary repeats, and almost a third have no impact on patient management. Doctors recognise that tests should only be performed when clinically indicated, but a culture persists of undertaking unnecessary repeat investigations. Methods A cohort study was undertaken at a district general hospital to observe the impact of introducing educational interventions in the form of a poster and a series of educational lectures, encouraging clinicians to consider whether an investigation was clinically indicated. Data was collected from nine different sites across the hospital run by different medical teams regarding the number of tests undertaken and the impact on patient care. Results Data from over 13,000 tests and over 2000 patients was analysed from nine different sites across the hospital. There was a significant reduction (33%, p = 0.0001) in the number of blood tests performed. This reduction in testing saved £7006 over the course of 1 month, in addition to other benefits. There was a reduction in testing in eight out of the nine sites in which the study was undertaken, demonstrating good generalisability of results. There was no significant increase in length of admission or mortality. Conclusion Educational interventions to doctors have a significant and safe impact in reducing the number of unnecessary investigations, providing cost saving benefits to the NHS.

News and Announcements

PEDIATRICS ◽  
1975 ◽  
Vol 56 (4) ◽  
pp. 623-624
Keyword(s):  
American Academy ◽  
Continuing Education ◽  
Normative Data ◽  
Patient Management ◽  
Multiple Choice ◽  
Multiple Choice Questions ◽  
Self Assessment ◽  
American Academy Of Pediatrics ◽  
The Cost ◽  
Personal Assessment

PERSONAL ASSESSMENT FOR CONTINUING EDUCATION (PACE): Presented by the American Academy of Pediatrics, PACE is a series of six three-hour written selfscored, self-assessment examinations designed to keep physicians abreast of advances in the field of pediatrics. Each PACE packet contains multiple-choice questions and patient management problems along with answer keys, normative data, and bibliographic references. PACE packets will be mailed at three-month intervals over the next 18 months. The cost for the entire six-part series is $50 for nonmembers.

Sign in / Sign up

Export Citation Format

Share Document