TITLE

Cost Savings Associated with Changes in Routine Laboratory Tests Ordered for Victims of Trauma

AUTHOR(S)
Jacobs, Ira A.; Kelly, Kathleen; Valenziano, Carl; Chevinsky, Aaron H.; Pawar, Joanne; Jones, Carol
PUB. DATE
June 2000
SOURCE
American Surgeon;Jun2000, Vol. 66 Issue 6, p579
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Not all trauma victims evaluated by the trauma service require a full complement of laboratory tests upon admission. This study set out to determine the cost savings and safety of limited laboratory testing of trauma victims. Before 1998, our admission trauma protocol included 11 laboratory tests for all trauma victims. In 1998, we created two categories: Trauma Blue--severe injury likely (Glasgow Coma Score <13; systolic blood pressure <100 mm Hg at any time; significant head, chest, abdominal, or proximal long bone injury; or clinical suspicion of need for operative or intensive care unit management) and Trauma Yellow--severe injury unlikely. The triage decision was made by the team leader or attending physician. Trauma Blue laboratory tests included an arterial blood gas, blood alcohol, type and screen or crossmatch, and urine dipstick. All patients who did not meet Trauma Blue criteria were entered in the Trauma Yellow group. There were only two tests for the Trauma Yellow group, a venous blood gas and blood alcohol. All arterial and venous blood gases measured pH, pO[sub 2], pCO[sub 2], HCO[sub 3], base deficit, hemoglobin, sodium, potassium, and ionized calcium. Other laboratory tests were done if requested by the trauma team leader or attending physician. All trauma admissions for a 3-month period were entered into this prospective study. The admitting trauma surgeon was surveyed after each admission to evaluate any problems in patient care. The test group was compared with a historical control of 100 consecutive patients under the original laboratory trauma protocol. One hundred and forty-eight (148) patients were entered into the study. Average laboratory cost per patient was $29.82 less with the study protocol. No patient care problem was identified. A cost savings of $29.82 per patient or $20,000.00 a year was realized for our institution, with no change in the quality of patient care. Trauma protocols designed to reflect a patient's potential for se...
ACCESSION #
3214594

 

Related Articles

  • Media focus on failures of screening programme. Johnson, Jane, // BMJ: British Medical Journal (International Edition);05/31/97, Vol. 314 Issue 7094, p1630 

    Comments on an episode on Channel 4's television show `Dispatches' in which it focused on a poorly performing screening laboratory in Great Britain. Image damage done by the program on the national screening program; World standards set by the British National Health Service's cervical...

  • Growth promise. Joshi, D. K. // BioSpectrum;Jun2012, Vol. 10 Issue 6, p36 

    The author discusses the need of India to have a favorable policy to sustain the growth of its in vitro diagnostic industry.

  • ERRATUM.  // Alternative Therapies in Health & Medicine;Jul/Aug2009, Vol. 15 Issue 4, p10 

    A correction to the article "Understanding Diagnostic Reasoning in TCM Practice: Tongue Diagnosis," that was published in the May-June, 2009 issue is presented.

  • Editorial. Browne, Sarah // Therapy Today;Sep2007, Vol. 18 Issue 7, p2 

    The article discusses various reports published within the issue including one on post-therapy support service for victims of abuse in the U.S. and another on developments in trauma work.

  • Traumatic Bonding: Clinical Implications in Incest. DeYoung, Mary; Lowry, Judith A. // Child Welfare;Mar/Apr92, Vol. 71 Issue 2, p165 

    This article presents information about the concept of traumatic bonding to the dynamics of incest, adapted from a research paper presented in 1990 at a research symposium.

  • Erratum:.  // Guidepoints: News from NADA;Jan2011, p9 

    A correction to the article " The Legacy of St. Vincent's for Trauma Recovery" that was published in the November 2010 issue is presented.

  • CORRECTION.  // Injury Prevention (1353-8047);Feb2006, Vol. 12 Issue 1, p64 

    A correction to an article that was published in the January 2006 issue is presented.

  • A role for recombinant activated factor VII in trauma? Sapsford, W // Trauma;Apr2002, Vol. 4 Issue 2, p117 

    It is possible that recombinant activated factor VII (rFVIIa) could revolutionize the medical and surgical management of haemorrhage following trauma due to its ease of administration and mechanism of action. This article reviews the evidence for the use of rFVIIa as a procoagulant, its...

  • cumulative trauma syndrome.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p556 

    A definition of the medical term "cumulative trauma syndrome," which refers to overuse syndrome, is presented.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics