076 What is the cost? An audit of investigations sent before and during lumbar puncture (LP)
| Autor: | Michael Andrews, Milo Delaney, Klaus Schmierer, Ruth Dobson, Charles Marshall |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Neurology, Neurosurgery & Psychiatry. 93:A124.2-A124 |
| ISSN: | 1468-330X 0022-3050 |
| DOI: | 10.1136/jnnp-2022-abn.401 |
| Popis: | BackgroundUnnecessary investigations are an important source of wasteful healthcare spending. We studied rates of inappropriate tests performed for patients having elective lumbar punctures in a large regional neurosciences centre.MethodsWe analysed 127 consecutive elective lumbar punctures during a four-month period. We audited whether pre-procedure blood tests were performed in each patient, and whether these were indicated according to ABN guidelines. We then compared the CSF tests requested at the time of procedure to the tests specified by the referring consultant.Results114/127 (90%) patients had pre-procedure blood tests for platelets and/or clotting, whereas only 5.8% of these were required according to established guidelines. The total cost of these unnecessary blood tests was £1766. 55 unnecessary CSF tests were sent in 36 patients, at a total cost of £5,233.00. The combined annual cost of unnecessary blood and CSF tests for this patient group at our centre was estimated at £15,699.ConclusionsUnnecessary blood and CSF tests are a significant source of wasteful spending in our centre. We have designed a quality improvement project comprising an educational component and redesign of electronic documentation. We will present the results of a reaudit after this intervention.mikeandrews91@hotmail.co.uk63 |
| Databáze: | OpenAIRE |
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