The impact of the introduction of a point-of-care haematology analyser in a New Zealand rural hospital with no onsite laboratory
| Autor: | Catherine J Beazley, Katharina Blattner, Marara Grace Rogers-Koroheke, Garry Nixon, John Wigglesworth, Geoffrey Herd |
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| Rok vydání: | 2019 |
| Předmět: |
Emergency Medical Services
Health (social science) Point-of-care testing Cost-Benefit Analysis Hospitals Rural Point-of-Care Systems Medicine (miscellaneous) Context (language use) 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Health care Medicine Humans 030212 general & internal medicine Medical diagnosis Point of care Quality of Health Care Hematologic Tests business.industry Public Health Environmental and Occupational Health Focus Groups medicine.disease Focus group Test (assessment) 030220 oncology & carcinogenesis Medical emergency business Quality assurance Blood Chemical Analysis New Zealand |
| Zdroj: | Rural and remote health. 19(2) |
| ISSN: | 1445-6354 |
| Popis: | INTRODUCTION Hokianga Hospital is a small rural hospital in the far north of New Zealand serving a predominantly Maori population of 6500. The hospital, an integral part of a comprehensive primary healthcare service, provides continuous acute in-hospital and emergency care. Point-of-care (POC) biochemistry has been available at the hospital since 2010 but there is no onsite laboratory. This study looked at the impact of introducing a POC haematology benchtop analyser at Hokianga Hospital. METHODS This was a mixed methods study conducted at Hokianga Hospital over 4 months in 2016. Quantitative and qualitative components and a cost-benefit analysis were combined using an integrative process. Part I: Doctors working at Hokianga Hospital completed a form before and after POC haematology testing, recording test indication, differential diagnosis, planned patient disposition and impact on patient treatment. Part II: Focus group interviews were conducted with Hokianga Hospital doctors, nurses and a cultural advisor. Part III: An analysis of cost versus tangible benefits was conducted. RESULTS Part I: A total of 97 POC haematology tests were included in the study. Of these, 97% were undertaken in the setting of the acute clinical presentation and 72% were performed out of hours. The average number of differential diagnoses reduced from 2.43 pre-test to 1.7 post-test, (χ2 tests p |
| Databáze: | OpenAIRE |
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