Time to decision making Emergency department length of stay Cost effectiveness
Conditions
Interventions
Nursing staffs who have received training on how to operate the i-
STAT system before beginning the study will draw same amount of blood volume as to that of the central laboratory test group for patients in the i-
STAT testing group. The providers will insert 2 or 3 drops of blood into the CHEM 8+ cartridge (including sodium,
potassium,
chloride,
ionized calcium,
total CO2,
glucose,
blood urea nitrogen (BUN) and creatinine). The cartridge will be inserted into the handheld device and the results will be viewed from the device in a time period of 2 minutes and printed with the por
STAT will be attached to OPD card and scanned into Si-
IT system. The nursing staff will report the results to the same physician as soon as possible. In case,
the ordered blood testing requires certain blood profiles which are not included in CHEM 8+,
the remaining blood sample will be delivered to the central laboratory. When both results are reported,
the nursing staff will notify the same physicians as soon as possible.,For the patients in the Central laboratory testing group,
the nurses will draw blood as per the usual requisites. When the results have been reported by the laboratory,
the nurses will notify the physician on duty.
STAT testing,Central laboratory testing
Sponsors
Human Research Protection Program of Faculty of Medicine, Siriraj Hospital
Transmedic Thailand Co. ltd. 888/70 7th Floor,
Mahatun Plaza Building
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Age>/= 18 years - Patients who are classified as urgent patients with Siriraj Adult Triage System (level 3 and 4) - Patients who are clinically required to have chemistry laboratory tests (at least electrolyte: Sodium Potassium Chloride Bicarbonate)
Exclusion criteria
Exclusion criteria: - Pregnancy (considered as vulnerable population) - Trauma (patients would be receiving medical services from the Trauma Center, not Urgency Room) - Bedridden patients (these patients would be requiring prolonged hospital stay)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to Treatment Decision Making and ED-LOS time 3 months Mann-Whitney-Wilcoxon test. Other categorical variables will be compared with chi-square tests. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cost effectiveness and Provider and Patient satisfaction form 3 months Incremental cost effectiveness ratio, Provider and Patient satisfaction form | — |
Countries
Thailand
Contacts
Public ContactWansiri Chaisirin
Department of Emergency Medicine, Siriraj Hospital
Outcome results
None listed