Does Point-of-Care Testing impact length of stay in emergency departments (EDs)?

a before and after study of 26 rural and remote EDs

Ling Li, Euan McCaughey, Juliana Iles-Mann, Andrew Sargeant, Johanna I. Westbrook, Andrew Georgiou

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contribution

3 Citations (Scopus)
20 Downloads (Pure)

Abstract

The implementation of Point-of-Care Testing (PoCT) services across rural and remote emergency departments (EDs) by NSW Health Pathology has the potential to significantly improve timely access to results for certain types of pathology laboratory tests and help to deliver timely patient care. The aim of this study was to examine the impact of the implementation of PoCT on the length of stay (LOS) of patients in rural and remote EDs. A total of 3808 patients with a circulatory system illness were treated and discharged at any one of 22 rural and remote EDs during the study period. Generalised Estimating Equation (GEE) modelling was applied to examine whether the implementation of PoCT impacted the ED LOS with adjustment for a range of clinical variables. More patients were treated and discharged from these rural and remote EDs within 4-hours after the PoCT implementation (post-PoCT 86.8% versus pre-PoCT 84.3%). Although average ED LOS was 11 minutes shorter in the post-PoCT period, the impact of PoCT on ED LOS was not conclusive after considering other important clinical factors (p=0.07). This study is the one of the few to examine changes in LOS following the introduction of PoCT in EDs in Australia. The study also identified areas where more robust methods could be applied in the future as the quality of PoCT data improves to further assess the potential effects of this technology on practice and outcomes.

Original languageEnglish
Title of host publicationConnecting the System to Enhance the Practitioner and Consumer Experience in Healthcare
Subtitle of host publicationSelected Papers from the 26th Australian National Health Informatics Conference (HIC 2018)
EditorsElizabeth Cummings, Angela Ryan, Louise K. Schaper
Place of PublicationAmsterdam
PublisherIOS Press
Pages99-104
Number of pages6
ISBN (Electronic)9781614998907
ISBN (Print)9781614998891
DOIs
Publication statusPublished - 1 Jan 2018
Event26th Australian National Health Informatics Conference (HIC 2018) - Sydney, Australia
Duration: 29 Jul 20181 Aug 2018

Publication series

NameStudies in health technology and informatics
PublisherIOS Press
Volume252
ISSN (Print)0926-9630

Conference

Conference26th Australian National Health Informatics Conference (HIC 2018)
CountryAustralia
CitySydney
Period29/07/181/08/18

Bibliographical note

Copyright the Author(s) and IOS Press 2018. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • emergency department (ED)
  • Laboratory
  • length of stay (LOS)
  • Point-of-care testing (PoCT)
  • rural and remote EDs

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  • Cite this

    Li, L., McCaughey, E., Iles-Mann, J., Sargeant, A., Westbrook, J. I., & Georgiou, A. (2018). Does Point-of-Care Testing impact length of stay in emergency departments (EDs)? a before and after study of 26 rural and remote EDs. In E. Cummings, A. Ryan, & L. K. Schaper (Eds.), Connecting the System to Enhance the Practitioner and Consumer Experience in Healthcare: Selected Papers from the 26th Australian National Health Informatics Conference (HIC 2018) (pp. 99-104). (Studies in health technology and informatics; Vol. 252). Amsterdam: IOS Press. https://doi.org/10.3233/978-1-61499-890-7-99