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VOLUME 6 , ISSUE 1 ( January-June, 2018 ) > List of Articles
Sujeet K Sinha, Ray Pallab, Madaan Nirupam
Keywords : Blood culture, Emergency department, Intervention, Utilization
Citation Information : Sinha SK, Pallab R, Nirupam M. A Study on Utilization of Blood Culture Reports in the Emergency Department at a Tertiary Care Teaching Hospital in North India. Int J Res Foundation Hosp Healthc Adm 2018; 6 (1):12-16.
License: CC BY-SA 4.0
Published Online: 01-02-2018
Copyright Statement: Copyright © 2018; The Author(s).
Introduction: It is invariably observed that blood cultures are more often ordered because the patient has fever or the admitting physician wants them for any expectation of clinical impact. As a result of such practice, unnecessary blood culture is being ordered with negative financial impact on hospital as well as the patients. The indication for obtaining blood cultures from patients in the Emergency Department (ED) is even less clear. This study was done to study the utilization of blood report in the emergency department of a tertiary care teaching hospital in north India. Need of the study: It was a common perception among the emergency medicine physician that they did not get blood culture reports on time from the Microbiology Department. The reports are either misplaced or received late as desired by the physician. A pilot study was done to check the hypothesis. Totally seventy blood culture samples were sent from the medical emergency ward and surgical emergency ward over a 3-week period. It was observed that 25% of total blood culture reports did not reach the physician. Aim and objective: (1) To study the utilization of blood culture report in emergency, (2) to design an intervention for timely availability of blood culture reports, and (3) to Study the impact of the intervention on the utilization of blood culture reports. Materials and methods: The study was cross-sectional, record-based prospective study, supplemented with interview of treating doctors. All patients admitted in the emergency ward (one each from medical and surgical) were followed up for 3 months. An Intervention was done personally by the researcher to ensure that all the test reports reach the patient file within 6 hours of its generation. Observation: Out of total 104 blood culture reports sent in preintervention, change in treatment according to culture report was done only in 7.6%. In postintervention, it increased to 9.9%. It was found that the clinician did not narrow down treatment even when the cultures are positive. About 77.1% of positive blood culture reports get wasted in preintervention and 54.5% in postintervention. Conclusion: There was ample loss of hospital resources in respect of money as well as manpower if even a single blood culture report is not utilized.