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Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio

2014, Number 4

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Rev Mex Patol Clin Med Lab 2014; 61 (4)

Cost-Effectiveness of laboratory tests (with the i-Stat system) in the Emergency Department of a Regional General Hospital of the Instituto Mexicano del Seguro Social (IMSS)

Soberanes LMÁ, Castorela MAD

Language: Spanish
References: 7
Page: 220-223
PDF size: 132.04 Kb.


ABSTRACT

Accurate and fast diagnosis at the Emergency Services, is critical for decision-making and appropriate management, which in many cases will save countless lives and avoid complications in the treated pathologies. The i-Stat system that solves in seconds which previously took much longer, significantly reduces the stay periods and thus, the costs of resources (solutions, channeling, drugs, etc.) in the treatment of patients. The present work is a prospective, cross-sectional and comparative study of cost-effectiveness with patients admitted to the emergency department of the Hospital General Regional 196 of the Instituto Mexicano del Seguro Social. In this study, the enormous progress that the i-Stat gives to the emergency medical units by reducing not only the cost of medical care, but also the morbidity and mortality, is demonstrated.


REFERENCES

  1. Instituto Mexicano del Seguro Social, estadísticas. www.imss.gob.mx.

  2. Derlet R, Richards JR, Kravitz RL. Frequent overcrowding in U.S. emergency departments. Acad Emer Med. 2001; 8: 151-155.

  3. Bailey TM. Reducing “Decision cycle time” A way to improve patient care and lower costs at Methodist Hospital. Insight. 1996; 1-2.

  4. Baier KA, Markham LE, Flaigle SP et al. Point-of-care testing in an organ procurement organization donor management setting. Clin Transplant. 2003; 17 (9): 48-51.

  5. Pope JH, Aufderheide TP, Ruthazer R et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000; 342 (16): 1163-1170.

  6. Lee-Lewandrowski E, Corboy D, Lewandrowski K et al. Implementation of a point-of-care satellite laboratory in the emergency department of an academic medical center. Impact on test turnaround time and patient emergency department length of stay. Arch Pathol Lab Med. 2003; 127 (4): 456-60.

  7. Bailey TM, Topham TM, Wantz S et al. Laboratory process improvement through point-of-care testing. Jt Comm J Qual Improv. 1997; 23 (7): 362-380.




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