liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Time is money-the economic impact of point of care on the emergency department of a tertiary care university hospital
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Acute Health Care in Linköping.
2014 (English)In: Point of Care, ISSN 1533-029X, Vol. 13, no 1, 21-23 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: With Swedish emergency departments (EDs) becoming independent financial units, economic pressure is placed onto the EDs. The use of point-of-care (POC) systems allowing rapid analysis of blood samples is increasing in the ED. In this study, we analyzed the potential economic impact of the use of the iSTAT POC system in the ED of a university hospital. METHODS: Prices for the test batteries Chem8 +, CG4 +, and TNI and for the analyzers were provided by the manufacturer and compared to analyses by the hospitals central laboratory. With staffing being the major cost in the ED, the cost for attending each minute a patient in the ED was calculated. Fixed costs were omitted in the analysis. The difference in turnaround time for the available results of analysis by POC and by the central laboratory was determined. RESULTS: The use of POC resulted in direct savings for analysis of 111 US$/patient. The mean ± SD delay between POC results and central laboratory results was 48.5 ± 28.67 minutes. This is equivalent to 32,333 working hours per year. Emergency department staffing accounts for a cost of 1.5 US$ per patient per minute. The time saved by POC translates into potential savings of 72.75 US$ per patient. Based on 40,000 patient visits per year in our ED, 7,350,000 US$ could be saved by the stringent use of POC. CONCLUSIONS: The use of POC could produce a major economic impact for the ED if all potential savings are realized. Considering the potential savings on waiting times, POC might also increase patientsÊ safety and satisfaction as well as help to alleviate overcrowding in the ED. Copyright

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2014. Vol. 13, no 1, 21-23 p.
Keyword [en]
economic analysis; emergency department; point of care
National Category
Health Sciences
URN: urn:nbn:se:liu:diva-110526DOI: 10.1097/POC.0000000000000003ScopusID: 2-s2.0-84894585368OAI: diva2:748186
Available from: 2014-09-18 Created: 2014-09-12 Last updated: 2015-03-23

Open Access in DiVA

No full text

Other links

Publisher's full textScopus

Search in DiVA

By author/editor
Schilling, Ulf Martin
By organisation
Division of Clinical SciencesFaculty of Health SciencesDepartment of Acute Health Care in Linköping
In the same journal
Point of Care
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 134 hits
ReferencesLink to record
Permanent link

Direct link