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Effect of Troponin I Point-of-Care Testing on Emergency Department Throughput Measures and Staff Satisfaction

Koehler, Jeanniline BS; Flarity, Kathleen PhD; Hertner, George MD; Aker, Judy BSN; Stout, John Patrick MD; Gifford, Marilyn MD; Campbell, Bruce MD

doi: 10.1097/TME.0b013e31829d2048
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Emergency departments (EDs) are challenged to provide rapid triage and evaluation to make appropriate patient disposition and timely treatment decisions. Cardiac troponin is the preferred biomarker for evaluation of patients with chest pain. The objective of this before-and-after study was to determine the impact of Point-of-Care (POC) troponin testing on turnaround times, door-to-troponin result times, ED length of stay (LOS) in patients with chest pain, and staff satisfaction with POC testing. After POC implementation, the average door-to-troponin result time significantly decreased from 105 to 51 min (p < 0.000). The average LOS decreased from 290 to 255 min; however, the change was not significant (p = 0.082). The majority of nurses (81%) felt that POC testing encouraged communication among patient care team members, and satisfaction was high with 82% of all ED staff members rating their satisfaction as excellent.

Memorial Health System, Color-ado Springs, CO.

Corresponding Author: Jeanniline Koehler, BS, Memorial Hospital, 1400 E Boulder, Colorado Springs, CO 80909 (jeanniline.koehler@memorialhealthsystem.com).

This study was, in part, funded by Abbott Point of Care, including the provision of medical writing and statistical analysis support. The staff satisfaction survey was conducted by a third-party research company, with funding provided by Abbott. Jeanniline Koehler and George Hertner are both speakers for Abbott Point of Care.

The authors thank Holly Capasso-Harris, PhD, and Laura Engles-Horton, PharmD, for assistance in preparing the manuscript.

Disclosure: The authors report no conflicts of interest.

© 2013 by Lippincott Williams & Wilkins.