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Laboratory turnaround times processing electronic blood test orders in the NHS

Dataset
Version: 1.0.0
Unique data of 323,899 blood tests pre- and post-implementation of a computerised order entry system with key clinical pathway time-points for all blood tests. Data on date/time of requests, laboratory processing times and reported results.

Summary

Citation:
Laboratory turnaround times processing electronic blood test orders in the NHS

Documentation

Description:
Pathology services are a fundamental core of healthcare services and are essential in the delivery of many national priorities. A Report of the Review of NHS Pathology Services in England, chaired by Lord Carter of Coles, estimated that 70-80 per cent of all healthcare decisions affecting diagnosis or treatment involve a pathology investigation. With the increased demand on acute care services there is a growing requirement for rapid laboratory results to facilitate the decision to discharge or admit, including the escalation of care. Laboratory turn around times (LTAT) are defined as the interval between when a test is requested to the time the results are available to the clinical team. LTAT is considered one of the most noticeable markers of a laboratory service and is often used as a key performance indicator in healthcare settings. Computerised Provider Order Entry (CPOE) systems are computer-assisted systems that are designed to replace a hospital’s paper-based ordering system. When configured correctly CPOE systems should increase efficiency and improve patient care. PIONEER geography: The West Midlands (WM) has a population of 5.9 million & includes a diverse ethnic & socio-economic mix. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & an expanded 250 ITU bed capacity during COVID. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”. Scope: Clinical and operational pathway data for 323,899 blood tests ordered pre and post implementation of a CPOE system. Data on the time the new system was implemented. Date and time fields are provided for the specimens from the point they were requested through to processing times in the laboratory and finally the date/time results are reported back via the Electronic Health System. Data on the ward and specialty are provided. Available supplementary data: Matched controls; ambulance, OMOP data, synthetic data. Available supplementary support: Analytics, Model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.

Coverage

Spatial:
United Kingdom, England, West Midlands
Typical Age Range:
13-150
Follow Up:
0 - 6 MONTHS
Physical Sample Availability:
NOT AVAILABLE
Pathway:
Data is representative of the multi-ethnicity population within the West Midlands (42% non white). Data includes all patients admitted during this timeframe, with National data Opt Outs applied, and therefore is representative of admissions to secondary care. Data focuses on in-patient stay in hospital during the acute episode but can be supplemented on request to include previous and subsequent hospital contacts (including outpatient appointments) and ambulance, 111, 999 data.

Provenance

Origin

Purposes:
CARE
Sources:
EPR
Collection Situations:
  • ACCIDENT AND EMERGENCY
  • IN-PATIENTS
  • OUTPATIENTS

Temporal

Accrual Periodicity:
STATIC
Distribution Release Date:
2022-01-10
Start Date:
2010-10-03
End Date:
2020-01-01
Time Lag:
OTHER

Accessibility

Access

Access Service:
Trusted Research Environments (TRE) are built using Microsoft Azure services and hosted in the UK to provide research teams a safe, secure and agile environment which allows users to quickly analyse, interpret and form an enriched view of primary care information through a range of integrated datasets. Health data collated from multiple sources is ingested into a secure data lake which will then allow subsets of data to be made available to research teams on approval of a data request. Once approved a customer specific TRE is made available with a standard set of leading analytical tools from Microsoft including Azure Databricks, Azure Machine Learning, Azure SQL and Azure Synapse (for large-scale data warehouses). Specific tools can be provided at an additional cost over the standard platform data access charge and the PIONEER team will work with you to determine your exact needs. Access to the TRE is managed using the latest virtual desktop technology to provide a safe and secure end-user experience. By utilising leading edge design PIONEER are able to create TREs rapidly to enable us to service any customer requirement.
Access Request Cost:
www.pioneerdatahub.co.uk/data/data-services-costs/
Delivery Lead Time:
1-2 MONTHS
Jurisdictions:
GB-ENG
Data Controller:
University Hospitals Birmingham NHS Foundation Trust
Data Processor:
NOT APPLICABLE

Usage

Data Use Limitations:
GENERAL RESEARCH USE
Data Use Requirements:
PROJECT SPECIFIC RESTRICTIONS
Resource Creators:
  • This publication uses data from PIONEER
  • an ethically approved database and analytical environment (East Midlands Derby Research Ethics 20/EM/0158)

Format and Standards

Vocabulary Encoding Schemes:
  • ICD10
  • OPCS4
Conforms To:
LOCAL
Languages:
en
Formats:
SQL

Enrichment and Linkage

Derivations:
Not Available

Observations

Statistical Population
Population Description
Population Size
Measured Property
Observation Date
Events
323,899 spells with laboratory investigations recorded.
323899
Count
2022-01-10