AJLA2205 - CME/CMLE - Changes in Coagulation Testing During National Shortage of ‘Blue Top’ Tubes: A Laboratory Stewardship Opportunity-Changes in Coagulation Testing During National Shortage of ‘Blue Top’ Tubes: A Laboratory Stewardship Opportunity

Changes in Coagulation Testing During National Shortage of ‘Blue Top’ Tubes: A Laboratory Stewardship Opportunity

Pdf Summary

The article discusses a study conducted at Cedars-Sinai Medical Center during a national shortage of blue-top tubes (BTTs) used for coagulation testing, exacerbated by the COVID-19 pandemic. The study aimed to reduce unnecessary utilization of BTTs through various interventions without compromising patient safety. Results showed a significant reduction in BTT usage and coagulation assays performed after implementing the interventions. The interventions included establishing a task force, providing guidance on appropriate testing indications, and training staff on minimum required tubes for tests. The Pharmacy Department played a vital role in monitoring anticoagulation therapy and promoting adherence to recommendations, leading to reduced unnecessary testing. Validation of alternative sodium citrate tubes was successful, ensuring accurate results. The study highlighted the laboratory's ability to guide clinical practices towards improvement, emphasizing the importance of effective management and supervision in achieving reductions in tube usage and tests performed. The article concludes that the laboratory played a key role in managing the tube shortage crisis, demonstrating its leadership in providing effective patient care. The study's success was attributed to timely actions, effective communication, and collaboration among different departments within the medical center. The findings emphasize the importance of laboratory stewardship in optimizing resources and patient care during challenging times.

Keywords

Cedars-Sinai Medical Center

blue-top tubes

coagulation testing

COVID-19 pandemic

interventions

patient safety

Pharmacy Department

anticoagulation therapy

tube shortage crisis

laboratory stewardship