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Demand Control in Pathology

Last Post 19 May 2011 03:27 PM byHowieB. 4 Replies.

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Les Brothwood User is Offline

New Member
Posts:4

06 Jan 2009 09:54 AM
Hi Our Trust has been working on demand control in Pathology for some years but since implementing ICE our Pathology requests have increased rather than decreased. The avoidance of duplicate tests was one of the major benefits of implementing Order Comms but this does not seem to work here at West Middlesex. It appears when presented with the alert informing doctors "this test has been requested in the last 24hrs etc" they just click through it. I know this is more of a clinical staff training issue but I wondered if any other Trust uses demand control and how they use ICE for it (if at all). We are currently blocking tests in Winpath and have tried to set up urgent test codes for high volume requests (FBCs,LFTs and U&Es) however this is causing resentment amongst the users. I have in the past put in an enhancement request asking for another rule to be linked to a time constrained rule. This would enable us to challenge a doctor who when, asked if he wants to order another FBC despite one being resulted 24hrs ago, clicks Yes and is then asked to clinically justify it. Anglia inform me that no other Trusts seem to have this problem so I am interested in hearing from the user community as to their thoughts Cheers Les

Raza

New Member
Posts:2

25 Aug 2009 07:24 PM
Les Although still piloting and have just configured demand control, initial impressions tell us this enhancement may be required. We, at Sheffield, will certainly be interested in such an enhancemet Raza

Chartman

New Member
Posts:2

12 Aug 2010 03:51 PM
Hi Les and Raza its been a year since this was posted and so not sure if you will be alerted to this reply and so will post a new discussion item. Here at UH Bristol we are looking at pathology demand management and have the same situation as Les whereby clinical staff just click through the pop up. I am interested to learn what has taken place over the last year Corry

JDH

New Member
Posts:1

16 May 2011 11:27 AM
Our trust too are hoping that ICE will give managemnent of demand benefits but I (cynically) fear we will face what those posting here have found with "clinical freedom" being quoted if we try to use a forced or mandatory stance. Any other experiences (good or bad) would be very wlecome to hear. Regards JDH

Howard

New Member
Posts:11

19 May 2011 03:27 PM
We have had Ice ordering in primary care for sveral years, we have just rolled out to all in-patient areas and are in the process of rolling out into the out-patient areas. Demand management was in our original business case we attached a nominal figure of 5%, although we weren't basing the savings to Pathology on this (we just costed in MLA time). It is one of those things that is difficult to prove, what would be the method for counting? We have done some figures based on sets requested/number of admissions to a ward. We will be looking at this over a 12 month post roll out period and comparing the requests to 12 pre roll out period. It is a labourious task. The other things to consider are the factors other than ordercomms which may have increased workload in the last 18months, MRSA screening for example. I will post at some point to say how we have done, I am not too optimistic that we will be able to show anything too dramatic. I think the bigger success will be in eliminating bad samples due to incorrect tubes, insufficient patient data etc. We have however seen an improvement in specimen reception which should make our proposed savings comfortably achievable.

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