Evidence map›Paper›PMID 33392052›Full record

ArticleAfrican journal of laboratory medicine2020

Weekly laboratory turn-around time identifies poor performance masked by aggregated reporting.

Lindi-Marie Coetzee, Naseem Cassim, Deborah K Glencross

Abstract read
In one paragraph

Article in African journal of laboratory medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lindi-Marie CoetzeeNational Health Laboratory Service (NHLS), Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-8981-1744
Naseem CassimNational Health Laboratory Service (NHLS), Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-4389-2849
Deborah K GlencrossNational Health Laboratory Service (NHLS), Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-7106-769X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-level monthly, quarterly and annual turn-around time (TAT) reports are used to assess laboratory performance across the National Health Laboratory Service in South Africa. Individual laboratory performances are masked by aggregate TAT reporting across network of testing facilities.

objectiveThis study investigated weekly TAT reporting to identify laboratory inefficiencies for intervention.

methodsCD4 TAT data were extracted for 46 laboratories from the corporate data warehouse for the 2016/2017 financial period. The total TAT median, 75th percentile and percentage of samples meeting organisational TAT cut-off (90% within 40 hours) were calculated. Total TAT was reported at national, provincial and laboratory levels. Provincial TAT performance was classified as markedly or moderately poor, satisfactory and good based on the percentage of samples that met the cut-off. The pre-analytical, testing and result review TAT component times were calculated.

resultsMedian annual TAT was 18.8 h, 75th percentile was 25 h and percentage within cut-off was 92% (

conclusionMasked TAT under-performances were revealed by weekly TAT analyses, identifying poorly performing laboratories needing immediate intervention; TAT component analyses identified specific areas for improvement.

Indexed as

CD4laboratory performanceoutliersturnaround timeweekly reporting

Identifiers

PMID33392052
PMCPMC7756605

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.