A One-year Cross-sectional Study on Analysis of Financial Losses in Serology Section of Microbiology Laboratory: A Quality Improvement Project
Introduction: Clinical diagnostic laboratories hold a significant place in healthcare as they play an important role in diagnosis, treatment and prevention of disease and draw a substantial hospital budget as well as generate considerable revenue. Profit earned by a diagnostic laboratory is the diff...
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JCDR Research and Publications Private Limited
2024-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/20399/72466_CE[Ra1]_QC(PrG)_F(IS)_PF1(AG_OM)_PFA(NC)_PB(AG_IS)_PN(IS).pdf |
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| author | Chaitali Suresh Dabhi Amita Lalitkumar Dabhi Chirag Manojkumar Modi |
| author_facet | Chaitali Suresh Dabhi Amita Lalitkumar Dabhi Chirag Manojkumar Modi |
| author_sort | Chaitali Suresh Dabhi |
| collection | DOAJ |
| description | Introduction: Clinical diagnostic laboratories hold a significant place in healthcare as they play an important role in diagnosis, treatment and prevention of disease and draw a substantial hospital budget as well as generate considerable revenue. Profit earned by a diagnostic laboratory is the difference between the income generated from and expenditure incurred by the laboratory in performing laboratory tests. These expenses can be further divided into: i) direct cost-amount related directly to test performance, supplies and labour; and ii) indirect costs apply to items necessary to run laboratory, are not test specific. It has been observed that apart from expenditures mentioned above, there are several financial losses that are not evident in terms of their presence and magnitude are not taken into account by the cost-accounting system
Aim: To identify hidden losses, analyse its magnitude in terms of financial loss and identify the reasons for the same in serology section of Microbiology laboratory.
Materials and Methods: This quality improvement, cross-sectional study was conducted at serology section of Microbiology laboratory, Shree Krishna Hospital, Karamsad, Gujarat, India from 1st April 2021 to 31st March 2022 which included all tests/control repeated, tests which are outsourced due to unavailability of test kits or consumables required to run the test, test kits/devices that crosses the expiry date and are discarded unused were included in the study. All calculations were done in Indian National Rupees (INR) with predefined formulas in Microsoft excel sheet involving simple summation and deduction to find out financial loss in particular category. As it was time bound study all the tests fulfilling inclusion criteria were included.
Result: Maximum loss was observed in serology section was due to: (i) repeat testing, 55508.9 INR; and (ii) outsourcing of tests due to unavailability of test kits or consumables, 10485 INR. No loss observed due to kit/test device crossed expiry date and are discarded unused.
Conclusion: This study will enable the laboratory to plan and implement corrective and preventive actions that are targeted towards reduction of such financial losses and generate more profit at laboratory level. |
| format | Article |
| id | doaj-art-c5e609f102184d87b38ae9abcd5bb376 |
| institution | DOAJ |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-c5e609f102184d87b38ae9abcd5bb3762025-08-20T02:52:20ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-12-011812151910.7860/JCDR/2024/72466.20399A One-year Cross-sectional Study on Analysis of Financial Losses in Serology Section of Microbiology Laboratory: A Quality Improvement ProjectChaitali Suresh Dabhi0Amita Lalitkumar Dabhi1Chirag Manojkumar Modi2Associate Professor, Department of Microbiology, Pramukhswami Medical College and Shree Krishna Hospital, Bhaikaka University, Karamsad, Anand, Gujarat, India.Ex-Postgraduate Resident, Department of Microbiology, Pramukhswami Medical College and Shree Krishna Hospital, Bhaikaka University, Karamsad, Anand, Gujarat, India.Professor, Department of Microbiology, Pramukhswami Medical College and Shree Krishna Hospital, Bhaikaka University, Karamsad, Anand, Gujarat, India.Introduction: Clinical diagnostic laboratories hold a significant place in healthcare as they play an important role in diagnosis, treatment and prevention of disease and draw a substantial hospital budget as well as generate considerable revenue. Profit earned by a diagnostic laboratory is the difference between the income generated from and expenditure incurred by the laboratory in performing laboratory tests. These expenses can be further divided into: i) direct cost-amount related directly to test performance, supplies and labour; and ii) indirect costs apply to items necessary to run laboratory, are not test specific. It has been observed that apart from expenditures mentioned above, there are several financial losses that are not evident in terms of their presence and magnitude are not taken into account by the cost-accounting system Aim: To identify hidden losses, analyse its magnitude in terms of financial loss and identify the reasons for the same in serology section of Microbiology laboratory. Materials and Methods: This quality improvement, cross-sectional study was conducted at serology section of Microbiology laboratory, Shree Krishna Hospital, Karamsad, Gujarat, India from 1st April 2021 to 31st March 2022 which included all tests/control repeated, tests which are outsourced due to unavailability of test kits or consumables required to run the test, test kits/devices that crosses the expiry date and are discarded unused were included in the study. All calculations were done in Indian National Rupees (INR) with predefined formulas in Microsoft excel sheet involving simple summation and deduction to find out financial loss in particular category. As it was time bound study all the tests fulfilling inclusion criteria were included. Result: Maximum loss was observed in serology section was due to: (i) repeat testing, 55508.9 INR; and (ii) outsourcing of tests due to unavailability of test kits or consumables, 10485 INR. No loss observed due to kit/test device crossed expiry date and are discarded unused. Conclusion: This study will enable the laboratory to plan and implement corrective and preventive actions that are targeted towards reduction of such financial losses and generate more profit at laboratory level.https://www.jcdr.net/articles/PDF/20399/72466_CE[Ra1]_QC(PrG)_F(IS)_PF1(AG_OM)_PFA(NC)_PB(AG_IS)_PN(IS).pdfdirect and indirect costhidden financial lossrepeat testingtotal laboratory cost |
| spellingShingle | Chaitali Suresh Dabhi Amita Lalitkumar Dabhi Chirag Manojkumar Modi A One-year Cross-sectional Study on Analysis of Financial Losses in Serology Section of Microbiology Laboratory: A Quality Improvement Project Journal of Clinical and Diagnostic Research direct and indirect cost hidden financial loss repeat testing total laboratory cost |
| title | A One-year Cross-sectional Study on Analysis of Financial Losses in Serology Section of Microbiology Laboratory: A Quality Improvement Project |
| title_full | A One-year Cross-sectional Study on Analysis of Financial Losses in Serology Section of Microbiology Laboratory: A Quality Improvement Project |
| title_fullStr | A One-year Cross-sectional Study on Analysis of Financial Losses in Serology Section of Microbiology Laboratory: A Quality Improvement Project |
| title_full_unstemmed | A One-year Cross-sectional Study on Analysis of Financial Losses in Serology Section of Microbiology Laboratory: A Quality Improvement Project |
| title_short | A One-year Cross-sectional Study on Analysis of Financial Losses in Serology Section of Microbiology Laboratory: A Quality Improvement Project |
| title_sort | one year cross sectional study on analysis of financial losses in serology section of microbiology laboratory a quality improvement project |
| topic | direct and indirect cost hidden financial loss repeat testing total laboratory cost |
| url | https://www.jcdr.net/articles/PDF/20399/72466_CE[Ra1]_QC(PrG)_F(IS)_PF1(AG_OM)_PFA(NC)_PB(AG_IS)_PN(IS).pdf |
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