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.