Automation in haemostasis
Automation in haemostasis
复制标题
止血自动化
DOI：
10.5482/hamo-12-05-0002
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
S. Brunner
中科院分区：
文献类型：
--
作者：
A. Huber;A. Mendez;S. Brunner
摘要 Automatia 是古希腊的幸运女神，她可以在没有人类参与的情况下自行让事情发生，她存在于我们日常生活的医学实验室中。临床化学引入并完善了自动化，此后扩展到血液学、免疫学、分子生物学和凝血测试等其他领域。最初的小型且相对简单的独立仪器已被允许多任务处理的更复杂的系统所取代。近年来，将自动化凝血测试集成到整个实验室自动化中已经成为可能。如果尊重弱点和威胁，自动化将具有许多优势和机会。从积极的一面来看，标准化、减少错误、降低成本和增加吞吐量显然是有益的。对制造商的依赖、高昂的启动成本和昂贵的维护都是不太有利的因素。现代实验室，尤其是当今的实验室技术人员和实验室学术人员，花费大量时间在机器后面并没有为医生和患者增加价值。未来，实验室需要在床边做出贡献，建议进行实验室测试并对所获得的结果提供支持和解释。但在不同情况下，人为因素将继续在止血测试中发挥重要作用。
Summary Automatia, an ancient Greece goddess of luck who makes things happen by themselves and on her own will without human engagement, is present in our daily life in the medical laboratory. Automation has been introduced and perfected by clinical chemistry and since then expanded into other fields such as haematology, immunology, molecular biology and also coagulation testing. The initial small and relatively simple standalone instruments have been replaced by more complex systems that allow for multitasking. Integration of automated coagulation testing into total laboratory automation has become possible in the most recent years. Automation has many strengths and opportunities if weaknesses and threats are respected. On the positive side, standardization, reduction of errors, reduction of cost and increase of throughput are clearly beneficial. Dependence on manufacturers, high initiation cost and somewhat expensive maintenance are less favourable factors. The modern lab and especially the todays lab technicians and academic personnel in the laboratory do not add value for the doctor and his patients by spending lots of time behind the machines. In the future the lab needs to contribute at the bedside suggesting laboratory testing and providing support and interpretation of the obtained results. The human factor will continue to play an important role in testing in haemostasis yet under different circumstances.