Implementing a Laboratory Automation System: Experience of a Large Clinical Laboratory
Implementing a Laboratory Automation System: Experience of a Large Clinical Laboratory
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DOI：
10.1177/2211068211430186
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发表时间：
2012-02-01
期刊：
影响因子：
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通讯作者：
Jacob, Edward
中科院分区：
文献类型：
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作者：
Lam, Choong Weng;Jacob, Edward
实验室今天面临着越来越大的压力，自动化的操作，因为他们面临的挑战不断增加的工作量，需要减少开支，并在招聘有经验的技术人员的困难。在新加坡总医院的临床生化实验室中实施实验室自动化系统（LAS）是否成功？没有简单的答案，所以以下主题比较和对比前和后LAS进行了探讨：周转时间（达特），实验室错误，工作人员的满意度。从实验室的经验LAS的好处和局限性也进行了审查。统计样本和常规样本的平均达特在LAS后均降低（分别为30%和13.4%）。在第90百分位达特图中，在LAS上处理统计样本时观察到减少29%。然而，在常规样本中未观察到第90百分位达特的显著差异。令人惊讶的是，LAS后实验室错误增加。需要作出相当大的努力来克服与适应新系统、新软件和新工作程序有关的最初困难。虽然劳工会计制度的一些已知优点和局限性已得到证实，但在最初几个月里，诸如达特、实验室错误和工作人员士气方面的改善等声称的好处并不明显。
Laboratories today face increasing pressure to automate their operations as they are challenged by a continuing increase in workload, need to reduce expenditure, and difficulties in recruitment of experienced technical staff. Was the implementation of a laboratory automation system (LAS) in the Clinical Biochemistry Laboratory at Singapore General Hospital successful? There is no simple answer, so the following topics comparing and contrasting pre- and post-LAS have been explored: turnaround time (TAT), laboratory errors, and staff satisfaction. The benefits and limitations of LAS from the laboratory experience were also reviewed. The mean TAT for both stat and routine samples decreased post-LAS (30% and 13.4%, respectively). In the 90th percentile TAT chart, a 29% reduction was seen in the processing of stat samples on the LAS. However, no significant difference in the 90th percentile TAT was observed with routine samples. It was surprising to note that laboratory errors increased post-LAS. Considerable effort was needed to overcome the initial difficulties associated with adjusting to a new system, new software, and new working procedures. Although some of the known advantages and limitations of LAS have been validated, the claimed benefits such as improvements in TAT, laboratory errors, and staff morale were not evident in the initial months.