دورية أكاديمية
Significant Operational Improvements with Implementation of Next Generation Laboratory Automation.
| العنوان: | Significant Operational Improvements with Implementation of Next Generation Laboratory Automation. |
|---|---|
| المؤلفون: | Tanasijevic MJ; Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA.; Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA., Melanson SEF; Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA.; Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA., Tolan NV; Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA.; Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA., Ransohoff JR; Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA.; Harvard Medical School, Boston, MA, USA., Conrad MJ; Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA., Paik HI; Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA., Petrides AK; Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA.; Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA. |
| المصدر: | Laboratory medicine [Lab Med] 2021 Jul 01; Vol. 52 (4), pp. 329-337. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 0250641 Publication Model: Print Cited Medium: Internet ISSN: 1943-7730 (Electronic) Linking ISSN: 00075027 NLM ISO Abbreviation: Lab Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oct. 2015- : Oxford, England: Oxford University Press Original Publication: Philadelphia, Lippincott. |
| مواضيع طبية MeSH: | Automation, Laboratory*, Blood Coagulation ; Blood Coagulation Tests ; Humans ; Laboratories ; Workflow |
| مستخلص: | Objectives: To investigate the benefits and challenges of introducing next generation chemistry and coagulation automation. Methods: We replaced the Roche modular preanalytic system attached to Roche Cobas 6000 analyzers with the Roche 8100 preanalytical line attached to the Roche Cobas 8000 and Stago STA R Max analyzers. The system included 2 add-on buffers (AOBs) for automated specimen archival and retrieval and primary-tube specimen processing. We measured turnaround time (TAT) from specimen receipt to result for chemistry and coagulation tests before, during, and after system implementation. TAT for add-on tests was also measured. Results: We completed the system implementation during a 17-month period using existing laboratory space. The TAT for chemistry, coagulation, and add-on tests decreased significantly (P <.005, P <.001, and P <.005, respectively). We encountered several challenges, including barcode-label errors, mechanical problems, and workflow issues due to lack of bidirectional track for coagulation testing. Conclusions: Next generation laboratory automation yielded significantly shortened and less-variable TAT, particularly for add-on testing. Our approach could help other laboratories in the process of implementing and configuring automated systems. (© American Society for Clinical Pathology 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: add-on testing; automation; chemistry systems; clinical chemistry; preanalytical line; turnaround time |
| تواريخ الأحداث: | Date Created: 20210113 Date Completed: 20211210 Latest Revision: 20211214 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1093/labmed/lmaa108 |
| PMID: | 33438745 |
| قاعدة البيانات: | MEDLINE |
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