PMID- 37405195
OWN - NLM
STAT- MEDLINE
DCOM- 20230707
LR  - 20230718
IS  - 2474-0896 (Electronic)
IS  - 0967-4845 (Print)
IS  - 0967-4845 (Linking)
VI  - 80
DP  - 2023
TI  - Innovation, Automation and Informatics Improves Quality in Lerdsin Hospital, 
      Thailand.
PG  - 11532
LID - 10.3389/bjbs.2023.11532 [doi]
LID - 11532
AB  - This paper describes a planned, continuous improvement journey, of a laboratory 
      that has installed a system with a single sample touch from blood draw to result. 
      To achieve this, physical connectivity of systems from phlebotomy through 
      pre-analytical to the analytical phase were paired with informatics connectivity 
      from the patient's national identity card to the hospital and laboratory 
      informatics management systems (LIMS) and associated middleware. This allowed 
      accurate time stamps to track turnaround time (TAT). TAT metrics were collected 
      from the LIMS for inpatient, emergency room and outpatient samples and tests over 
      a period of 7 months. This time span incorporated the 2-month period before 
      automation was implemented. The results for all tests and specific tests are 
      shown and the results of an analysis of the outpatient phlebotomy workflow are 
      given. The implemented solution has improved outpatient TAT by over 54% and has 
      shown that samples can be collected, and results obtained without touching the 
      sample. Improving intra-laboratory TAT is an important quality goal for all 
      laboratories. The implementation of automation is important in achieving this 
      albeit more about obtaining predictable TAT. Automation does not necessarily 
      improve TAT it removes variation which leads to predictable TAT (PTAT). 
      Automation should only be considered with a strategic vision for the future as it 
      is important to have clear goals and objectives based on the individual 
      laboratories process and needs. Automating a poor process leads to an automated 
      poor process. Here, an innovative use of automation, hardware and software has 
      resulted in marked improvement in TAT across all samples processed in the central 
      laboratory.
CI  - Copyright (c) 2023 Karnchanaphiboonwong, Sringam, Niwattakul, Krommuang and Gammie.
FAU - Karnchanaphiboonwong, Adchada
AU  - Karnchanaphiboonwong A
AD  - Central Laboratory, Lerdsin Hospital, Bangkok, Thailand.
FAU - Sringam, Patcharawadee
AU  - Sringam P
AD  - Central Laboratory, Lerdsin Hospital, Bangkok, Thailand.
FAU - Niwattakul, Kawinna
AU  - Niwattakul K
AD  - Central Laboratory, Lerdsin Hospital, Bangkok, Thailand.
FAU - Krommuang, Teerayut
AU  - Krommuang T
AD  - Central Laboratory, Lerdsin Hospital, Bangkok, Thailand.
FAU - Gammie, Alistair
AU  - Gammie A
AD  - Quidel Ortho Diagnostics, Pencoed, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20230619
PL  - Switzerland
TA  - Br J Biomed Sci
JT  - British journal of biomedical science
JID - 9309208
SB  - IM
MH  - Humans
MH  - *Automation, Laboratory
MH  - Thailand
MH  - Hospitals
MH  - Time Factors
MH  - Laboratories
MH  - *Laboratories, Hospital
PMC - PMC10317056
OTO - NOTNLM
OT  - TAT
OT  - Vitros automation system
OT  - automation
OT  - informatics
OT  - innovation
OT  - turnaround time
COIS- AG was employed by the company Quidel Ortho Diagnostics. The remaining authors 
      declare that the research was conducted in the absence of any commercial or 
      financial relationships that could be construed as a potential conflict of 
      interest.
EDAT- 2023/07/05 13:05
MHDA- 2023/07/07 06:42
PMCR- 2023/06/19
CRDT- 2023/07/05 10:48
PHST- 2023/05/02 00:00 [received]
PHST- 2023/05/31 00:00 [accepted]
PHST- 2023/07/07 06:42 [medline]
PHST- 2023/07/05 13:05 [pubmed]
PHST- 2023/07/05 10:48 [entrez]
PHST- 2023/06/19 00:00 [pmc-release]
AID - 11532 [pii]
AID - 10.3389/bjbs.2023.11532 [doi]
PST - epublish
SO  - Br J Biomed Sci. 2023 Jun 19;80:11532. doi: 10.3389/bjbs.2023.11532. eCollection 
      2023.