Impact of staffing structure on hospital laboratory productivity and cost

The Lancet ◽  
1992 ◽  
Vol 339 (8798) ◽  
pp. 934-935
Author(s):  
S. Bird ◽  
M.J. Michelin ◽  
P.A. Toseland ◽  
J. Townsend ◽  
P.W. Tutt
Author(s):  
C.J.F. Mundy ◽  
I. Bates ◽  
W. Nkhomal ◽  
K. Floyd ◽  
G. Kadewele ◽  
...  

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Martin Obermeier ◽  
Monia Pacenti ◽  
Robert Ehret ◽  
Francesco Onelia ◽  
Rory Gunson ◽  
...  

AbstractObjectivesAutomated molecular analyzers have accelerated diagnosis, allowing earlier intervention and better patient follow-up. A recently developed completely automated molecular analyzer, Alinity™ m (Abbott), offers consolidated, continuous, and random-access testing that may improve molecular laboratory workflow.MethodsAn international, multicenter study compared laboratory workflow metrics across various routine analyzers and Alinity m utilizing assays for human immunodeficiency virus type 1 (HIV-1), hepatitis C virus (HCV), hepatitis B virus (HBV), high-risk human papillomavirus (HR HPV), and sexually transmitted infection (STI) (Chlamydia trachomatis [CT]/Neisseria gonorrhoeae [NG]/Trichomonas vaginalis [TV]/Mycoplasma genitalium [MG]). Three turnaround times (TATs) were assessed: total TAT (sample arrival to result), sample onboard TAT (sample loading and test starting to result), and processing TAT (sample aspiration to result).ResultsTotal TAT was reduced from days with routine analyzers to hours with Alinity m, independent of requested assays. Sample onboard TATs for standard workflow using routine analyzers ranged from 7 to 32.5 h compared to 2.75–6 h for Alinity m. The mean sample onboard TAT for STAT samples on Alinity m was 2.36 h (±0.19 h). Processing TATs for Alinity m were independent of the combination of assays, with 100% of results reported within 117 min.ConclusionsThe consolidated, continuous, random-access workflow of Alinity m reduces TATs across various assays and is expected to improve both laboratory operational efficiency and patient care.


2019 ◽  
Vol 41 (8) ◽  
pp. 1101-1122
Author(s):  
Monika Müller

Despite the increasing normalization of nightwork, organizational researchers typically study organizations and work as daytime phenomena. A nocturnal lens, nevertheless, can provide a different picture of what is going on in organizations. In this paper, I introduce nightwork into organization studies with a qualitative case study of two research sites (a factory and a hospital laboratory), and analyse employee experiences at night and responses to differences between night- and dayshifts. This study contributes to literature on agency and escape, highlighting that night enables and encourages escape in ways that differ from those during the day. Moreover, the study shows that while employees can ‘escape into the night’ to avoid daytime rules and pressures, many also need to ‘escape from the night’ and the physical and mental exhaustion nightwork entails. The paper concludes by pointing to further research on night in organizations, nightwork and escape.


Author(s):  
Wanvisa Boonlert ◽  
Porntip H. Lolekha ◽  
Gerald J. Kost ◽  
Somsak Lolekha

Author(s):  
Gilad J. Kuperman ◽  
Reed M. Gardner ◽  
T. Allan Pryor

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