scholarly journals The Role of Total Laboratory Automation in a Consolidated Laboratory Network

2000 ◽  
Vol 46 (5) ◽  
pp. 751-756 ◽  
Author(s):  
Richard S Seaberg ◽  
Robert O Stallone ◽  
Bernard E Statland
Keyword(s):  
Cost Effective ◽  
Turnaround Time ◽  
Automation System ◽  
Laboratory Automation ◽  
Labor Costs ◽  
The Core ◽  
The North ◽  
Laboratory Network ◽  
Automation Systems ◽  
Total Laboratory Automation

Abstract Background: In an effort to reduce overall laboratory costs and improve overall laboratory efficiencies at all of its network hospitals, the North Shore–Long Island Health System recently established a Consolidated Laboratory Network with a Core Laboratory at its center. Methods: We established and implemented a centralized Core Laboratory designed around the Roche/Hitachi CLAS Total Laboratory Automation system to perform the general and esoteric laboratory testing throughout the system in a timely and cost-effective fashion. All remaining STAT testing will be performed within the Rapid Response Laboratories (RRLs) at each of the system’s hospitals. Results: Results for this laboratory consolidation and implementation effort demonstrated a decrease in labor costs and improved turnaround time (TAT) at the core laboratory. Anticipated system savings are ∼$2.7 million. TATs averaged 1.3 h within the Core Laboratory and less than 30 min in the RRLs. Conclusions: When properly implemented, automation systems can reduce overall laboratory expenses, enhance patient services, and address the overall concerns facing the laboratory today: job satisfaction, decreased length of stay, and safety. The financial savings realized are primarily a result of labor reductions.

scholarly journals Clinical Microbiology Is Growing Up: The Total Laboratory Automation Revolution

2019 ◽  
Vol 65 (5) ◽  
pp. 634-643 ◽  
Author(s):  
Adam L Bailey ◽  
Nathan Ledeboer ◽  
Carey-Ann D Burnham
Keyword(s):  
Laboratory Testing ◽  
Clinical Microbiology ◽  
Turnaround Time ◽  
Automation System ◽  
Clinical Microbiology Laboratory ◽  
Laboratory Automation ◽  
Microbiology Laboratory ◽  
Total Laboratory Automation ◽  
The Impact ◽  
Automated Methods

Abstract BACKGROUND Historically, culture-based microbiology laboratory testing has relied on manual methods, and automated methods (such as those that have revolutionized clinical chemistry and hematology over the past several decades) were largely absent from the clinical microbiology laboratory. However, an increased demand for microbiology testing and standardization of sample-collection devices for microbiology culture, as well as a dwindling supply of microbiology technologists, has driven the adoption of automated methods for culture-based laboratory testing in clinical microbiology. CONTENT We describe systems currently enabling total laboratory automation (TLA) for culture-based microbiology testing. We describe the general components of a microbiology automation system and the various functions of these instruments. We then introduce the 2 most widely used systems currently on the market: Becton Dickinson's Kiestra TLA and Copan's WASPLab. We discuss the impact of TLA on metrics such as turnaround time and recovery of microorganisms, providing a review of the current literature and perspectives from laboratory directors, managers, and technical staff. Finally, we provide an outlook for future advances in TLA for microbiology with a focus on artificial intelligence for automated culture interpretation. SUMMARY TLA is playing an increasingly important role in clinical microbiology. Although challenges remain, TLA has great potential to affect laboratory efficiency, turnaround time, and the overall quality of culture-based microbiology testing.

scholarly journals Nonanalytic Laboratory Automation: A Quarter Century of Progress

2017 ◽  
Vol 63 (6) ◽  
pp. 1074-1082 ◽  
Author(s):  
Charles D Hawker
Keyword(s):  
Clinical Laboratory ◽  
Turnaround Time ◽  
Laboratory Automation ◽  
Sample Processing ◽  
Laboratory Sample ◽  
Quarter Century ◽  
Single Function ◽  
Automation Systems ◽  
Total Laboratory Automation ◽  
Manual Processing

Abstract Clinical laboratory automation has blossomed since the 1989 AACC meeting, at which Dr. Masahide Sasaki first showed a western audience what his laboratory had implemented. Many diagnostics and other vendors are now offering a variety of automated options for laboratories of all sizes. Replacing manual processing and handling procedures with automation was embraced by the laboratory community because of the obvious benefits of labor savings and improvement in turnaround time and quality. Automation was also embraced by the diagnostics vendors who saw automation as a means of incorporating the analyzers purchased by their customers into larger systems in which the benefits of automation were integrated to the analyzers. This report reviews the options that are available to laboratory customers. These options include so called task-targeted automation—modules that range from single function devices that automate single tasks (e.g., decapping or aliquoting) to multifunction workstations that incorporate several of the functions of a laboratory sample processing department. The options also include total laboratory automation systems that use conveyors to link sample processing functions to analyzers and often include postanalytical features such as refrigerated storage and sample retrieval. Most importantly, this report reviews a recommended process for evaluating the need for new automation and for identifying the specific requirements of a laboratory and developing solutions that can meet those requirements. The report also discusses some of the practical considerations facing a laboratory in a new implementation and reviews the concept of machine vision to replace human inspections.

scholarly journals KEGUNAAN SISTEM PENGOTOMATAN (OTOMASI) LABORATORIUM/ LAS (LABORATORY AUTOMATION SYSTEMS)

2018 ◽  
Vol 15 (1) ◽  
pp. 38
Author(s):  
Prihatini .
Keyword(s):  
Automation System ◽  
Laboratory Automation ◽  
Automation Systems ◽  
The Future ◽  
Long Time ◽  
Diagnosis Of Diseases

In most laboratory LAS (Laboratory Automation System) system recently have been used. though, not all of them used theautomation system and LIS.the LAS is used for the diagnosis of diseases, because it can decrease the error factors as weel as thelaboratoric examination. Regarding to decreasing problems, the expenses of patients who staying in the hospitals could be reduced aswell as their time to stay. the purpose of this article is to know comprehensively LAS and its services in the future in the hospitals' clinicallaboratory. Because before LAS was used the diagnosis time of diseases take a long time as compared to LAS.

scholarly journals Hepatitis Testing Performance of an Analyzer Integrated into Another Manufacturer’s Automation System

2020 ◽  
Vol 5 (4) ◽  
pp. 716-723 ◽  
Author(s):  
Charisse Liz Baste ◽  
David M Loeffler ◽  
Carmen Brana-Mulero ◽  
Archana Shah ◽  
Ming Jin
Keyword(s):  
Essential Feature ◽  
Turnaround Time ◽  
Third Party ◽  
P Value ◽  
Automation System ◽  
Test Results ◽  
Microsoft Excel ◽  
Total Laboratory Automation ◽  
Labor Expenditure ◽  
Abbott Architect

Abstract Background The capacity to integrate platforms across vendors and disciplines has become an essential feature in the design of total laboratory automation (TLA) due space and test menu constraints. However, data on its performance are lacking. We aim to evaluate an integrated third-party immunoassay platform to the TLA system for the performance of hepatitis testing using turnaround time (TAT). Methods We use the Beckman Power Express (PE) system with linked 2 Beckman AU5800, 2 Beckman DxI 800, 2 Abbott Architect i2000, and other accessory components. The PE system is managed and interfaced to the laboratory information system (LIS) through Beckman Remisol (middleware) and Cennexus (track software). The hepatitis tests are performed on the Abbott Architect i2000 using Abbott Instrument Manager (middleware) for test results and this is interfaced with LIS and Cennexus. Using Viewics and Microsoft Excel, the test volumes and TAT of hepatitis results were analyzed before (February 2017 to January 2018) and after (February 2018 to January 2019) integration. Results The TAT for each hepatitis test has decreased significantly, ranging from 13 to 81-minute reductions (P value <0.0001 for all tests) after instrument integration. The standard deviations of the TAT also decreased for each test. In addition, savings in labor expenditure of around 2 hours per day were observed. There were no laboratory space savings identified. Instead, 47.6 square foot more of space was utilized by the track connection lines. Conclusions Our findings show significant improvement of TAT of hepatitis testing with the integration of the third-party Abbott Architect i2000 to Beckman PE system. In addition, the synchronization of multiple middleware for specimen management and result reporting allow the laboratory to achieve new efficiencies handling reflex tests and managing human resources.

Total lab automation in microbiology: An overview of BD Kiestra InoqulA and Copan WASP

2021 ◽  
Vol 1 (1) ◽  
pp. 07-015
Author(s):  
Assama Riaz ◽  
Dinali Obeysekera ◽  
Kelsie Ruslow
Keyword(s):  
Sensitivity And Specificity ◽  
Healthcare Setting ◽  
Turnaround Time ◽  
Practical Approach ◽  
Laboratory Diagnostics ◽  
Laboratory Automation ◽  
Satisfactory Solution ◽  
The Future ◽  
Total Laboratory Automation ◽  
Dependent Field

Total Laboratory Automation (TLA) is the future of laboratory diagnostics due to its efficiency, reproducibility, better turnaround time (TATs), precision, sensitivity, and specificity. Microbiology is generally considered a human dependent field and still, most of the microbiology world is confused with TLA implementation. Two better-claimed technologies BD Kiestra InoqulA and Copan WASP have emerged as a well satisfactory solution of microbiology automation in the last decade. Here we design a practical approach and reviewed all studies of BD Kiestra InoqulA and Copan WASP, assessed microbiology samples in a healthcare setting.

scholarly journals Clinical laboratory automation: a case study

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Claudia Archetti ◽  
Alessandro Montanelli ◽  
Dario Finazzi ◽  
Luigi Caimi ◽  
Emirena Garrafa
Keyword(s):  
Teaching Hospital ◽  
Clinical Laboratory ◽  
Indirect Costs ◽  
Turnaround Time ◽  
Laboratory Automation ◽  
Direct And Indirect Costs ◽  
Academic Teaching ◽  
The North ◽  
Academic Teaching Hospital

<em>Background</em>. This paper presents a case study of an automated clinical laboratory in a large urban academic teaching hospital in the North of Italy, the Spedali Civili in Brescia, where four laboratories were merged in a unique laboratory through the introduction of laboratory automation. <br /><em>Materials and Methods</em>. The analysis compares the preautomation situation and the new setting from a cost perspective, by considering direct and indirect costs. It also presents an analysis of the turnaround time (TAT). The study considers equipment, staff and indirect costs. <br /><em>Results</em>. The introduction of automation led to a slight increase in equipment costs which is highly compensated by a remarkable decrease in staff costs. Consequently, total costs decreased by 12.55%. The analysis of the TAT shows an improvement of nonemergency exams while emergency exams are still validated within the maximum time imposed by the hospital. <br /><em>Conclusions</em>. The strategy adopted by the management, which was based on re-using the available equipment and staff when merging the pre-existing laboratories, has reached its goal: introducing automation while minimizing the costs.

scholarly journals North Korea’s Evolving Cyber Strategies: Continuity and Change

2020 ◽  
Vol 4 (2) ◽  
pp. 1-13
Author(s):  
Michael Raska
Keyword(s):  
United States ◽  
Nuclear Weapons ◽  
Full Range ◽  
Cost Effective ◽  
The United States ◽  
Great Powers ◽  
Full Spectrum ◽  
Continuity And Change ◽  
The Core ◽  
The North

AbstractPyongyang sees the Korean Peninsula as entrenched in a geopolitical deadlock among great powers, with the United States continuing to employ what the North Korean regime sees as a “hostile policy” detrimental to its survival, its ability to shape relevant events, and the country’s political and economic development. While the core security concerns of South Korea and the United States are North Korea’s growing nuclear weapons and ballistic missile capabilities, the alliance must increasingly also prioritize the continuous development of North Korea’s cyber capabilities, both offensive and defensive. North Korea aims to gain strategic advantage by pursuing cost-effective, asymmetric military capabilities, including cyber strategies, to gather intelligence, coerce its rivals, financially extort others, and otherwise exert influence in ways that are resistant to traditional deterrence and defense countermeasures. Seoul and Washington need a full-spectrum military readiness posture against the full range of potential North Korean provocations, while European democracies need to strengthen their cyber readiness posture to effectively track and counter North Korea’s evolving global cyber operations.

PERCEPTIONS OF COMPRESSED EARTH BLOCK AMONG RESIDENTIAL CONTRACTORS IN NORTH CAROLINA: AN EXPLORATORY EVALUATION

2017 ◽  
Vol 12 (4) ◽  
pp. 89-107
Author(s):  
Evan Hughes ◽  
Rodolfo Valdes-Vasquez ◽  
Jonathan W. Elliott
Keyword(s):  
North Carolina ◽  
Cost Effective ◽  
Production Equipment ◽  
Environmental Benefits ◽  
Educational Strategies ◽  
Labor Costs ◽  
Project Duration ◽  
The North ◽  
Earthen Construction ◽  
Earth Block

Compressed earth blocks (CEB) retain the environmental benefits of traditional earthen construction while reducing labor costs and project duration. Despite these advantages, CEB remains a niche material in the U.S. This study explored residential contractors' perceptions of CEB as a barrier to adoption. A survey was distributed to residential contractors in the North Carolina Piedmont, a region that possesses ideal soil for earthen buildings. Construction professionals in states where earthen construction has a larger market share (New Mexico, Oklahoma, and Texas) were also queried for comparison. Respondents with no CEB experience provided significantly ( p < 0.05) lower levels of agreement with statements that CEB is cost effective, structurally safe and aesthetically appealing than did respondents with CEB experience. Interviews conducted with an experienced CEB contractor and a manufacturer of CEB production equipment provided additional insight and informed the quantitative results. Findings represent an important step in exploring stakeholder perceptions as an impediment to the adoption of non-conventional materials like CEB in the residential construction sector. Educating the next generation of builders and homeowners is a key component for the implementation of CEB construction. Educational strategies, study limitations and opportunities for further research are discussed.

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