Autoverification improved process efficiency, reduced staff workload, and enhanced staff satisfaction using a critical path for result validation
Autor: | Sudarat Piyophirapong, Sairung Nuanin, Gerald J. Kost, Busadee Pratumvinit, Panutsaya Tientadakul, Kanit Reesukumal |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Medicine (General)
critical path business.industry General Medicine laboratory information system Autoverification Staff satisfaction Staff Workload R5-920 Process efficiency Medicine Operations management Full-time equivalent business Critical path method full-time equivalent turnaround time delta check |
Zdroj: | Siriraj Medical Journal, Vol 72, Iss 4 (2020) |
ISSN: | 2228-8082 |
Popis: | Objective: Continuous process improvements enhance accuracy and productivity in a clinical laboratory setting. This study aimed to investigate the accuracy and efficiency of a new autoverification (AV) system designed to improve the consistency and uniformity of reported laboratory test results. Methods: Limit checks, delta checks, and consistency checks were established, and then retrospective data from 500 requested tests were used to evaluate the accuracy of AV rules compared to manual verification, which was performed by five experienced medical technologists. Efficiency was evaluated by comparing turnaround time (TAT), error rates, workload, and staff satisfaction between before and after AV implementation. Results: AV had 100% sensitivity, 77.6% specificity, and a 22% false-positive rate. The AV passing rate was 95%, 85%, 42%, and 39% for chemistry, coagulation, microscopy, and hematology, respectively. The overall passing rate was 65%. After implementation, the mean overall TAT decreased from 54.2±26.6 to 52.4±24.2 min (p |
Databáze: | OpenAIRE |
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