Dadoun R
St. Mary's Hospital Center, Montreal, Quebec, Canada.
Clin Lab Manage Rev. 1998 Jul-Aug;12(4):248-55.
Technological advances in laboratory systems have had a great impact on human resources. Surviving the changes requires an in-depth understanding of the technology to implement the appropriate operational model. St. Mary's is a 414-bed, acute care hospital. For 18 months, the laboratories went through the process of moving from a noncomputerized traditional model laboratory (i.e., by discipline) to a fully computerized Core Lab. The Core Lab concept fully integrates biochemistry, hematology, blood bank, and microbiology into two sections (not physically separated): tests processed by automation and tests processed manually. This approach led to a 15% reduction in staff while the volume doubled. The transitions occurred sequentially: from traditional laboratory to Core Lab (noncomputerized), from manual Core Lab to fully computerized Core Lab, and ultimately from a simulation of manual preanalytical phase to automated preanalytical phase (modular robotics). The findings show that Core Lab and computerization have almost the same impact on human resources, 35% and 30% respectively, and modular robotics the least impact with 17%.
实验室系统的技术进步对人力资源产生了重大影响。要在这些变化中生存下来，需要深入了解技术以实施适当的运营模式。圣玛丽医院是一家拥有414张床位的急症护理医院。在18个月的时间里，实验室经历了从非计算机化的传统模式实验室（即按学科划分）转变为完全计算机化的核心实验室的过程。核心实验室概念将生物化学、血液学、血库和微生物学完全整合为两个部分（并非物理上分开）：自动化处理的检测项目和手工处理的检测项目。这种方法在检测量翻倍的同时，员工数量减少了15%。转变按顺序进行：从传统实验室到核心实验室（非计算机化），从手工核心实验室到完全计算机化的核心实验室，最终从模拟手工分析前阶段到自动化分析前阶段（模块化机器人技术）。研究结果表明，核心实验室和计算机化对人力资源的影响几乎相同，分别为35%和30%，而模块化机器人技术的影响最小，为17%。
