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自动化对社区医院临床微生物实验室组织变革的影响。

The impact of automation on organizational changes in a community hospital clinical microbiology laboratory.

作者信息

Camporese Alessandro

机构信息

Clinical Microbiology and Antibiotic Therapy Department, Azienda Ospedaliera S. Maria degli Angeli, Pordenone, Italy.

出版信息

Infez Med. 2004 Jun;12(2):118-25.

Abstract

The diagnosis of infectious diseases and the role of the microbiology laboratory are currently undergoing a process of change. The need for overall efficiency in providing results is now given the same importance as accuracy. This means that laboratories must be able to produce quality results in less time with the capacity to interpret the results clinically. To improve the clinical impact of microbiology results, the new challenge facing the microbiologist has become one of process management instead of pure analysis. A proper project management process designed to improve workflow, reduce analytical time, and provide the same high quality results without losing valuable time treating the patient, has become essential. Our objective was to study the impact of introducing automation and computerization into the microbiology laboratory, and the reorganization of the laboratory workflow, i.e. scheduling personnel to work shifts covering both the entire day and the entire week. In our laboratory, the introduction of automation and computerization, as well as the reorganization of personnel, thus the workflow itself, has resulted in an improvement in response time and greater efficiency in diagnostic procedures.

摘要

传染病的诊断以及微生物实验室的作用目前正在经历变革。现在,在提供检测结果时,整体效率的需求与准确性被赋予了同等重要的地位。这意味着实验室必须能够在更短的时间内出具高质量的结果,并具备临床解读结果的能力。为了提高微生物检测结果对临床的影响,微生物学家面临的新挑战已变成流程管理,而非单纯的分析。一个旨在改善工作流程、减少分析时间,并在不耽误宝贵的患者治疗时间的情况下提供同样高质量结果的恰当项目管理流程,已变得至关重要。我们的目标是研究将自动化和计算机化引入微生物实验室以及重新组织实验室工作流程(即安排人员轮班,涵盖全天和全周)所产生的影响。在我们实验室,引入自动化和计算机化以及人员重组,进而对工作流程本身进行重组,已带来了响应时间的改善以及诊断程序效率的提高。

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