Melanson Stacy E F, Lindeman Neal I, Jarolim Petr
Department of Pathology, Division of Clinical Laboratories, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass 02115, USA.
Arch Pathol Lab Med. 2007 Jul;131(7):1063-9. doi: 10.5858/2007-131-1063-SAFTCC.
Laboratory automation proposes to improve the quality and efficiency of laboratory operations, and may provide a solution to the quality demands and staff shortages faced by today's clinical laboratories. Several vendors offer automation systems in the United States, with both subtle and obvious differences. Arriving at a decision to automate, and the ensuing evaluation of available products, can be time-consuming and challenging. Although considerable discussion concerning the decision to automate has been published, relatively little attention has been paid to the process of evaluating and selecting automation systems.
To outline a process for evaluating and selecting automation systems as a reference for laboratories contemplating laboratory automation.
Our Clinical Chemistry Laboratory staff recently evaluated all major laboratory automation systems in the United States, with their respective chemistry and immunochemistry analyzers. Our experience is described and organized according to the selection process, the important considerations in clinical chemistry automation, decisions and implementation, and we give conclusions pertaining to this experience.
Including the formation of a committee, workflow analysis, submitting a request for proposal, site visits, and making a final decision, the process of selecting chemistry automation took approximately 14 months. We outline important considerations in automation design, preanalytical processing, analyzer selection, postanalytical storage, and data management.
Selecting clinical chemistry laboratory automation is a complex, time-consuming process. Laboratories considering laboratory automation may benefit from the concise overview and narrative and tabular suggestions provided.
实验室自动化旨在提高实验室操作的质量和效率，并可能为当今临床实验室面临的质量要求和人员短缺问题提供解决方案。在美国，有几家供应商提供自动化系统，它们之间存在细微和明显的差异。做出自动化决策以及随后对现有产品进行评估可能既耗时又具有挑战性。尽管已经发表了大量关于自动化决策的讨论，但对自动化系统评估和选择过程的关注相对较少。
概述评估和选择自动化系统的过程，为考虑实验室自动化的实验室提供参考。
我们临床化学实验室的工作人员最近对美国所有主要的实验室自动化系统及其各自的化学和免疫化学分析仪进行了评估。我们根据选择过程、临床化学自动化中的重要考虑因素、决策和实施情况来描述和组织我们的经验，并给出与该经验相关的结论。
包括组建委员会、工作流程分析、提交提案请求、实地考察以及做出最终决策，选择化学自动化的过程大约耗时14个月。我们概述了自动化设计、分析前处理、分析仪选择、分析后存储和数据管理中的重要考虑因素。
选择临床化学实验室自动化是一个复杂、耗时的过程。考虑实验室自动化的实验室可能会从本文提供的简要概述以及叙述性和表格性建议中受益。
