全自动化对临床实验室工作人员的影响：一项案例研究。

The Impact of Total Automaton on the Clinical Laboratory Workforce: A Case Study.

作者信息

Al Naam Yaser A, Elsafi Salah, Al Jahdali Majed H, Al Shaman Randa S, Al-Qurouni Bader H, Al Zahrani Eidan M

机构信息

Clinical Laboratory Sciences Department, Prince Sultan Military Colleges of Health Sciences, Dhahran, Saudi Arabia.

Human Resources Directorate, Prince Sultan Military Colleges of Health Sciences, Dhahran, Saudi Arabia.

出版信息

J Healthc Leadersh. 2022 May 9;14:55-62. doi: 10.2147/JHL.S362614. eCollection 2022.

DOI:10.2147/JHL.S362614

PMID:35586661

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9109973/

Abstract

BACKGROUND

There has been a significant concern that total automation can decrease the need for laboratory personnel at all levels. The objective of this study was to investigate the impact of total laboratory automation on the clinical laboratory workforce.

METHODS

A one-year data including the demographical features of laboratory workforce and technical productivity of laboratory tests were provided by two medical laboratory departments of similar profile and different equipment setup; one adopting a total automation system and the other utilizing discrete analysis system. The technical productivities of the two laboratories were compared and statistically tested.

RESULTS

A similar technical productivity per single laboratory worker was noted in the hematology section in each of the two sites with no significant difference (average odd radio = 0.9, p = 0.79). However, with total automation, the number of tests performed per single worker has increased to an average of 1.4 and 3.7 times with total automation in the clinical chemistry and serology sections, respectively (p ≤ 0.001).

CONCLUSION

Total laboratory automation improves the productivity of the laboratory, leading to a decreased laboratory workforce. The laboratory workload has increased steadily therefore, the existing laboratory workforce, in the absence of automation, could not have been able to maintain the current volume of service. Adoption of automation reduces repetitive manual labor, thereby allowing the redefinition of the job roles of the laboratory workforce. TLA is ideal for laboratories that suffer from workforce shortages or managing high volume testing with less staff.

摘要

背景

人们一直高度关注全自动化会减少各级实验室人员的需求。本研究的目的是调查实验室全自动化对临床实验室工作人员的影响。

方法

两个概况相似但设备设置不同的医学实验室部门提供了一年的数据，包括实验室工作人员的人口统计学特征和实验室检测的技术生产率；一个采用全自动化系统，另一个使用离散分析系统。对两个实验室的技术生产率进行了比较和统计检验。

结果

两个地点的血液学部门每名实验室工作人员的技术生产率相似，无显著差异（平均比值比 = 0.9，p = 0.79）。然而，在全自动化情况下，临床化学和血清学部门每名工作人员进行的检测数量分别增加到平均1.4倍和3.7倍（p≤0.001）。

结论

实验室全自动化提高了实验室的生产率，导致实验室工作人员减少。实验室工作量稳步增加，因此，在没有自动化的情况下，现有的实验室工作人员无法维持目前的服务量。采用自动化减少了重复性体力劳动，从而可以重新定义实验室工作人员的工作职责。全自动化对于人员短缺或需要用较少人员管理大量检测的实验室来说是理想的选择。