Improving the Workflow of Hematology and Coagulation Workstations Using a Total Laboratory Automation System.

IF 0.7 4区医学 Q4 MEDICAL LABORATORY TECHNOLOGY

Clinical laboratory Pub Date : 2026-08-01 DOI:10.7754/Clin.Lab.2025.250851

Chen-Yu Lee, Jiunn-Min Wang, Ming-Tze Yang

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引用次数: 0

Abstract

Background: Total Laboratory Automation (TLA) integrates pre-analytical, analytical and post-analytical processes into a seamless workflow, improving efficiency, reducing errors, and enhancing diagnostic accuracy. Despite its advantages, comprehensive TLA integration in hematology and coagulation laboratories remains challenging due to complex sample handling and instrument-specific requirements. This study evaluates the impact of TLA implementation on workflow efficiency and turnaround time (TAT) in a high-volume clinical laboratory.

Methods: This study was conducted at Taichung Veterans General Hospital (VGHTC). Since October 2023, the laboratory has integrated hematology and coagulation analyzers with an Abbott GLP SYSTEMS TRACK.

Results: The integration of TLA significantly improved workflow efficiency and reduced operational costs. TAT compliance rates for hematology and coagulation testing improved from 82.0% and 76.9% to 95.2% and 93.0%, respectively, one year after implementation. Monthly blood collection tube consumption decreased by 2,915 units, resulting in cost savings of $437 USD and reducing carbon emissions by 32 kg CO2e. The automation system eliminated manual specimen transport requirements, saving one full-time equivalent staff position.

Conclusions: Implementing TLA in hematology and coagulation testing enhances operational efficiency, reduces environmental impact, and improves diagnostic turnaround time. Future studies should focus on long-term sustainability and clinical outcomes associated with laboratory automation.

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利用全实验室自动化系统改进血液学和凝血工作站的工作流程。

背景：全面实验室自动化（TLA）将分析前、分析和分析后流程集成到一个无缝的工作流程中，提高效率，减少错误，提高诊断准确性。尽管具有优势，但由于复杂的样品处理和仪器特定要求，在血液学和凝血实验室中全面集成TLA仍然具有挑战性。本研究评估了TLA实施对高容量临床实验室工作流程效率和周转时间（TAT）的影响。方法：本研究在台中退伍军人总医院（VGHTC）进行。自2023年10月以来，该实验室已将血液学和凝血分析仪与雅培GLP SYSTEMS TRACK集成在一起。结果：TLA的集成显著提高了工作效率，降低了操作成本。实施一年后，血液学和凝血检测的TAT符合率分别从82.0%和76.9%提高到95.2%和93.0%。每月采血管消耗减少2915根，节约成本437美元，减少碳排放32公斤二氧化碳当量。自动化系统消除了人工标本运输的要求，节省了一个相当于全职员工的职位。结论：在血液学和凝血检测中实施TLA可提高操作效率，减少对环境的影响，并缩短诊断周转时间。未来的研究应关注与实验室自动化相关的长期可持续性和临床结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical laboratory 医学-医学实验技术

CiteScore

1.50

自引率

0.00%

发文量

494

审稿时长

3 months

期刊介绍： Clinical Laboratory is an international fully peer-reviewed journal covering all aspects of laboratory medicine and transfusion medicine. In addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies. The journal publishes original articles, review articles, posters, short reports, case studies and letters to the editor dealing with 1) the scientific background, implementation and diagnostic significance of laboratory methods employed in hospitals, blood banks and physicians'' offices and with 2) scientific, administrative and clinical aspects of transfusion medicine and 3) in addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies.