News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel

News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel
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Clinical Laboratories Considering Total Laboratory Automation Are Increasingly Using Lean Methods to Develop Proposals, Select a Vendor, and Implement the Solution

Top-performing medical laboratories are using Lean to help craft RFPs, evaluate TLA options, then implement the automated systems to achieve optimal quality and productivity

In recent years, there’s been a big change in how clinical laboratories purchase total laboratory automation (TLA) solutions, and then integrate this automation into their lab operations. Using a strategy that is somewhat off the radar, top-performing medical laboratories will purchase and install TLA only after applying the principles of Lean to the physical layout and overall workflow within their labs.

This development demonstrates the growing acceptance of Lean, Six Sigma, and continuous process improvement methods at hospital-based laboratories and independent clinical laboratories.

As lab budgets get squeezed down each year and specimen volume increases, pathologists and clinical lab managers face the twin challenges of reducing costs while increasing the quality of their lab testing services. (more…)

Hospitals Take Steps to Drive Down Medical Errors in Their Emergency Departments

Clinical laboratory managers are often part of the ER’s process improvement team

Hospital emergency rooms (ER) across the country are intensifying their focus on improving patient safety  and reducing errors. The cost of malpractice lawsuits filed after errors in emergency rooms is a major reason why growing numbers of hospitals are initiating formal programs to identify and eliminate the source of errors and wrong care provided to patients.

It probably won’t surprise most pathologists and clinical laboratory managers to learn that diagnostic errors are one significant source of malpractice claims that result from care provided by hospital emergency rooms, which can often be chaotic and overcrowded. Recently, The Wall Street Journal reported that a large percentage of medical errors in hospitals—and the resulting malpractice suits—occur because of mistakes in the emergency room. Studies of closed claims show that 37% to 55% of the malpractice suits are attributable to diagnostic errors. (more…)

Laboratory Automation One Solution to Workforce Shortages in Clinical Pathology Laboratories

Gap between supply and demand for Medical Laboratory Technologists (MT) encourages greater use of laboratory automation

If there is a Sword of Damocles hanging over the heads of pathologists and clinical laboratory managers, it is the largest workforce shortage in the history of the medical laboratory industry. For 2011 and beyond, demand for skilled medical technologists (MT) and clinical laboratory scientists (CLS) will far outstrip supply.

Today, many hospital and health system laboratories operate short-staffed. They are unable to recruit and retain even the number of staff positions that are authorized and budgeted. In cases where a thriving hospital laboratory outreach program is generating substantial annual increases in the volume of specimens to be tested, the medical laboratory’s inability to recruit the additional MTs and CLSs required to handle this work creates a high-stress environment for everyone in the laboratory organization.

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Immunoassay and Infectious Disease Analyzers Evaluated during Use by Clinical Pathology Laboratories

Industrial engineering firm issues “Consumer Report”-type assessment of mid-volume, automated IA and ID analyzer systems


It’s not often that pathologists and clinical laboratory managers can access a Consumer Reports-type of comparison of laboratory analyzers as they prepare to purchase new diagnostic systems. In the case of mid-volume analyzers for immunoassy (IA) and infectious disease (ID) testing, such a report is now available—and it is immediately available on the Web.

The report is titled “Using Quality Management Methods to Compare Competing Mid-Volume Segment Immunoassay Systems that Perform Infectious Disease Testing.”  This report can be immediately downloaded and viewed by visiting the darkdaily.com web site.

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