当前位置： SCI文献检索 > Annals of Laboratory Medicine期刊下所有文献 > Economic Evaluation of Total Laboratory Automation in the Clinical Laboratory of a Tertiary Care Hospital.

Economic Evaluation of Total Laboratory Automation in the Clinical Laboratory of a Tertiary Care Hospital.

Abstract：

Background:Total laboratory automation (TLA) is an innovation in laboratory technology; however, the high up-front costs restrict its widespread adoption. To examine whether the capital investment for TLA is worthwhile, we analyzed its clinical- and cost-effectiveness for the expected payback period. Methods:Clinical chemistry tests and immunoassays performed in the clinical laboratory of a tertiary care hospital were divided into a post-TLA group, including 1,182,419 tests performed during December 2019, and a pre-TLA group, including 1,151,501 tests performed during December 2018. Laboratory information system data were used to measure clinical effectiveness, and depreciation data were used to calculate TLA costs. Results:Laboratory performance improved after TLA adoption in all four key performance indicators: mean turn-around time (TAT), representing the timeliness of result reporting, decreased by 6.1%; the 99th percentile of TAT, representing the outlier rate, decreased by 13.3%; the TAT CV, representing predictability, decreased by 70.0%; and weighted tube touch moment (wTTM), representing staff safety, improved by 77.6%. Based on these effectiveness results, economic evaluation was performed using two approaches. First, the incremental cost-effectiveness ratio and wTTM were used as the most cost-effective performance indicators. Second, the expected payback period was calculated. Considering only staff cost reduction, it was anticipated that 4.75 yrs would be needed to payback the initial investment. Conclusions:TLA can significantly enhance laboratory performance, has a relatively quick payback period, and can reduce total hospital expenses in the long term. Therefore, the capital investment for TLA adoption is considered to be worthwhile.

journal_name

Ann Lab Med

journal_title

Annals of laboratory medicine

authors

Kim K,Lee SG,Kim TH,Lee SG

doi

10.3343/alm.2022.42.1.89

keywords:

["Cost-effectiveness","Economic evaluation","Laboratory performance","Total laboratory automation","Turnaround time"]

subject

Has Abstract

pub_date

2022-01-01 00:00:00

pages

89-95

issue

eissn

2234-3806

issn

2234-3814

pii

alm.2022.42.1.89

journal_volume

pub_type

杂志文章

在线工具

Economic Evaluation of Total Laboratory Automation in the Clinical Laboratory of a Tertiary Care Hospital.