Workflow Mapping--A Q-Probes Study of Preanalytic Testing Processes: A College of American Pathologists Q-Probes Study of 35 Clinical Laboratories.

Context.--Workflow mapping is a tool used to characterize operational processes throughout most industries and to identify non--value-added activities. Objective.--To develop a set of workflow mapping tools to compare the sequence and timing of activities, including waiting steps, used by clinical l...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 144; no. 12; pp. 1517 - 1525
Autores principales: Perrotta, Peter, Novis, David A., Nelson, Suzanne, Blond, Barbara, Stankovic, Anna, Talbert, Michael
Formato: research tables/charts Journal Article
Publicado: College of American Pathologists Dec2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2020
      vid: 144
      iid: 12
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      pub: College of American Pathologists
      place: Northfield, Illinois
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        10.5858/arpa.2020-0043-CP
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        atl: Workflow Mapping--A Q-Probes Study of Preanalytic Testing Processes: A College of American Pathologists Q-Probes Study of 35 Clinical Laboratories.
      aug:
        au:
          Perrotta, Peter
          Novis, David A.
          Nelson, Suzanne
          Blond, Barbara
          Stankovic, Anna
          Talbert, Michael
        affil: Department of Pathology, West Virginia University, West Virginia University Hospitals Inc, Morgantown
      sug:
        subj:
          Workflow Evaluation
          Miscellaneous Techniques
          Clinical Laboratories Standards
          Specimen Handling
          Human
          College of American Pathologists
          Time
          Centrifugation Equipment and Supplies
          Computers and Computerization
      ab: Context.--Workflow mapping is a tool used to characterize operational processes throughout most industries and to identify non--value-added activities. Objective.--To develop a set of workflow mapping tools to compare the sequence and timing of activities, including waiting steps, used by clinical laboratories to process specimens during the preanalytic testing phase. Design.--Laboratories enrolled in this College of American Pathologists Q-Probes study created workflow maps detailing the steps they used to process specimens from the time of sample arrival in the laboratory to the time of sample delivery to chemistry analyzers. Enrollees recorded the sequence and types of steps involved in specimen processing and the time needed to complete each step. Results.--Institution average total specimen processing times (SPTs) and the number of steps required to prepare samples varied widely among institutions. Waiting steps, that is, steps requiring specimens to wait before advancing to the next process step, and specimen centrifugation consumed the greatest amount of processing times for both routine and STAT testing. Routine and STAT testing SPTs were shorter at institutions that used rapid centrifuges to prepare samples. Specimen processes requiring more sample waiting steps and computer entry steps had longer aggregate total process times than those with fewer such steps. Conclusions.--Aggregate specimen processing times may be shortened by reducing the number of steps involving sample waiting and computer entry activities. Rapid centrifugation is likely to reduce overall average institutional SPTs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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