Implementing nanopore sequencing in a clinical laboratory: a social systems case.

The Molecular Pathology Department at Awanui Labs Wellington have been trialling the implementation of nanopore long-read sequencing since 2020, initially to assist the Infection Prevention and Control team. This case study explored the social systems that enabled or constrained this implementation....

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Publicado en:New Zealand Journal of Medical Laboratory Science Vol. 79; no. 1; pp. 25 - 31
Autores principales: Manning, Suzanne, Bloomfield, Max, Hutton, Samantha, Burton, Megan, Velasco, Charles, Tarring, Claire, White, Rhys, van der Werff, Koen
Formato: research tables/charts Journal Article
Publicado: New Zealand Institute of Medical Laboratory Science Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Implementing nanopore sequencing in a clinical laboratory: a social systems case.
      aug:
        au:
          Manning, Suzanne
          Bloomfield, Max
          Hutton, Samantha
          Burton, Megan
          Velasco, Charles
          Tarring, Claire
          White, Rhys
          van der Werff, Koen
        affil: Social Systems Team, Institute of Environmental Science and Research (ESR), Wellington, New Zealand
      sug:
        subj:
          Sequence Analysis Methods
          Nanostructures
          Clinical Laboratories New Zealand
          Social Sciences
          Cross Infection Prevention and Control
          Infection Control Methods
          Program Implementation
          Human
          Sequence Analysis History
          New Zealand
          Action Research
          Genetics, Microbial
          Interviews
          Focus Groups
          Technology, Medical
          Laboratory Personnel
          Policy Making
          Quality Control (Technology)
          Autonomy
          Costs and Cost Analysis
          Qualitative Studies
          Financial Support
          Intelligence
          Laboratory Equipment and Supplies Economics
          Product Acquisition Economics
          Funding Source
          Clinical Laboratories, Hospital
      ab: The Molecular Pathology Department at Awanui Labs Wellington have been trialling the implementation of nanopore long-read sequencing since 2020, initially to assist the Infection Prevention and Control team. This case study explored the social systems that enabled or constrained this implementation. The study found that implementation was enabled by systems that were set up to balance the need for continued service improvement through research and innovation with the need to maintain the current level of service to clinicians and ultimately, the patients. The process also allowed oversight and coordination by management while providing a reasonable degree of autonomy for the laboratory staff to conduct the trial, including the time and flexibility required to investigate and develop the protocols. There were several implementation challenges. One challenge related to introducing a novel and unfamiliar technology while maintaining a busy routine workload, fitting in with the other work in the laboratory and securing funding. However, the main challenge specific to nanopore sequencing were the issues around accessing bioinformatics expertise, providing adequate computing power for data analysis, and the more systemic issue of data infrastructure in the health sector. The bioinformatics expertise and upgraded computer requirements have been addressed at a local level; however, the issue of national health data infrastructure and governance must be addressed if the potential of nanopore sequencing is to be realised.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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