Evaluation of a computerised clinical documentation system (CCDS) implementation in the transplant laboratory
by Phi A. Lai; Steven S. Geier; Shankar Srinivasan; Dinesh P. Mital; Syed Haque
International Journal of Medical Engineering and Informatics (IJMEI), Vol. 5, No. 1, 2013

Abstract: Although many handwritten reports have been replaced by computer generated ones in clinical laboratories, they still remain a common feature in many transplant laboratories for two main reasons: either the laboratory information system (LIS) does not support report formats, or it is costly to purchase a specialised database. A time and motion study was conducted to evaluate one such clinical database, the IG database. Before and after the implementation of our IG database, we evaluated the: 1) stationary cost reduction from paper, toner cartridge, and other auxiliaries; 2) turn-around time from the laboratory information system (MediTech); 3) time reduction on analysing report using the electronic reports on three main testing areas; HLA typing, antibody screening, and cross-matching. Approximately $22,035 is saved annually. The turn-around time (TAT) and time on analysing report (TAR) are statistically significant in all testing areas. The IG database demonstrated a significant reduction in cost, a decrease in turn-around time and time on analysing report, and an increase in overall efficiency.

Online publication date: Tue, 28-Jan-2014

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