title: Factors affecting the labor efficiency of hospital-based blood bank laboratories.
abstract: BACKGROUND
  A variety of financing mechanisms and managerial innovations have been developed in the past decade to control hospital costs. Some evidence suggests that those changes have not produced substantial improvements in labor efficiency among employees in the hospital's technical level, such as in the blood bank laboratories.
  
  
  METHODS
  This study measured labor efficiency in 40 hospital-based blood bank laboratories in Southern California during the year from July 1989 to June 1990 and explored the impact of financial, managerial, and operational factors on labor efficiency.
  
  
  RESULTS
  With standardized output measures used in all blood bank laboratories, a wide variation of labor efficiency was found. Multivariate analyses indicate that the labor efficiency of blood bank employees was not influenced by organizational financial incentives, but was affected by the managerial styles of blood bank managers.
  
  
  CONCLUSIONS
  Interpretation of the findings suggests that labor efficiency is affected by operational designs intended to improve responses to variable workloads and reduce slack time.
authors.affiliation: West Los Angeles VA Medical Center, California.
authors.forename: H C
authors.initials: HC
authors.lastname: Lam
authors.forename: G F
authors.initials: GF
authors.lastname: Kominski
authors.forename: L D
authors.initials: LD
authors.lastname: Petz
authors.forename: S
authors.initials: S
authors.lastname: Sofaer
mesh_terms: D001771:Blood Banks / Q000458:organization & administration*; D004526:Efficiency; D006761:Hospitals; D007755:Laboratories, Hospital; D010559:Personnel Management; D012456:Salaries and Fringe Benefits