Impact on human resources: Core Laboratory versus laboratory information system versus modular robotics.
Technological advances in laboratory systems have had a great impact on human resources. Surviving the changes requires an in-depth understanding of the technology to implement the appropriate operational model. St. Mary's is a 414-bed, acute care hospital. For 18 months, the laboratories went through the process of moving from a noncomputerized traditional model laboratory (i.e., by discipline) to a fully computerized Core Lab. The Core Lab concept fully integrates biochemistry, hematology, blood bank, and microbiology into two sections (not physically separated): tests processed by automation and tests processed manually. This approach led to a 15% reduction in staff while the volume doubled. The transitions occurred sequentially: from traditional laboratory to Core Lab (noncomputerized), from manual Core Lab to fully computerized Core Lab, and ultimately from a simulation of manual preanalytical phase to automated preanalytical phase (modular robotics). The findings show that Core Lab and computerization have almost the same impact on human resources, 35% and 30% respectively, and modular robotics the least impact with 17%.
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St. Mary's Hospital Center, Montreal, Quebec, Canada.
D002984:Clinical Laboratory Information Systems; D017598:Efficiency, Organizational; D006745:Hospital Bed Capacity, 300 to 499; D007755:Laboratories, Hospital / Q000458:organization & administration*; D017056:Medical Laboratory Personnel; D009936:Organizational Innovation; D010557:Personnel Administration, Hospital; D011792:Quebec; D012371:Robotics; D013647:Task Performance and Analysis; D000078329:Workforce