title: Points for consideration: transferring and changing hospital clinical laboratories.
abstract: BACKGROUND
  The laboratories of Carmel Medical Centre were located in the main hospital building since its establishment (1977). Due to expansion of the clinical wards, the laboratories were relocated to a nearby building. The project was utilized for reorganization of the laboratories.
  
  
  METHODS
  The basic design addressed the existing hospital needs based mainly on the original organization of the laboratories. The project allowed for the prospective organizational changes. The planning, design, and erection were performed by teams of the hospital and by outside parties, headed by the hospital management and the laboratories' director. The laboratories' staff was involved in all phases of the project.
  
  
  RESULTS
  The project laid the foundations for future consolidation, i.e., establishment of a central reception station and merging of chemistry, endocrinology, pharmacology, and segments of immunology. The merging involved performance but not validation of tests. Separation between research and routine work was achieved. By-products attained were as follows: simplification of tube handling, reduction in volume of blood needed, improvements in safety, employees' amenities, general atmosphere, and communication within personnel.
  
  
  CONCLUSIONS
  The successful transfer resulted from appropriate design, close cooperation between management and personnel, and the ability to pinpoint problems at early stages with ad hoc solutions.
authors.affiliation: Laboratories' Division, Carmel Medical Centre, Haifa, Israel. david_miriam@clalit.org.il
authors.forename: Miriam
authors.initials: M
authors.lastname: David
mesh_terms: D006749:Hospital Design and Construction; D006752:Hospital Planning; D007755:Laboratories, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D014481:United States