Increased effectiveness of urinalysis testing via the integration of automated instrumentation, the lean management approach, and autoverification

In 2014, the Department of Clinical Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand developed and implemented a new process that uses fully automated instrumentation, the lean management approach, and autoverification to improve the productivity and efficiency of the urinalysis workflow process. The aim of this study was to evaluate analytical turnaround time compared with our old urinalysis workflow process and our new urinalysis workflow process that was launched in 2014.

[1]  Jeffrey K. Liker,et al.  The Toyota way : 14 management principles from the world's greatest manufacturer , 2004 .

[2]  Li Li Min,et al.  Lean principles in Healthcare: an overview of challenges and improvements , 2013 .

[3]  Paolo Brambilla,et al.  The development of autoverification rules applied to urinalysis performed on the AutionMAX-SediMAX platform. , 2018, Clinica chimica acta; international journal of clinical chemistry.

[4]  Peisong Chen,et al.  Urine particles analysis: Performance evaluation of Sysmex UF-1000i and comparison among urine flow cytometer, dipstick, and visual microscopic examination , 2011, Scandinavian journal of clinical and laboratory investigation.

[5]  Giuseppe Lippi,et al.  Development and implementation of an automatic system for verification, validation and delivery of laboratory test results , 2009, Clinical chemistry and laboratory medicine.

[6]  L. Berry,et al.  The promise of Lean in health care. , 2013, Mayo Clinic proceedings.

[7]  Simon Knowles,et al.  Lean management systems: creating a culture of continuous quality improvement , 2013, Journal of Clinical Pathology.

[8]  Matthew D. Krasowski,et al.  Autoverification in a core clinical chemistry laboratory at an academic medical center , 2014, Journal of pathology informatics.

[9]  Jonathan B Kruskal,et al.  Quality initiatives: lean approach to improving performance and efficiency in a radiology department. , 2012, Radiographics : a review publication of the Radiological Society of North America, Inc.

[10]  Walter Hofmann,et al.  European Urinalysis Guidelines , 2000, Scandinavian journal of clinical and laboratory investigation. Supplementum.

[11]  J. Tworek,et al.  The rate of manual microscopic examination of urine sediment: a College of American Pathologists Q-Probes study of 11,243 urinalysis tests from 88 institutions. , 2009, Archives of pathology & laboratory medicine.

[12]  J. Zapardiel,et al.  Comparison of automated devices UX-2000 and SediMAX/AutionMax for urine samples screening: A multicenter Spanish study. , 2017, Clinical biochemistry.

[13]  H. Yüksel,et al.  Comparison of Fully Automated Urine Sediment Analyzers H800‐FUS100 and Labumat‐Urised with Manual Microscopy , 2013, Journal of clinical laboratory analysis.

[14]  B. Pratumvinit,et al.  Optimal criteria for microscopic review of urinalysis following use of automated urine analyzer. , 2015, Clinica chimica acta; international journal of clinical chemistry.

[15]  B E Statland,et al.  Urine microscopy, an ill-defined method, examined by a multifactorial technique. , 1974, Clinical chemistry.

[16]  J. Lieske,et al.  Automated urinalysis in the clinical lab. , 2012, MLO: medical laboratory observer.

[17]  D. van den Broek,et al.  Benefits of the iQ200 automated urine microscopy analyser in routine urinalysis , 2008, Clinical chemistry and laboratory medicine.

[18]  David M Clark Quality improvement in basic histotechnology: the lean approach , 2015, Virchows Archiv.

[19]  Dale J. Duca Autoverification in a Laboratory Information System , 2002 .

[20]  D M Berwick,et al.  Service quality in health care. , 1999, JAMA.

[21]  H. Yalcin,et al.  The comparison of automated urine analyzers with manual microscopic examination for urinalysis automated urine analyzers and manual urinalysis , 2016, Practical laboratory medicine.

[22]  Sabrina Buoro,et al.  Performance evaluation of the new fully automated urine particle analyser UF-5000 compared to the reference method of the Fuchs-Rosenthal chamber. , 2017, Clinica chimica acta; international journal of clinical chemistry.