Meeting clinical needs for and sidestepping supply chain threats to COVID-19 testing through continuous process improvement
نویسندگان
چکیده
Abstract Introduction/Objective The first human case of SARS-CoV-2 infection was reported in December 2019. By late February 2020 evidence community transmission the United States documented and soon it developed into a global pandemic. On March 11, 2020, Mayo Clinic Arizona’s Microbiology Laboratory introduced PCR test for diagnosis infection. Even as testing demands exponentially increased, hospital relied on timely results to assist directing patient care. In order provide face continuously emerging supply chain threats, we needed increase our capacity by reducing technologist time reagent waste, without impacting turnaround or other quality metrics such repeat rate. Methods/Case Report Technologist measured hands-on per specimen. Reagent use defined volume lysis buffer (the primary rate limiting due constraints) used sample. Turnaround from receipt lab until result verification rerun is percent specimens with an internal control (IC) failure, indicator specimen process quality. Unnecessary steps were determined using map, spaghetti diagram waste walk. Improvements included simplifying steps, changes protocols design. Impacts improvements 5 months post-implementation. Results (if Case Study enter NA) Process reduced sample 30.8 seconds decreased critical needs 23.6%. led $104,000 just savings over months. rates not negatively impacted. Conclusion creating leanest possible workflow, able meet accurate results. future workflows, will continue implement lean processes ensure most efficient limited resources.
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ژورنال
عنوان ژورنال: American Journal of Clinical Pathology
سال: 2021
ISSN: ['0002-9173', '1943-7722']
DOI: https://doi.org/10.1093/ajcp/aqab191.276