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LAB MANAGEMENT > Chap 2: Optimizing Laboratory Workflow and Performance > Flashcards

Chap 2: Optimizing Laboratory Workflow and Performance Flashcards

1
Q

Components of workflow

A
  • Pre-analytic
  • Analytic
  • Post-analytic
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2
Q

Path of the workflow

A
  1. The patient
  2. Test selection
  3. Sample collection
  4. Sample transport
  5. Report creation
  6. Report transport
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3
Q

What should be considered in the entire process?

A
  • Beginning (sample collection)
  • End (reporting and saving of results)
  • All processes in between
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4
Q

True or False: Laboratory testing process cannot vary from one facility to another

A

False

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5
Q

Steps in Laboratory Testing process

A
  • Testing phase
    - Pre-analysis
    - Analysis
    - Post-analysis
  • Role
    - Physician
    - Laboratory
  • Technology
    - Pre-analytic work cell
    - Analyzer
    - Analytic work cell
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6
Q

A prerequisite to any performance optimization strategy

A

Understanding the workflow

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7
Q

Issues to consider when auditing operations

A
  • Test ordering – where are orders placed?
  • Sample collection – who collects the samples?
  • Transportation – how are samples delivered?
  • Sample receipt – is there a central receiving area?
  • Sample processing – are samples centrifuged centrally or in distributed locations?
  • Testing – how many workstations are used?
  • Reporting – how many results reported?
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8
Q

Techniques to Collect Workflow Data

A
  1. Sample and Test Mapping
  2. Tube analysis
  3. Workstation Analysis
  4. Test ordering patterns / interviews
  5. Task mapping
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9
Q

It is a technique used to analyze the distribution of samples and tests overtime

A

Sample and Test Mapping

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10
Q

Daily and hour tests

A

Day Interval

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11
Q

batched tests

A

Week interval

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12
Q

Goals of Sample and Test Mapping

A
  • identify overall workload patterns to assess where resources are matched to the needs.
  • performance indicators (TAT) can be improved
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13
Q

Use to compare or check the past to present results

A

delta checks

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14
Q

automations can reduce labor but redesigning workflow is cheaper and more efficient

A

Tube Labor

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15
Q

Tube labor includes

A
  1. sorting & centrifuging
  2. Aliquoting
  3. Racking
  4. Unracking
  5. Loading
  6. Loading and Unloading of samples of analyzers
  7. Retrieving tubes for add-on tests
  8. Performing manual dilutions/reruns
  9. Storing tubes
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16
Q

Tube analysis

A
  • # of containers other than tubes

- # of reruns needed as the results of instrument flags/laboratory policies

17
Q

True or False: Redesigning the workflow is less expensive and more efficient

A

True

18
Q

Goals of Workstation analysis

A
  1. Instrument audit (LIS)
  2. Test Menu
  3. Processing mode & Load Balancing
  4. Interviews
  5. Task Mapping
19
Q

It is a test-based system used to perform specific % of test per hour and they are irrespective of how many tests are ordered.

A

Chemistry analyzers

20
Q

True or False: Test menu is used if a test is performed only once or twice a week.

A

True

21
Q

Test Menu requirements

A
  • Considerable equipment
  • Training
  • Labor Input
    then Send it to the Reference Laboratory
22
Q

An analyzer that cannot be interrupted during operation

A

Batch analyzer

23
Q

It can accommodate emergency sample anytime

A

Random Access (Stat Sample)

24
Q

It is facilitated by load balancing (technique that distributes the work evenly) & (spreads testing over a longer period to better match the instrument)

A

Continuous Sample processing (Mixed Sample)

25
Q

A fixed # of samples w/ scheduled day & time of test run

A

Batch Sample (Routine Sample)

26
Q

It provides an opportunity for the staff to participate in analyzing workflow and
improving performance and identifies the issues that would not be readily apparent from the data collection

A

Test ordering patterns / interviews

27
Q

It involves processing special requests such as: troubleshooting incorrect orders, unacceptable samples, and misaligned barcode labels

A

Orders for add-on tests

28
Q

interviews are particularly valuable to understand what

occurs outside the laboratory

A

Computer-generated orders

29
Q

Term “Statim” or immediately, perform the test immediately

A

STAT

30
Q

This should be an ongoing activity where this is undertaken whenever contemplating adding workstations, new technology, or any significant change, and Can be applied to any segment of the laboratory’s workflow whether technical or clerical

A

Task mapping

31
Q

letter A is the original workflow; B is the improved workflow. The Goal is to improve workflow.

A

Workflow analysis

32
Q

identifies bottlenecks and impact of staffing

A

Workflow modeling

33
Q

interferences can be drawn about more efficient processing and
testing

A

Workflow simulation

34
Q

allows a person to analyze the complex interrelationships to better predict the outcome of a given workflow design

A

Workflow modeling software

LAB MANAGEMENT (2 decks)

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