000130834 001__ 130834
000130834 005__ 20241125101157.0
000130834 0247_ $$2doi$$a10.3390/app14010241
000130834 0248_ $$2sideral$$a136690
000130834 037__ $$aART-2023-136690
000130834 041__ $$aeng
000130834 100__ $$0(orcid)0000-0002-4917-8550$$aAcero, Raquel$$uUniversidad de Zaragoza
000130834 245__ $$aIntegrating Lean and Automation for Enhanced Serology Diagnosis Efficiency in Tertiary Healthcare Microbiology Laboratories
000130834 260__ $$c2023
000130834 5060_ $$aAccess copy available to the general public$$fUnrestricted
000130834 5203_ $$aHealthcare services and institutions are focused on providing the most appropriate medical service in terms of patient safety and satisfaction outcomes. According to Lean methodologies, effectiveness and efficiency can be improved by assuring value-added processes. This article presents a joint approach for the development and implementation of Lean techniques combined with Total Laboratory Automation (TLA) for serology diagnosis in a microbiology laboratory in a tertiary-level hospital. The results obtained show an improvement in the process efficiency and its key performance indicators. In particular, for the HIV and COVID tests, the process Turnaround Times (TAT) were decreased by up to 87.3% and 19.3%, having a direct effect in the diagnostic response time. The process added-value for HIV tests increased by 81%. This meant a cost reduction per test, a higher number of diagnostic tests and clinical samples processed and laboratory resource optimisation. The implementation of TLA also enabled the reallocation of skilled labour towards value-added tasks, increased the process quality and reduced sample waiting times. This work opens up new opportunities for their deployment in other laboratory areas and sample types, directly influencing the overall quality of patient diagnosis in the context of tertiary healthcare facilities.
000130834 536__ $$9info:eu-repo/grantAgreement/ES/DGA/T56-23R
000130834 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000130834 590__ $$a2.5$$b2023
000130834 592__ $$a0.508$$b2023
000130834 591__ $$aENGINEERING, MULTIDISCIPLINARY$$b44 / 181 = 0.243$$c2023$$dQ1$$eT1
000130834 591__ $$aPHYSICS, APPLIED$$b87 / 179 = 0.486$$c2023$$dQ2$$eT2
000130834 591__ $$aCHEMISTRY, MULTIDISCIPLINARY$$b115 / 231 = 0.498$$c2023$$dQ2$$eT2
000130834 591__ $$aMATERIALS SCIENCE, MULTIDISCIPLINARY$$b258 / 439 = 0.588$$c2023$$dQ3$$eT2
000130834 593__ $$aEngineering (miscellaneous)$$c2023$$dQ2
000130834 593__ $$aFluid Flow and Transfer Processes$$c2023$$dQ2
000130834 593__ $$aMaterials Science (miscellaneous)$$c2023$$dQ2
000130834 593__ $$aInstrumentation$$c2023$$dQ2
000130834 593__ $$aProcess Chemistry and Technology$$c2023$$dQ3
000130834 593__ $$aComputer Science Applications$$c2023$$dQ3
000130834 594__ $$a5.3$$b2023
000130834 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000130834 700__ $$0(orcid)0000-0002-3069-2736$$aTorralba, Marta
000130834 700__ $$aValverde, Emilio-David
000130834 700__ $$aRoc, Lourdes
000130834 700__ $$0(orcid)0000-0001-7294-245X$$aRezusta, Antonio
000130834 7102_ $$15002$$2515$$aUniversidad de Zaragoza$$bDpto. Ingeniería Diseño Fabri.$$cÁrea Ing. Procesos Fabricación
000130834 773__ $$g14, 1 (2023), 241$$pAppl. sci.$$tApplied Sciences (Switzerland)$$x2076-3417
000130834 8564_ $$s2267008$$uhttps://zaguan.unizar.es/record/130834/files/texto_completo.pdf$$yVersión publicada
000130834 8564_ $$s2713742$$uhttps://zaguan.unizar.es/record/130834/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000130834 909CO $$ooai:zaguan.unizar.es:130834$$particulos$$pdriver
000130834 951__ $$a2024-11-22-12:10:07
000130834 980__ $$aARTICLE