Shared resource laboratories: impact of new design criteria to consolidate flow cytometry diagnostic service

Summary Introduction:  The Shared Resource Laboratory (SRL) model recently described for research activities would also appear to be highly suitable for diagnostic services. Using modern SRL design criteria and benchmarks, the aim of our study was to verify whether the consolidation of a diagnostic...

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Bibliographic Details
Published in:International journal of laboratory hematology 2012-10, Vol.34 (5), p.533-540
Main Authors: MONTI, F., ROSETTI, M., MASPERI, P., TOMMASINI, N., DORIZZI, R. M.
Format: Article
Language:English
Subjects:
Benchmarking - economics
Benchmarking - standards
Benchmarking - statistics & numerical data
Blood Specimen Collection - economics
Blood Specimen Collection - standards
Blood Specimen Collection - statistics & numerical data
Clinical Laboratory Techniques - economics
Clinical Laboratory Techniques - standards
Clinical Laboratory Techniques - statistics & numerical data
consolidation
Cost-Benefit Analysis
design criteria
Diagnostic Services - economics
Diagnostic Services - standards
Diagnostic Services - statistics & numerical data
flow cytometry
Flow Cytometry - economics
Flow Cytometry - standards
Flow Cytometry - statistics & numerical data
Health Resources - economics
Health Resources - standards
Health Resources - statistics & numerical data
Humans
laboratory service
Medical Laboratory Personnel - economics
Medical Laboratory Personnel - standards
Medical Laboratory Personnel - statistics & numerical data
Reproducibility of Results
Shared resource laboratory
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Summary:Summary Introduction:  The Shared Resource Laboratory (SRL) model recently described for research activities would also appear to be highly suitable for diagnostic services. Using modern SRL design criteria and benchmarks, the aim of our study was to verify whether the consolidation of a diagnostic cytofluorimetric activity could improve the overall service. Methods:  Outcome indicators such as impact on analytical quality, clinical satisfaction, team work involvement, and economic performance were evaluated in the planning and setting up of a new central laboratory. Comparison with preconsolidation status allowed us to investigate possible indicators of improvement. Results:  A total of 30 140 cytofluorimetric analyses performed before and after consolidation at the Central Laboratory in Pievesestina in north‐central Italy were evaluated. The overall score of the clinical satisfaction questionnaire (range, between 1 and 5) increased from 4.3 to 4.9. Full‐time equivalent (FTE) operators were reduced from 9 to 4.5 and cytofluorimeters from 6 to 2; economic indicator analyses showed a 17.75% reduction in unitary test costs. Conclusions:  The adoption of new benchmarks and design criteria increased the quality of cytofluorimetric analysis, thus improving specialized diagnostic services and promoting the shared resource clinical laboratory.
ISSN:1751-5521
1751-553X
DOI:10.1111/j.1751-553X.2012.01431.x