Challenges and Opportunities in Implementing Total Laboratory Automation.

Abstract

In total laboratory automation (TLA)10, preanalytic, analytic, and postanalytic phases of laboratory testing may be combined into an integrated system such that specimens are processed, tested, and even stored with minimal user intervention. Given the pressures of an ongoing workforce shortage of laboratory professionals, laboratory automation offers an attractive, albeit expensive, solution that laboratories are increasingly considering in planning for future growth and work flow requirements. In an ideal system, TLA handles routine, repetitive steps—leveraging the quality and efficiency obtainable in the manufacturing industry and freeing operators to focus on specialized testing that benefits from their unique training and expertise. A variety of laboratory automation solutions have been available globally for decades, with technologies that have advanced based on engineering innovation and practical trial and error. To address the difficulties and benefits involved in implementing and sustaining TLA in a clinical laboratory setting, we invited a group of 5 experts to share their perspectives on laboratory automation and provide real-world advice based on their experiences with TLA at their respective facilities. In what ways has automation impacted your clinical laboratory? Giuseppe Lippi: Automation has completely revolutionized the organization of my laboratory. The main advantages that we have observed are improved standardization, more simplified and efficient approaches for managing work flow, improvement in the performance of complex tests, better high-volume test management, shorter turnaround time (TAT) by elimination of some manually intensive preanalytical steps, provision of valuable walk-away time, and reduction of personnel costs (i.e., laboratory technicians and subsidiary staff), along with notable reductions in errors and biological risks attributable to manual handling of specimens. Another important advantage is represented by more efficient management of reruns and reflex testing, which can now be performed automatically with little user action needed. Carey-Ann Burnham: Historically, the clinical microbiology laboratory has lagged …