Abstract
One of the major principles in healthcare is patient safety. Any intervention in healthcare should be safe, regardless of its benefits. The implementation of laboratory information system (LIS) has a multidimensional effect on the healthcare system. LIS plays a role in medical informatics, consumer informatic and translational bioinformatics. Nevertheless, implementation of LIS impacts patient safety in many different aspects. The aim of this paper is to investigate how patient safety can be improved by laboratory information system. The author conducted this review by searching PubMed, Google Scholar, and the World Wide Web (reports, blogs, news) for articles published in English on the following keywords were searched: laboratory information system, patient safety, and quality. We found that there is a broad framework of dimensions to evaluate LIS. The framework is based on two concepts: brain-to-brain loop process, and HOT-fit dimensions. The brain-to-brain loop process can be divided into five phases: 1) pre-test, 2) pre-analytic, 3) analytic, 4) post-analytic and 5) post-test phases. In each phase, LIS provides functions to facilitate performing different tasks. In the HOT-fit model, there are three broad dimensions that need to be analyzed and considered in LIS. These are: 1) Human dimension, 2) Organizational dimensions, and 3) Technology dimensions. LIS plays a critical role in patient safety in the components of this framework. We concluded that Implementation of LIS has certainly a multidimensional impact on patient safety in different aspects on informatics. This includes LIS roles in three field of health informatics: medical informatics, consumer informatics and translational bioinformatics. LIS can integrate these fields to provide safer healthcare.
Highlights
In March 2018, based on aggregated data of approximately 5000 healthcare providers in the US, the Emergency Care Research Institute (ECRI) reported the top 10 patient safety concerns
One alternative solution is the proper implementation of laboratory information system (LIS) with laboratory automation [4]
The aim of this paper is to investigate how patient safety can be improved by laboratory information system
Summary
In March 2018, based on aggregated data of approximately 5000 healthcare providers in the US, the Emergency Care Research Institute (ECRI) reported the top 10 patient safety concerns. The first concern of patient safety was diagnostic errors [1]. Laboratory managers need to effectively implement methods and tools to reduce diagnostic errors. Laboratory managers are expected to reduce operational cost. The “protecting access to Medicare act (PAMA)” of 2014 mandated cost reduction in healthcare, especially laboratory cost, nursing care and few other special medical services. The act puts constraints on lab managers. In spite of the need to improve quality and safety, laboratories need to reduce human resource cost. One alternative solution is the proper implementation of laboratory information system (LIS) with laboratory automation [4]
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