Cited 5 times in
Economic Evaluation of Total Laboratory Automation in the Clinical Laboratory of a Tertiary Care Hospital
DC Field | Value | Language |
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dc.contributor.author | 김태현 | - |
dc.contributor.author | 이상국 | - |
dc.contributor.author | 이상규 | - |
dc.date.accessioned | 2022-03-11T05:58:10Z | - |
dc.date.available | 2022-03-11T05:58:10Z | - |
dc.date.issued | 2022-01 | - |
dc.identifier.issn | 2234-3806 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/187885 | - |
dc.description.abstract | Background: Total laboratory automation (TLA) is an innovation in laboratory technology; however, the high up-front costs restrict its widespread adoption. To examine whether the capital investment for TLA is worthwhile, we analyzed its clinical- and cost-effectiveness for the expected payback period. Methods: Clinical chemistry tests and immunoassays performed in the clinical laboratory of a tertiary care hospital were divided into a post-TLA group, including 1,182,419 tests performed during December 2019, and a pre-TLA group, including 1,151,501 tests performed during December 2018. Laboratory information system data were used to measure clinical effectiveness, and depreciation data were used to calculate TLA costs. Results: Laboratory performance improved after TLA adoption in all four key performance indicators: mean turn-around time (TAT), representing the timeliness of result reporting, decreased by 6.1%; the 99th percentile of TAT, representing the outlier rate, decreased by 13.3%; the TAT CV, representing predictability, decreased by 70.0%; and weighted tube touch moment (wTTM), representing staff safety, improved by 77.6%. Based on these effectiveness results, economic evaluation was performed using two approaches. First, the incremental cost-effectiveness ratio and wTTM were used as the most cost-effective performance indicators. Second, the expected payback period was calculated. Considering only staff cost reduction, it was anticipated that 4.75 yrs would be needed to payback the initial investment. Conclusions: TLA can significantly enhance laboratory performance, has a relatively quick payback period, and can reduce total hospital expenses in the long term. Therefore, the capital investment for TLA adoption is considered to be worthwhile. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Society for Laboratory Medicine | - |
dc.relation.isPartOf | ANNALS OF LABORATORY MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Economic Evaluation of Total Laboratory Automation in the Clinical Laboratory of a Tertiary Care Hospital | - |
dc.type | Article | - |
dc.contributor.college | Graduate School of Public Health (보건대학원) | - |
dc.contributor.department | Graduate School of Public Health (보건대학원) | - |
dc.contributor.googleauthor | KyungYi Kim | - |
dc.contributor.googleauthor | Sang-Guk Lee | - |
dc.contributor.googleauthor | Tae Hyun Kim | - |
dc.contributor.googleauthor | Sang Gyu Lee | - |
dc.identifier.doi | 10.3343/alm.2022.42.1.89 | - |
dc.contributor.localId | A01082 | - |
dc.contributor.localId | A02810 | - |
dc.contributor.localId | A02811 | - |
dc.relation.journalcode | J00164 | - |
dc.identifier.eissn | 2234-3814 | - |
dc.identifier.pmid | 34374353 | - |
dc.subject.keyword | Cost-effectiveness | - |
dc.subject.keyword | Economic evaluation | - |
dc.subject.keyword | Laboratory performance | - |
dc.subject.keyword | Total laboratory automation | - |
dc.subject.keyword | Turnaround time | - |
dc.contributor.alternativeName | Kim, Tae Hyun | - |
dc.contributor.affiliatedAuthor | 김태현 | - |
dc.contributor.affiliatedAuthor | 이상국 | - |
dc.contributor.affiliatedAuthor | 이상규 | - |
dc.citation.volume | 42 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 89 | - |
dc.citation.endPage | 95 | - |
dc.identifier.bibliographicCitation | ANNALS OF LABORATORY MEDICINE, Vol.42(1) : 89-95, 2022-01 | - |
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