Evaluation of a computerised clinical documentation system (CCDS) implementation in the transplant laboratory. (1st January 2013)

• Record Type: Journal Article
• Authors: Lai, Phi A.; Geier, Steven S.; Srinivasan, Shankar; Mital, Dinesh P.; Haque, Syed
• Is Part Of: International journal of medical engineering and informatics. Volume 5:Number 1(2013)
• Page Start: 31
• Page End: 45
• Publication Date: 2013-01-01
• Subjects: bioinformatics -- EHR -- Electronic Medical Record -- EMR -- computerised clinical documentation system -- CCDS -- transplant information systems -- TIS -- laboratory information system -- LIS -- database -- turn-around time -- TAT -- cost analysis; 610.2805
• Languages: English
• ISSNs: 1755-0653

Abstract

Although many handwritten reports have been replaced by computer generated ones in clinical laboratories, they still remain a common feature in many transplant laboratories for two main reasons: either the laboratory information system (LIS) does not support report formats, or it is costly to purchase a specialised database. A time and motion study was conducted to evaluate one such clinical database, the IG database. Before and after the implementation of our IG database, we evaluated the: 1 stationary cost reduction from paper, toner cartridge, and other auxiliaries 2 turn-around time from the laboratory information system (MediTech) 3 time reduction on analysing report using the electronic reports on three main testing areas; HLA typing, antibody screening, and cross-matching. Approximately $22, 035 is saved annually. The turn-around time (TAT) and time on analysing report (TAR) are statistically significant in all testing areas. The IG database demonstrated a significant reduction in cost, a decrease in turn-around time and time on analysing report, and an increase in overall efficiency.