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Design and implementation of a clinical laboratory information system in a low-resource setting

BACKGROUND: Reducing laboratory errors presents a significant opportunity for both cost reduction and healthcare quality improvement. This is particularly true in low-resource settings where laboratory errors are further exacerbated by poor infrastructure and shortages in a trained workforce. Inform...

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Autores principales: Mtonga, Timothy M., Choonara, Faheema E., Espino, Jeremy U., Kachaje, Chimwemwe, Kapundi, Kenneth, Mengezi, Takondwa E., Mumba, Soyapi L., Douglas, Gerald P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852617/
https://www.ncbi.nlm.nih.gov/pubmed/31745456
http://dx.doi.org/10.4102/ajlm.v8i1.841
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author Mtonga, Timothy M.
Choonara, Faheema E.
Espino, Jeremy U.
Kachaje, Chimwemwe
Kapundi, Kenneth
Mengezi, Takondwa E.
Mumba, Soyapi L.
Douglas, Gerald P.
author_facet Mtonga, Timothy M.
Choonara, Faheema E.
Espino, Jeremy U.
Kachaje, Chimwemwe
Kapundi, Kenneth
Mengezi, Takondwa E.
Mumba, Soyapi L.
Douglas, Gerald P.
author_sort Mtonga, Timothy M.
collection PubMed
description BACKGROUND: Reducing laboratory errors presents a significant opportunity for both cost reduction and healthcare quality improvement. This is particularly true in low-resource settings where laboratory errors are further exacerbated by poor infrastructure and shortages in a trained workforce. Informatics interventions can be used to address some of the sources of laboratory errors. OBJECTIVES: This article describes the development process for a clinical laboratory information system (LIS) that leverages informatics interventions to address problems in the laboratory testing process at a hospital in a low-resource setting. METHODS: We designed interventions using informatics methods for previously identified problems in the laboratory testing process at a clinical laboratory in a low-resource setting. First, we reviewed a pre-existing LIS functionality assessment toolkit and consulted with laboratory personnel. This provided requirements that were developed into a LIS with interventions designed to address the problems that had been identified. We piloted the LIS at the Kamuzu Central Hospital in Lilongwe, Malawi. RESULTS: We implemented a series of informatics interventions in the form of a LIS to address sources of laboratory errors and support the entire laboratory testing process. Custom hardware was built to support the ordering of laboratory tests and review of laboratory test results. CONCLUSION: Our experience highlights the potential of using informatics interventions to address systemic problems in the laboratory testing process in low-resource settings. Implementing these interventions may require innovation of new hardware to address various contextual issues. We strongly encourage thorough testing of such innovations to reduce the risk of failure when implemented.
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spelling pubmed-68526172019-11-19 Design and implementation of a clinical laboratory information system in a low-resource setting Mtonga, Timothy M. Choonara, Faheema E. Espino, Jeremy U. Kachaje, Chimwemwe Kapundi, Kenneth Mengezi, Takondwa E. Mumba, Soyapi L. Douglas, Gerald P. Afr J Lab Med Lessons from the Field BACKGROUND: Reducing laboratory errors presents a significant opportunity for both cost reduction and healthcare quality improvement. This is particularly true in low-resource settings where laboratory errors are further exacerbated by poor infrastructure and shortages in a trained workforce. Informatics interventions can be used to address some of the sources of laboratory errors. OBJECTIVES: This article describes the development process for a clinical laboratory information system (LIS) that leverages informatics interventions to address problems in the laboratory testing process at a hospital in a low-resource setting. METHODS: We designed interventions using informatics methods for previously identified problems in the laboratory testing process at a clinical laboratory in a low-resource setting. First, we reviewed a pre-existing LIS functionality assessment toolkit and consulted with laboratory personnel. This provided requirements that were developed into a LIS with interventions designed to address the problems that had been identified. We piloted the LIS at the Kamuzu Central Hospital in Lilongwe, Malawi. RESULTS: We implemented a series of informatics interventions in the form of a LIS to address sources of laboratory errors and support the entire laboratory testing process. Custom hardware was built to support the ordering of laboratory tests and review of laboratory test results. CONCLUSION: Our experience highlights the potential of using informatics interventions to address systemic problems in the laboratory testing process in low-resource settings. Implementing these interventions may require innovation of new hardware to address various contextual issues. We strongly encourage thorough testing of such innovations to reduce the risk of failure when implemented. AOSIS 2019-10-28 /pmc/articles/PMC6852617/ /pubmed/31745456 http://dx.doi.org/10.4102/ajlm.v8i1.841 Text en © 2019. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Lessons from the Field
Mtonga, Timothy M.
Choonara, Faheema E.
Espino, Jeremy U.
Kachaje, Chimwemwe
Kapundi, Kenneth
Mengezi, Takondwa E.
Mumba, Soyapi L.
Douglas, Gerald P.
Design and implementation of a clinical laboratory information system in a low-resource setting
title Design and implementation of a clinical laboratory information system in a low-resource setting
title_full Design and implementation of a clinical laboratory information system in a low-resource setting
title_fullStr Design and implementation of a clinical laboratory information system in a low-resource setting
title_full_unstemmed Design and implementation of a clinical laboratory information system in a low-resource setting
title_short Design and implementation of a clinical laboratory information system in a low-resource setting
title_sort design and implementation of a clinical laboratory information system in a low-resource setting
topic Lessons from the Field
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852617/
https://www.ncbi.nlm.nih.gov/pubmed/31745456
http://dx.doi.org/10.4102/ajlm.v8i1.841
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