ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2018
Impact of total laboratory automation on workflow and specimen processing time for culture of urine specimens.
Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Impact of Total Laboratory Automation on Urine Culture Turnaround Time: A Comparative Study Between Manual Workflow and WASPLab™.Diagnostics (Basel, Switzerland) · 2026Article
- Total Laboratory Automation for Microbiology Activities: An HTA Analysis in an Italian Laboratory Setting.ClinicoEconomics and outcomes research : CEOR · 2026Article
- Deep Learning-Based Rapid Identification ofRisk management and healthcare policy · 2026Article
- Development and evaluation of a direct disk diffusion, rapid antimicrobial susceptibility testing method from blood culture positive for Gram-negative bacilli using rapid molecular testing and microbiology laboratory automation.Microbiology spectrum · 2025Article
- Modelling the implementation of narrow versus broader spectrum antibiotics in the empiric treatment of E. coli bacteraemia.Scientific reports · 2024Article
- The Impact of Laboratory Automation on the Time to Urine Microbiological Results: A Five-Year Retrospective Study.Diagnostics (Basel, Switzerland) · 2024Article
- Conversion of a classical microbiology laboratory to a total automation laboratory enhanced by the application of lean principles.Microbiology spectrum · 2024Article
- Laboratory automation, informatics, and artificial intelligence: current and future perspectives in clinical microbiology.Frontiers in cellular and infection microbiology · 2023Article
- Stop Waiting for Tomorrow: Disk Diffusion Performed on Early Growth Is an Accurate Method for Antimicrobial Susceptibility Testing with Reduced Turnaround Time.Journal of clinical microbiology · 2022Article
- Laboratory Automation in the Microbiology Laboratory: an Ongoing Journey, Not a Tale?Journal of clinical microbiology · 2021Article
- Benefits Derived from Full Laboratory Automation in Microbiology: a Tale of Four Laboratories.Journal of clinical microbiology · 2021Article
- Total Laboratory Automation and Three Shifts Reduce Turnaround Time of Cerebrospinal Fluid Culture Results in the Chinese Clinical Microbiology Laboratory.Frontiers in cellular and infection microbiology · 2021Article
- Consolidation of Clinical Microbiology Laboratories and Introduction of Transformative Technologies.Clinical microbiology reviews · 2020Review
- Impact of Total Laboratory Automation on Turnaround Times for Urine Cultures and Screening Specimens for MRSA, ESBL, and VRE Carriage: Retrospective Comparison With Manual Workflow.Frontiers in cellular and infection microbiology · 2020Article
- Reducing the time between inoculation and first-read of urine cultures using total lab automation significantly reduces turn-around-time of positive culture results with minimal loss of first-read sensitivity.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019Article
- Laboratory Automation in Clinical Microbiology.Bioengineering (Basel, Switzerland) · 2018Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total laboratory automation (TLA) has the potential to reduce specimen processing time, improve standardization of cultures, and decrease turnaround time (TAT). The objective of this study was to perform a detailed interrogation of the impact of TLA implementation in all aspects of the workflow for routine culture of urine specimens. Using a detailed motion capture study, the time required for major steps of processing and result reporting were prospectively assessed for urine samples prior to (n = 215) and after (n = 203) implementation of the BD Kiestra TLA system. Specimens were plated on all shifts, but cultures were read only during the day shift for both time periods. Significant increases were noted in the time from receipt to inoculation (23.0 min versus 32.0 min, p < 0.001) and total processing time (28.0 min versus 66.0 min, p < 0.0001) for urine specimens post-TLA. Rates of positive (18.6% versus 16.3%) and negative (71.2% versus 79.3%) urine cultures remained stable through the pre- and post-TLA time periods (p = 0.58). There were no changes in TAT for organism identification or susceptibility results. The time to final report was decreased from 43.8 h pre-TLA to 42.0 h post-TLA, which was attributed to significant decreases in TAT for negative cultures (42.0 h versus 37.5 h, p = 0.01). These findings demonstrate that changes in laboratory workflow are necessary to maximize efficiency of TLA and optimize TAT.
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