{"id":"https://openalex.org/W4390954817","doi":"https://doi.org/10.1128/spectrum.02153-23","title":"Conversion of a classical microbiology laboratory to a total automation laboratory enhanced by the application of lean principles","display_name":"Conversion of a classical microbiology laboratory to a total automation laboratory enhanced by the application of lean principles","publication_year":2024,"publication_date":"2024-01-17","ids":{"openalex":"https://openalex.org/W4390954817","doi":"https://doi.org/10.1128/spectrum.02153-23","pmid":"https://pubmed.ncbi.nlm.nih.gov/38230933","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10846136"},"language":"en","primary_location":{"id":"doi:10.1128/spectrum.02153-23","doi":"https://doi.org/10.1128/spectrum.02153-23","is_oa":true,"landing_page_url":"https://doi.org/10.1128/spectrum.02153-23","pdf_url":null,"source":{"id":"https://openalex.org/S2764766708","display_name":"Microbiology Spectrum","issn_l":"2165-0497","issn":["2165-0497"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320263","host_organization_name":"American Society for Microbiology","host_organization_lineage":["https://openalex.org/P4310320263"],"host_organization_lineage_names":["American Society for Microbiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Microbiology Spectrum","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1128/spectrum.02153-23","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072696177","display_name":"Gra\u00e7a Trigueiro","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405253902","display_name":"Joaquim Chaves Sa\u00fade (Portugal)","ror":"https://ror.org/016p93117","country_code":"PT","type":"company","lineage":["https://openalex.org/I4405253902"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Gra\u00e7a Trigueiro","raw_affiliation_strings":["Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal","institution_ids":["https://openalex.org/I4405253902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042199605","display_name":"Carlos Alberto Pereira de Oliveira","orcid":"https://orcid.org/0000-0003-0752-8724","observed_orcids":["https://orcid.org/0000-0003-0752-8724"]},"institutions":[{"id":"https://openalex.org/I4405253902","display_name":"Joaquim Chaves Sa\u00fade (Portugal)","ror":"https://ror.org/016p93117","country_code":"PT","type":"company","lineage":["https://openalex.org/I4405253902"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Carlos Oliveira","raw_affiliation_strings":["Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal","institution_ids":["https://openalex.org/I4405253902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101293161","display_name":"Alexandra Rodrigues","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405253902","display_name":"Joaquim Chaves Sa\u00fade (Portugal)","ror":"https://ror.org/016p93117","country_code":"PT","type":"company","lineage":["https://openalex.org/I4405253902"]}],"countries":["PT"],"is_corresponding":true,"raw_author_name":"Alexandra Rodrigues","raw_affiliation_strings":["Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal","institution_ids":["https://openalex.org/I4405253902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040096082","display_name":"Sofia G. Seabra","orcid":"https://orcid.org/0000-0003-1413-2349","observed_orcids":["https://orcid.org/0000-0003-1413-2349"]},"institutions":[{"id":"https://openalex.org/I4405253902","display_name":"Joaquim Chaves Sa\u00fade (Portugal)","ror":"https://ror.org/016p93117","country_code":"PT","type":"company","lineage":["https://openalex.org/I4405253902"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Sofia Seabra","raw_affiliation_strings":["Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal","institution_ids":["https://openalex.org/I4405253902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054797240","display_name":"Rui M. A. Pinto","orcid":"https://orcid.org/0000-0002-1667-7871","observed_orcids":["https://orcid.org/0000-0002-1667-7871"]},"institutions":[{"id":"https://openalex.org/I4405253902","display_name":"Joaquim Chaves Sa\u00fade (Portugal)","ror":"https://ror.org/016p93117","country_code":"PT","type":"company","lineage":["https://openalex.org/I4405253902"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Rui Pinto","raw_affiliation_strings":["Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal","institution_ids":["https://openalex.org/I4405253902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000383436","display_name":"Yohann Bala","orcid":"https://orcid.org/0009-0002-6265-8484","observed_orcids":["https://orcid.org/0009-0002-6265-8484"]},"institutions":[{"id":"https://openalex.org/I4210139047","display_name":"bioM\u00e9rieux (France)","ror":"https://ror.org/03hf69k85","country_code":"FR","type":"company","lineage":["https://openalex.org/I1284886586","https://openalex.org/I4210139047"]}],"countries":["FR"],"is_corresponding":true,"raw_author_name":"Yohann Bala","raw_affiliation_strings":["Global Medical Affairs, bioM\u00e9rieux, Marcy L\u2019Etoile, France"],"raw_orcid":"https://orcid.org/0009-0002-6265-8484","affiliations":[{"raw_affiliation_string":"Global Medical Affairs, bioM\u00e9rieux, Marcy L\u2019Etoile, France","institution_ids":["https://openalex.org/I4210139047"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093732377","display_name":"Monica Guti\u00e9rrez Granado","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Monica Guti\u00e9rrez Granado","raw_affiliation_strings":["Lab Consultancy, bioM\u00e9rieux, bioM\u00e9rieux SA, Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lab Consultancy, bioM\u00e9rieux, bioM\u00e9rieux SA, Madrid, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113098186","display_name":"Sandra Vallejo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sandra Vallejo","raw_affiliation_strings":["Lab Consultancy, bioM\u00e9rieux, bioM\u00e9rieux SA, Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lab Consultancy, bioM\u00e9rieux, bioM\u00e9rieux SA, Lisbon, Portugal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029650965","display_name":"Victoria Gonz\u00e1lez","orcid":"https://orcid.org/0000-0003-3787-0272","observed_orcids":["https://orcid.org/0000-0003-3787-0272"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Victoria Gonzalez","raw_affiliation_strings":["Lab Consultancy, bioM\u00e9rieux, bioM\u00e9rieux SA, Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lab Consultancy, bioM\u00e9rieux, bioM\u00e9rieux SA, Madrid, Spain","institution_ids":[]}]},{"author_position":"last","author":{"id":null,"display_name":"Carlos Cardoso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405253902","display_name":"Joaquim Chaves Sa\u00fade (Portugal)","ror":"https://ror.org/016p93117","country_code":"PT","type":"company","lineage":["https://openalex.org/I4405253902"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Carlos Cardoso","raw_affiliation_strings":["Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Microbiology, Dr. Joaquim Chaves Clinical Analysis Laboratory, Lisbon, Portugal","institution_ids":["https://openalex.org/I4405253902"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5000383436","https://openalex.org/A5101293161"],"corresponding_institution_ids":["https://openalex.org/I4210139047","https://openalex.org/I4405253902"],"apc_list":{"value":2500,"currency":"USD","value_usd":2500},"apc_paid":{"value":2500,"currency":"USD","value_usd":2500},"fwci":11.9914,"has_fulltext":true,"cited_by_count":22,"citation_normalized_percentile":{"value":0.99112645,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"12","issue":"2","first_page":"e0215323","last_page":"e0215323"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11314","display_name":"Clinical Laboratory Practices and Quality Control","score":0.9779999852180481,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11314","display_name":"Clinical Laboratory Practices and Quality Control","score":0.9779999852180481,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.006800000090152025,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12167","display_name":"Bacterial Identification and Susceptibility Testing","score":0.005400000140070915,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/laboratory-automation","display_name":"laboratory automation","score":0.925000011920929},{"id":"https://openalex.org/keywords/lean-manufacturing","display_name":"lean manufacturing","score":0.9430000185966492},{"id":"https://openalex.org/keywords/sample-turnaround-time","display_name":"sample turnaround time","score":0.8569999933242798},{"id":"https://openalex.org/keywords/laboratory-productivity","display_name":"laboratory productivity","score":0.9190000295639038},{"id":"https://openalex.org/keywords/clinical-microbiology-laboratory","display_name":"clinical microbiology laboratory","score":0.8560000061988831},{"id":"https://openalex.org/keywords/vitek-ms","display_name":"VITEK MS","score":0.9459999799728394},{"id":"https://openalex.org/keywords/workflow-optimization","display_name":"workflow optimization","score":0.871999979019165},{"id":"https://openalex.org/keywords/layoffs","display_name":"layoffs","score":0.36800000071525574},{"id":"https://openalex.org/keywords/vaginal-swabs","display_name":"vaginal swabs","score":0.7139999866485596},{"id":"https://openalex.org/keywords/urine-samples","display_name":"urine samples","score":0.9779999852180481},{"id":"https://openalex.org/keywords/antibiotic-stewardship","display_name":"antibiotic stewardship","score":0.7369999885559082},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.515999972820282},{"id":"https://openalex.org/keywords/infection-control","display_name":"infection control","score":0.4230000078678131}],"concepts":[{"id":"https://openalex.org/C204983608","wikidata":"https://www.wikidata.org/wiki/Q2111958","display_name":"Productivity","level":2,"score":0.6842254996299744},{"id":"https://openalex.org/C85135244","wikidata":"https://www.wikidata.org/wiki/Q1799487","display_name":"Laboratory automation","level":3,"score":0.6201088428497314},{"id":"https://openalex.org/C176553487","wikidata":"https://www.wikidata.org/wiki/Q7855819","display_name":"Turnaround time","level":2,"score":0.5842061042785645},{"id":"https://openalex.org/C119060515","wikidata":"https://www.wikidata.org/wiki/Q1916617","display_name":"Interquartile range","level":2,"score":0.5394734740257263},{"id":"https://openalex.org/C115901376","wikidata":"https://www.wikidata.org/wiki/Q184199","display_name":"Automation","level":2,"score":0.4790114760398865},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.47258150577545166},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4307405352592468},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.40127164125442505},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2565397620201111},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.24914613366127014},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.23735439777374268},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0885840654373169},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007753","descriptor_name":"Laboratories","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057205","descriptor_name":"Automation, Laboratory","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1128/spectrum.02153-23","doi":"https://doi.org/10.1128/spectrum.02153-23","is_oa":true,"landing_page_url":"https://doi.org/10.1128/spectrum.02153-23","pdf_url":null,"source":{"id":"https://openalex.org/S2764766708","display_name":"Microbiology Spectrum","issn_l":"2165-0497","issn":["2165-0497"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320263","host_organization_name":"American Society for Microbiology","host_organization_lineage":["https://openalex.org/P4310320263"],"host_organization_lineage_names":["American Society for Microbiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Microbiology Spectrum","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10846136","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10846136","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10846136/pdf/spectrum.02153-23.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Microbiol Spectr","raw_type":"Text"},{"id":"pmid:38230933","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38230933","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Microbiology spectrum","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:1b8964d099104fe7bf1bd9dbcd2aa802","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/1b8964d099104fe7bf1bd9dbcd2aa802","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Microbiology Spectrum, Vol 12, Iss 2 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1128/spectrum.02153-23","doi":"https://doi.org/10.1128/spectrum.02153-23","is_oa":true,"landing_page_url":"https://doi.org/10.1128/spectrum.02153-23","pdf_url":null,"source":{"id":"https://openalex.org/S2764766708","display_name":"Microbiology Spectrum","issn_l":"2165-0497","issn":["2165-0497"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320263","host_organization_name":"American Society for Microbiology","host_organization_lineage":["https://openalex.org/P4310320263"],"host_organization_lineage_names":["American Society for Microbiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Microbiology Spectrum","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.504800021648407,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4390954817.pdf","grobid_xml":"https://content.openalex.org/works/W4390954817.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1561868588","https://openalex.org/W1974186786","https://openalex.org/W1978229308","https://openalex.org/W2019442104","https://openalex.org/W2025492636","https://openalex.org/W2105182834","https://openalex.org/W2121905369","https://openalex.org/W2138528895","https://openalex.org/W2162169415","https://openalex.org/W2206936813","https://openalex.org/W2284309925","https://openalex.org/W2463477534","https://openalex.org/W2601990403","https://openalex.org/W2767280246","https://openalex.org/W2782112308","https://openalex.org/W2811459100","https://openalex.org/W2892714056","https://openalex.org/W2901159408","https://openalex.org/W2903438096","https://openalex.org/W2916844577","https://openalex.org/W2944183611","https://openalex.org/W2966089023","https://openalex.org/W2985650448","https://openalex.org/W3000278843","https://openalex.org/W3015003897","https://openalex.org/W3094453413","https://openalex.org/W3097432128","https://openalex.org/W3109871469","https://openalex.org/W4200227750","https://openalex.org/W4206105503","https://openalex.org/W4210723411","https://openalex.org/W4243167129","https://openalex.org/W4281676942","https://openalex.org/W4282978918","https://openalex.org/W4297964564"],"related_works":["https://openalex.org/W3093684382","https://openalex.org/W2902636238","https://openalex.org/W4382941163","https://openalex.org/W4200227750","https://openalex.org/W3009766898","https://openalex.org/W4400212912","https://openalex.org/W2515827706","https://openalex.org/W7128297814","https://openalex.org/W7130398194","https://openalex.org/W4390273007"],"abstract_inverted_index":{"Laboratory":[0,48,151],"automation":[1,38,49,237,263,279,350],"in":[2,52,69,158,293],"microbiology":[3,299],"improves":[4],"productivity":[5,45,94,118,125,225,240,284],"and":[6,39,46,55,62,71,85,167,180,190,202,214,226,241,280,309],"reduces":[7],"sample":[8,162],"turnaround":[9],"times":[10],"(TATs).":[11],"However,":[12],"its":[13],"full":[14],"potential":[15,253],"can":[16],"be":[17],"unlocked":[18,251],"through":[19],"the":[20,33,58,75,77,104,111,135,209,231,244,252,275,278,287,294,311,319,325,340,343],"optimization":[21],"of":[22,36,57,60,95,204,212,247,254,277,290,296,303,313,327,329,338,342,345],"workflows":[23],"by":[24,230,318],"adopting":[25],"lean":[26,248,265],"principles.":[27],"This":[28],"study":[29],"aimed":[30],"to":[31,108,114,120,128,146,155,185,220,267,283,306,335],"explore":[32],"relative":[34],"impact":[35],"laboratory":[37,78,102,136,223,255,262,271,300,330,349],"continuous":[40],"improvement":[41,119,157],"events":[42],"(CIEs)":[43],"on":[44,83],"TATs.":[47],"took":[50],"place":[51],"November":[53],"2020":[54],"consisted":[56],"introduction":[59],"WASPLab":[61],"VITEK":[63],"MS":[64],"systems.":[65],"CIEs":[66],"were":[67],"run":[68],"May":[70],"September":[72],"2021.":[73],"Before":[74],"conversion,":[76],"processed":[79],"about":[80],"~492":[81],"samples":[82],"weekdays":[84],"had":[86],"10":[87],"full-time":[88],"equivalent":[89],"(FTE)":[90],"staff":[91],"for":[92,117,160,200],"a":[93,143,297],"49":[96],"samples/FTE/day.":[97,122],"In":[98,235],"March":[99],"2021,":[100],"after":[101,233],"automation,":[103],"caseload":[105,144],"went":[106,126],"up":[107,127],"~621":[109],"while":[110,208,243],"FTEs":[112],"decreased":[113,172],"8.5,":[115],"accounting":[116],"73":[121],"The":[123,222],"hypothetical":[124],"110":[129],"samples/FTE/day":[130],"following":[131],"CIEs,":[132],"meaning":[133],"that":[134,139,269],"could":[137],"at":[138],"point":[140,326],"deal":[141],"with":[142,148,264],"increase":[145],"~935":[147],"unchanged":[149],"FTEs.":[150],"conversion":[152],"also":[153],"led":[154],"an":[156,352],"TATs":[159,171],"all":[161],"types.":[163],"For":[164],"vaginal":[165],"swabs":[166],"urine":[168],"samples,":[169],"median":[170],"from":[173,324],"70.3":[174],"h":[175,182,187,192],"[interquartile":[176],"range":[177],"(IQR):":[178],"63.5-93.1]":[179],"73.7":[181],"(IQR:":[183,188,193],"35.6-50.7)":[184],"48.2":[186],"44.8-67.7)":[189],"40.0":[191],"35.6-50.7),":[194],"respectively.":[195],"Automation":[196],"alone":[197],"was":[198,217],"responsible":[199],"37.2%":[201],"75.8%":[203],"TAT":[205,227],"reduction,":[206],"respectively,":[207,216],"remaining":[210],"reduction":[211],"62.8%":[213],"24.2%,":[215],"achieved":[218],"due":[219],"CIEs.":[221,234],"reached":[224],"goals":[228],"predefined":[229],"management":[232,249,266],"conclusion,":[236],"substantially":[238,281],"improved":[239],"TATs,":[242],"subsequent":[245],"implementation":[246,312],"further":[250],"automation.IMPORTANCEIn":[256],"this":[257],"study,":[258],"we":[259],"combined":[260],"total":[261,348],"show":[268],"appropriate":[270],"work":[272],"organization":[273],"enhanced":[274],"benefit":[276],"contributed":[282],"improvements.":[285],"Globally,":[286],"rapid":[288],"availability":[289],"accurate":[291],"results":[292],"setting":[295],"clinical":[298],"is":[301,333,351],"part":[302],"patient-centered":[304],"approaches":[305],"treat":[307],"infections":[308],"helps":[310],"antibiotic":[314],"stewardship":[315],"programs":[316],"backed":[317],"World":[320],"Health":[321],"Organization.":[322],"Locally,":[323],"view":[328],"management,":[331],"it":[332],"important":[334],"find":[336],"ways":[337],"maximizing":[339],"benefits":[341],"use":[344],"technology,":[346],"as":[347],"expensive":[353],"investment.":[354]},"counts_by_year":[{"year":2026,"cited_by_count":11},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2024-01-18T00:00:00"}
