The impact of information technology on performance, quality and financial indicators in a medium-sized clinical laboratory / O impacto da tecnologia da informação sobre os indicadores de desempenho, qualidade e economicos de um laboratorio clinico de medio porte

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

The present study was performed at the Laboratory of Unimed Hospital in Sorocaba (LUS) with the objective to evaluate the applicability and benefits of the Information Technology (IT), in technical and financial-administrative management, through indicators of performance (production, productivity and recollection), quality (satisfaction research of patients and medical) and economical (costs). With the introduction of the Laboratory Information System (LIS), developed in 2000 in the institution successive laboratory processes were improved and / or automated along the time. The used data understood the period between the years of 1.996 and 2.008, being that the results were of: growth of 589 % in the production and of 141 % in the tests requests. In the same period, human resources increased in 112%, with more need of expansion in the collection sector. The indicators of general productivity demonstrated a significant growth. The patient satisfaction with LUS had a performance of 88% in 2007 and 82% in 2008, where this unfavorable trend can be justified by the limited infrastructure in the areas when the care of the patient happens (reception and collection sectors). The satisfaction rate of the clinical staff that concerns laboratory services was 98% and the clinical suggestions were reversed in services improvement. The costs where analyzed between 2004 and 2008, being the laboratory responsible for 10% of the overall cost of the institution. There was a significant variation in the total costs of LUS which is due to the production growth, the cost of laboratory inputs, maintenance of the payments units for tests performed and a consequent discrepancy between expenditure and income. In the 2007/2008 period there was an increased of 17% in the production, with a significant economy of 13,5%, that suggests dilution of fixed costs. We can conclude that IT contributed with the development of LUS and the progress of analytical and management quality. We can conclude that IT contributed with the development of LUS and the progress of analytical and management quality. Through a critical analysis of the indicators has been found that the significant increase of production and productivity did not require proportional adequacy of the infrastructure. Finally it is noticed that the intellectual and manual efforts of the team, as well as the multidisciplinal integration, are essential for the result of the application of IT in the clinical laboratory

ASSUNTO(S)

laboratorio clinico indicadores gestão de qualidade quality management indicators information technology clinical laboratory tecnologia da informação

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