Table 2: Key lessons learnt - tips and pitfalls.

 

 

What

Why

Design

plan early with consultants and architects

as inadequate consultancy results in issues that may be irreversible at late stages of building

 

set out key priorities

for adjacencies of services, layout implications

 

layout lock-in

enables focus on other areas e.g. procurement, financing issues

 

bring in vendor discussions early

as specifications, equipment footprints and floor loading are important in the provision of space and infrastructure

 

LIS infrastructure

is typically assumed to be without glitches but not always true

 

plan for future infrastructure needs

power, IT and water supplies are difficult to add on later

 

 

 

Workflow

workflow priorities

will decide the layout for services, equipment

 

efficient specimen delivery from point of collection to laboratory receipt to loading onto automation system and analysers

is key to reducing turnaround times

 

institute single CPOE from end-to-end and eliminate secondary specimen labelling

to make it a LEAN process for test ordering and requisition, specimen processing and analysis and result reporting

 

have key staff appointed  ‘champions’ or form committees and be involved from the onset with regards to  design, workflow and relocation logistics

augurs staff empowerment and positive mentality especially during gruelling relocation period and initial post-go-live weeks

 

 

 

Building and Relocation

onsite supervision

for on-the-spot changes  such as lab bench positions, getting power, water available for instrument testing

 

timely equipment delivery

to allow full testing

 

run mock trials

to enable situational tweaks

 

schedule parallel teams to work at both original and new sites on Relocation day

to ensure continuity of business/service

 

always have a Plan B

for unforeseen events eg. equipment failure