Key Success Factors of Total Laboratory Automation and Their Impact on the Turnaround Time of Patient Results in Qatar

Authors

DOI:

https://doi.org/10.70301/

Keywords:

Laboratory Automation, Turnaround time, Laboratory Workflow, Pre-analytical, Specimen transportation

Abstract

The Qatar healthcare laboratories have considerable challenges with regard to effective realization of laboratory automation systems. The positivist philosophy and the quantitative, cross sectional research design used in the study examines the empirical associations of these variables.  The research design is the investigation of the key success factors (independent variables) total laboratory automation (mediation variable) and the effect on the turnaround time of patient results (dependent variable) in Qatar. Laboratories, which depend on large automation systems, are highly complex and there are high chances of failures in the system that can considerably discontinue the laboratory activities. The purpose of the study is to identify and analyze the impact of the main success factors on the laboratory performance and turnaround time related to providing patient results. A questionnaire was created to do this, and it was sent to the professionals of the laboratories using email and LinkedIn through Qualtrics. A 7-point Likert scale was used to obtain more than 400 answers in an attempt to obtain valid and reliable data to do further analysis.  The focus on EFA in order to recognize underlying factors. The structural model was affirmed by using Confirmatory Factor Analysis (CFA). Structural Research hypotheses and mediation effects were tested by Equation Modelling (SEM). Using Indirect effect, SEM, is the path relationships that are not direct subsidiary to P1 × P2 where P1 represents the path coefficient of the path from<|human|>Indirect effect, SEM, is the relationship paths that were not direct as subsidiaries of P1 × P2 where P1 is the path coefficient of the path between. The path coefficient of MV to DV, IV to MV and P2, were tested whether they were statistically significant. using the formula C ′ = P1 × P2 + P3. The findings revealed that there are substantial indirect effects (p < 0.05). of six of the six IVs which means that it was the IVs which affected the DV using the MV therefore endorsing partial mediation in five cases on main and case study sample.

References

Angeletti, e. a. (2015). Laboratory Automation and Intro-Laboratory Turnaround Time: Experience. University Hospital Campus Bio-Medico of Rome.

Archetti, C., Montanelli, A., Garrafa, E., Finazzi, D., & Caimi, L. (2017, April). Clinical Laboratory Automation: A Case Study. Journal of Public Health Research. 2017;6(1), 6(1), 31-36. doi:https://doi.org/10.4081/jphr.2017.881

Balis, U. J., & Pantanowitz, L. (2012, January). Specimen tracking and identification systems. Pathology informatics: theory and practice, 283-304. doi:https://www.researchgate.net/publication/281168473_Specimen_tracking_and_identification_systems

Bartlett, M. S. (1950). Tests of Significance in Factor Analysis. British Journal of Statistical Psychology, 3(2), 77–85.

Chin, W., Cheah, J. H., Liu, Y., Ting, H., Lim, X. J., & Cham, T. H. (2020). Demystifying the role of causal-predictive modeling using partial least squares structural equation modeling in information systems research. Industrial Management & Data Systems, 2161-2209.

Choi, A. (2012). Comprehensive Outlook on Global Laboratory Automation Market. AZoRobotics. doi:https://www.azorobotics.com/News.aspx?newsID=2416

Creswell, J. W., & Creswell, J. D. (2017). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Sage Publications.

Finstad, K. (2010). Response Interpolation and Scale Sensitivity: Evidence Against 5-Point Scales (Vol. 5). Not mentioned: Journal of User Experience. Retrieved from https://uxpajournal.org/response-interpolation-and-scale-sensitivity-evidence-against-5-point-scales/

Fornell, C. G., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39-50.

Genzen, J. R., Burnham, C.-A. D., Felder, R. A., Hawker, C. D., Lippi, G., & Palmer, O. M. (2018, February). Challenges and Opportunities in Implementing Total Laboratory Automation. Clinical Chemistry, 64(2), 259-264. doi:10.1373/clinchem.2017.274068

Gurevitch, D. (2004). Economic Justification of Laboratory Automation. Journal of Laboratory Automation, 9(1), 33-43. doi:10.1016/s1535-5535-03-00086-8

Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the academy of marketing science, 43, 115-135.

Hertzog, M. A. (2008). Considerations in determining sample size for pilot studies. Research in Nursing & Health, 31(2), 180-191.

Hinkin, T. R., Tracey, J. B., & Enz, C. A. (1997). Scale construction: Developing reliable and valid measurement instruments. Journal of Hospitality & Tourism Research, 21(1), 100-120.

Ialongo, C., Porzio, O., Giambini, I., & Bernardini, S. (2016). Total Automation for the Core Laboratory. Journal of Laboratory Automation, 21(3), 451–458. doi:10.1177/2211068215581488

Kaiser, H. F. (1974). An index of factorial simplicity. Psychometrika, 39(1), 31-36.

Kay, R. H., Ploetzeneder, H. D., & Gritter, R. J. (1975). Cost effectiveness of computerized laboratory automation. Proceedings of the IEEE, 63(10), 1495–1502. doi:10.1109/proc.1975.9979

Kim, K., Lee, S.-G., Kim, T. H., & Lee, S. G. (2022). Economic Evaluation of Total Laboratory Automation in the Clinical Laboratory of a Tertiary Care Hospital. Annals of Laboratory Medicine, 42(1), 89–95. doi:https://doi.org/10.3343/alm.2022.42.1.89

Lam, C. W., & Jacob, E. (2012). Implementing a Laboratory Automation System. Journal of Laboratory Automation, 17(1), 16–23. doi:https://doi.org/10.1177/2211068211430186

Le, N. T., Thwe Chit, M. M., Truong, T. L., Siritantikorn, A., Kongruttanachok, N., Asdornwised, W., . . . W., B. (2023). Deployment of Smart Specimen Transport System Using RFID and NB-IoT Technologies for Hospital Laboratory. Sensors. 23(1). doi:https://doi.org/10.3390/s23010546

Lippi, G., & Rin, G. D. (2019). Advantages and limitations of total laboratory automation: a personal overview. Clinical Chemistry and Laboratory Medicine (CCLM), 57(6), 802-811. doi:https://doi.org/10.1515/cclm-2018-1323

MacCallum, R. C., Widaman, K. F., Preacher, K. J., & Hong, S. (2001). Sample Size in Factor Analysis: The Role of Model Error. Multivariate Behavioral Research, 36(4), 611-637. doi:https://doi.org/10.1207/S15327906MBR3604_06

Markin, R. S., & Whalen, S. A. (2000). Laboratory Automation: Trajectory, Technology, and Tactics. Clinical Chemistry, 46(5), 764–771. doi:https://doi.org/10.1093/clinchem/46.5.764

Muriithi, W. (2020). Laboratory test tracking. Conduct Science. doi:https://conductscience.com/laboratory-test-tracking/

Nam, T. K., & Ying, L. (2020). Pre-analytical pitfalls: Missing and mislabeled specimens. Psnet.ahrq.gov. doi:https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens

Nelson, M. (1969). Automation in the laboratory . J. Clin. Path, 1-10. doi:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC473994/pdf/jclinpath00378-0007.pdf

Norgan, A. P., Simon, K. E., Feehan, B. A., Saari, L. L., Doppler, J. M., Welder, G. S., . . . Reichard, R. R. (2020). Radio-Frequency Identification Specimen Tracking to Improve Quality in Anatomic Pathology. Archives of Pathology & Laboratory Medicine, 144(2), 189–195. doi:https://doi.org/10.5858/arpa.2019-0011-oa

Pilkington, B. (2022). Why Do We Need Lab Automation? . AZoRobotics. doi:https://www.azorobotics.com/Article.aspx?ArticleID=542

Pollock, S. (2018). Benefits of Implementing a Specimen Tracking System (STS) in Anatomic Pathology. Anatomic Pathology. doi: Www.leicabiosystems.com. https://www.leicabiosystems.com/knowledge-pathway/benefits-of-implementing-a-specimen-tracking-system-sts-in-anatomic-pathology/

Rasanen, M. (2024). Specimen Tracking Systems: Tracking Samples Helps Reduce Misdiagnosis. Leicabiosystems.com; Leica Biosystems. doi:https://www.leicabiosystems.com/knowledge-pathway/specimen-tracking-systems-tracking-samples-helps-reduce-misdiagnosis

Rupp, N., Ries, R., Wienbruch, R., & Zuchner, T. (2023). Can I benefit from laboratory automation? A decision aid for the successful introduction of laboratory automation. Analytical and Bioanalytical Chemistry, 416(1), 5–19. doi:https://doi.org/10.1007/s00216-023-05038-2

Saunders, M., Lewis, P., & Thornhill, A. (2019). Research methods for business students. Pearson Education Limited.

Seaberg, R. S., Stallone, R. O., & Statland, B. E. (2000). The Role of Total Laboratory Automation in a Consolidated Laboratory Network. Clinical Chemistry, 46(5), 751–756. doi:https://doi.org/10.1093/clinchem/46.5.751

Uedufy. (2022, Jan 18). How To Interpret Model Fit Results In AMOS. Retrieved Jan 10, 2023, from Uedufy: https://uedufy.com/how-to-interpret-model-fit-results-in-amos/

Young, D. S. (2000). Laboratory Automation: Smart Strategies and Practical Applications. Clinical Chemistry, 46(5), 740–745. doi:https://doi.org/10.1093/clinchem/46.5.740

Yu, H.-Y. E., & Wilkerson, M. L. (2017). Employee Engagement Is Vital for the Successful Selection of a Total Laboratory Automation System. Laboratory Medicine, 48(4), e66–e74. doi:https://doi.org/10.1093/labmed/lmx030

Zachary, J., Tijerina, A., & Joligon, R. (2020). PMD20 Economic impact of specialized laboratory automation on the turnaround time (tat) mean and standard deviation. Value in Health, 23(S191). doi:10.1016/j.jval.2020.04.588

Zaninotto, M., & Plebani, M. (2010, May 12). The “hospital central laboratory”: automation, integration and clinical usefulness. Clinical Chemistry and Laboratory Medicine, 48(7), 911-917. doi:https://doi.org/10.1515/cclm.2010.192

Additional Files

Published

03.02.2026

Issue

Section

Working papers (2026)

How to Cite

Key Success Factors of Total Laboratory Automation and Their Impact on the Turnaround Time of Patient Results in Qatar. (2026). SBS Journal of Applied Business Research, 1(1). https://doi.org/10.70301/

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