What was changed in the work of the laboratory of clinical microbiology in Zlatoust after the implementation of LIS Pathogen
The Whonet program developed by WHO was used in the laboratory. Keeping records in this program increased the work: it was necessary to register samples and write out the results twice.
Paper journals were also kept in the laboratory, they were lined by hand. The result forms were also filled out manually, additionally recording comments on antibiotic sensitivity to help the attending physician in the selection of therapy.
Generating reports took a lot of time: complex settings, filters for uploading to get the right numbers. Some reports are not available in Whonet - for example, laboratory workload, isolated cultures. The main task was to save the antibiogram data and use their interpretation to monitor antibiotic resistance. The implementation of LIS Pathogen allowed to solve a number of important issues:
The types of journals, the appearance of the result form, and the required set of reports were agreed upon. Reference books of types of research, sources (departments) are filled. The reference book of materials, templates of results were edited, the reference book of antibiograms was adjusted to the needs of the laboratory.
Thanks to an intuitive interface, the training of medical staff took very little time: for one employee it is a maximum of 15 minutes, often LIS is mastered independently.
Printed forms of journals have been introduced, including those for dysbacteriosis, which led to the abandonment of handwritten journals and double registration. Now all samples are registered only in the LIS Pathogen, and at the end of the day, the laboratory staff prints out all the journals at once. During the day, the registrar and the doctor no longer compete to complete the journal.
Forms of results in the corporate style of the medical institution are designed for doctors. Printed journals are now filled in during the study at the workplace, sample and patient data are clearly and legibly formatted. This helps not to miss repeated tests from the same patient, to quickly find a sample by the name of the subject, if preliminary results are needed for the doctor.
Relationships between microorganisms and antibioitcograms have been configured so that the introduction of the results of the study takes a minimum of time. Templates for comments on a specific microbe based on the resulting antibiogram were implemented.
A report in a special form was developed (Journal of Selected Cultures). Previously, this journal was kept manually, writing out all the cultures for the past day. It was necessary to leaf through all the journals, there was a chance to miss the isolated microbes. Now this report is generated automatically, at the end of the working day it can be printed and filed in a folder.
Various reports needed for the epidemiologist (microbial landscape, antibiotic resistance monitoring) were already available at implementation. But the laboratory wanted to participate in the AMRcloud program, so a new report was created to upload to this platform. Now all data on antibiotic resistance can be tracked on this resource, providing access to interested specialists. This report is included in the set of reports that are installed during the implementation of LIS Pathogen.
As a result, the work of the head of the laboratory was simplified, the creation of a number of reporting documentation was automated, and the problem of storing and processing a huge amount of information about the work done in the laboratory was solved.