Evaluation of a computerised clinical documentation system (CCDS) implementation in the transplant laboratory

Phi A. Lai, Steven S. Geier, Shankar Srinivasan, Dinesh P. Mital, Syed Haque

Research output: Contribution to journalArticlepeer-review


Although many handwritten reports have been replaced by computer generated ones in clinical laboratories, they still remain a common feature in many transplant laboratories for two main reasons: either the laboratory information system (LIS) does not support report formats, or it is costly to purchase a specialised database. A time and motion study was conducted to evaluate one such clinical database, the IG database. Before and after the implementation of our IG database, we evaluated the: 1 stationary cost reduction from paper, toner cartridge, and other auxiliaries 2 turn-around time from the laboratory information system (MediTech) 3 time reduction on analysing report using the electronic reports on three main testing areas; HLA typing, antibody screening, and cross-matching. Approximately $22,035 is saved annually. The turn-around time (TAT) and time on analysing report (TAR) are statistically significant in all testing areas. The IG database demonstrated a significant reduction in cost, a decrease in turn-around time and time on analysing report, and an increase in overall efficiency.

Original languageEnglish (US)
Pages (from-to)31-45
Number of pages15
JournalInternational Journal of Medical Engineering and Informatics
Issue number1
StatePublished - 2013

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering
  • Health Informatics


  • Bioinformatics
  • CCDS
  • Computerised clinical documentation system
  • Cost analysis
  • Database
  • EHR
  • EMR
  • Electronic Medical Record
  • LIS
  • Laboratory information system
  • TAT
  • TIS
  • Transplant information systems
  • Turn-around time


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