Problems of the implemenation of the unified laboratory information system of the city

Background: In the development of clinical laboratory diagnostics around the world, the direction has been taken towards the centralization of laboratory research. A centralized laboratory information system based on cloud technology is a single system with a single database that ensures data synchronization between various clinical and diagnostic laboratories and the ability to prepare any type of consolidated financial statements. The choice of a single Laboratory Information System (LIS) platform for citywide use with the possibility of replication to all laboratories of the city, taking into account cost-effectiveness, adaptability, efficiency, ease of integration with other IT medical products of the city among the available laboratory information systems led to the decision to create a new unified laboratory information system for all laboratories of the city of Moscow.

Aim: Summarizing the experience of implementing a unified regional (urban) laboratory information system in a multidisciplinary medical organization.

Material and methods: The Moscow Department of Health provided the LIS EFIR system based on a cloud architecture with unified reference books. To coordinate actions during the implementation of the project, a working group was created consisting of responsible employees of the clinical diagnostic laboratory No. 1 and specialists of the Moscow Department for the implementation of LIS. Taking into account the risks during the transition from one LIS to another and the preventive measures taken minimized the possible risks during the switch.

Results: Taking into account the risks during the transition from one LIS to another and the preventive measures taken minimized the possible risks during the switch. The transition to another LIS without stopping the laboratory process, without reducing the volume of testing and maintaining the timing of the results, led to an increase in the workload of the laboratory staff. This led to an increase in the number of inconsistencies, but the situation was stabilized and not only returned to the original percentage of defects, which was 2–2.5%, but also reduced it to 1%.

Conclusion: As a result of the implementation of the LIS, Moscow City Hospital No. 52 received a modern, reliable tool for managing the work of the entire laboratory complex. The implementation process went better than expected, which was confirmed by all project participants. The LIS EFIR implementation project has been successfully implemented, and this experience can be used in other medical organizations in the city.