Biomedical Laboratory Practices and Challenges in Digitalization: A Review

Authors

  • Nurul Nabilah binti Saffinye Department of Biology, Faculty of Science and Mathematics, Universiti Pendidikan Sultan Idris, 35900 Tanjong Malim, Perak, Malaysia
  • Rozaimi Razali Department of Biomedical Sciences, College of Health Sciences, Qatar University, Doha, Qatar
  • Raja Farhana R. Khairuddin Department of Biology, Faculty of Science and Mathematics, Universiti Pendidikan Sultan Idris, 35900 Tanjong Malim, Perak, Malaysia

DOI:

https://doi.org/10.37134/jsml.vol12.2.7.2024

Keywords:

Biomedical laboratory, Healthcare digitalization, COVID-19 pandemic

Abstract

Biomedical laboratory plays an important role in the healthcare system by providing services for medical screening, diagnosis, and treatment selection, which is the backbone of a healthcare system. The growing demand for complex testing has placed biomedical laboratories under heavy pressure, leading to an increase in collaboration and bridging the service gaps among laboratories. During the COVID-19 pandemic, laboratories around the globe struggled to perform a large number of COVID-19 laboratory tests every day, as the country combats through the outbreak. This review provides an overview of biomedical laboratory settings and assurance, and discusses current biomedical laboratory practices and their level of digitalisation in Malaysia and a few other countries, such as the United States, Europe, Saudi Arabia, and Africa,  during the outbreak. Despite the variety of laboratory practices in different countries, digitalisation remains important in supporting the healthcare system during the COVID-19 pandemic. This review also highlighted the challenges of current practices, which should be addressed to further enhance the accessibility and reliability of biomedical laboratory services. The suggestion of collaboration within the healthcare system has also been discussed to improve laboratory services for handling outbreak situations.

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References

AACC. (2017). How Specimen Referral Systems Can Improve Global Health. American Association for Clinical Chemistry, 1. https://www.aacc.org/cln/cln-stat/2017/april/20/ how-specimen-referral-systems-can-improve-global-health

Ahmed, F., Manaf, N. H. A., Islam, R. (2017). Measuring quality performance between public and private hospitals in Malaysia. International Journal of Quality and Service Sciences, 9(2), 218–228. https://doi.org/10.1108/ijqss-02-2017-0015

Alowais, S. A., Alghamdi, S. S., Alsuhebany, N., Alqahtani, T., Alshaya, A., Almohareb, S. N., Aldairem, A., Alrashed, M., Saleh, K. B., Badreldin, H. A., Yami, M. S. A., Harbi, S. A., Albekairy, A. (2023). Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC Medical Education, 23(1). https://doi.org/10.1186/s12909-023-04698-z

Alshieban, S., Al-Surimi, K. (2015). Reducing turnaround time of surgical pathology reports in pathology and laboratory medicine departments. BMJ Quality Improvement Reports, 4(1), u209223.w3773. https://doi.org/10.1136/bmj quality.u209223.w3773

Amaran, S., Kamaruzaman, A. Z. M., Esa, N. Y. M., Sulaiman, Z. (2021). Malaysia Healthcare Early response in combatting COVID-19 pandemic in 2020. Korean Journal of Family Medicine, 42(6), 425–437. https://doi.org/10.4082/kjfm.20.0117

Atkins, L., Kelly, M., Littleford, C., Leng, G., Michie, S. (2019). From the National Health Service to local government: perceptions of public health transition in England. Public Health, 174, 11–17. https://doi.org/10.1016/j.puhe.2019.05.016

Bayot, M. L. (2024). Clinical Laboratory. StatPearls. [Accessed 17 February 2024]. https://www.ncbi.nlm.nih.gov/books/NBK535358/ .

Binnicker, M. J. (2020). Challenges and controversies to testing for COVID-19. Journal of Clinical Microbiology, 58(11). https://doi.org/10.1128/jcm.01695-20

CAP. (2024). Laboratory Accreditation Program. College of American Pathologists. [Accessed 18 Feb 2024]. https://www.cap.org/laboratory-improvement/accreditation/laboratory-accreditation-program

CDC. (2018). Strengthening Clinical Laboratories. Centers for Disease Control and Prevention United States. [Accessed 17 Feb 2024]. https://www.cdc.gov/csels/dls/strengthening-clinical-labs.html

Codeblue. (2020). Malaysia has among highest COVID-19 testing in ASEAN: MOH. [Accessed 17 Feb 2024]. https://codeblue.galencentre.org/malaysia-has-among-highest-covid-19-testing-in-asean-moh/

Cornish, N. E., Bachmann, L. H., Diekema, D. J., McDonald, L. C., McNult, P., Stevens-Garcia, J., Raphael, B., Miller, M. B. (2023). Pandemic demand for SARS-COV-2 testing led to critical supply and workforce shortages in U.S. clinical and public health laboratories. Journal of Clinical Microbiology, 61(7). https://doi.org/10.1128/jcm.03189-20

COVIDNOW. (2024). COVID-19 Cases in Malaysia. COVIDNOW Ministry of Health Malaysia. [Accessed 17 Feb 2024]. https://covidnow.moh.gov.my/cases/

DOSM. (2024). Department of Standards Malaysia - Accreditation. JSM Official Portal Main Page. [Accessed 18 Feb 2024]. https://www.jsm.gov.my/accreditation

Fonjungo, P. N., Alemnji, G., Kebede, Y., Opio, A., Mwangi, C., Spira, T. J., Beard, R. S., Nkengasong, J. N. (2017). Combatting Global Infectious Diseases: A network effect of specimen referral Systems. Clinical Infectious Diseases, 64(6), 796–803. https://doi.org/10.1093/cid/ciw817

HKL. (2024). Pathology - Kuala Lumpur Hospital. Ministry of Health Malaysia. [Accessed 18 Feb 2024]. http://hkl.moh.gov.my/index.php/services/clinical-department

Holladay, E. B. (2020). The pandemic puts labs in the spotlight. The Pathologist. [Accessed 17 Feb 2024]. https://thepathologist.com/outside-the-lab/the-pandemic-puts-labs-in-the-spotlight

Jit, M., Ananthakrishnan, A., McKee, M., Wouters, O. J., Beutels, P., Teerawattananon, Y. (2021). Multi-country collaboration in responding to global infectious disease threats: lessons for Europe from the COVID-19 pandemic. The Lancet Regional Health, 9, 100221. https://doi.org/10.1016/j.lanepe.2021.100221

Kiyaga, C., Narayan, V., McConnell, I., Elyanu, P., Kisaakye, L. N., Joseph, E., Kekitiinwa, A., Grosz, J. (2021). Uganda’s “EID Systems Strengthening” model produces significant gains in testing, linkage, and retention of HIV-exposed and infected infants: An impact evaluation., 16(2), e0246546. https://doi.org/10.1371/journal.pone.0246546

KKM. (2020). Strategic Framework of the Medical Programme 2021-2025. Ministry of Health Malaysia. https://www.moh.gov.my/moh/resources/Pelan_Strategik_KKM.pdf

KKM. (2023). PEKA B40 KKMNOW. Ministry of Health Malaysia. [Accessed 19 February 2024]. https://data.moh.gov.my/ms-MY/dashboard/peka-b40.

Koonin, L. M., Hoots, B., Tsang, C. A., Leroy, Z., Farris, K., Jolly, T., Antall, P., McCabe, B. K., Zelis, C. B. R., Tong, I., Harris, A. M. (2020). Trends in the use of telehealth during the emergence of the COVID-19 pandemic in United States, January–March 2020. Morbidity and Mortality Weekly Report, 69(43), 1595–1599. https://doi.org/10.15585/mmwr.mm6943a3

Kricka, L. J., Polsky, T. G., Park, J., Fortina, P. (2015). The future of laboratory medicine. A 2014 perspective. Clinica Chimica Acta, 438, 284–303. https://doi.org/10.1016/j.cca.2014.09.005

Kumar, Y., Koul, A., Singla, R., Ijaz, M. (2022). Artificial intelligence in disease diagnosis: a systematic literature review, synthesizing framework and future research agenda. Journal of Ambient Intelligence and Humanized Computing. https://doi.org/10.1007/s12652-021-03612-z

Lamovsek, N., Klun, M. (2020). Evaluation of biomedical laboratory performance optimisation using the DEA method. Slovenian Journal of Public Health, 59(3), 172–179. https://doi.org/10.2478/sjph-2020-0022

Langlois, M., Wallemacq, P. (2009). The future of hospital laboratories. Position statement from the Royal Belgian Society of Clinical Chemistry (RBSCC). Clinical Chemistry and Laboratory Medicine, 47(10). https://doi.org/10.1515/cclm.2009.271

Li, J., Carayon, P. (2021). Health Care 4.0: A vision for smart and connected health care. IISE Transactions on Healthcare Systems Engineering, 1–10. https://doi.org/10.1080/24725579.2021.1884627

Mazer, B. L. (2021). Lessons in Public (Mis)communication about the Laboratory from the COVID-19 Pandemic. Journal of Clinical Microbiology, 59(4). https://doi.org/10.1128/jcm.02917-20

Mrak, R. E., Parslow, T. G., Tomaszewski, J. E. (2018). Outsourcing of academic clinical laboratories. Academic Pathology, 5, 2374289518765435. https://doi.org/10.1177/2374289518765435

NIH. (2020). National Health and Morbidity Survey 2019 Non-communicable disease, healthcare demand, and health literacy (1st ed.) Institute for Public Health National Institutes of Health (NIH). Perpustakaan Negara Malaysia. https://iku.gov.my/nhms-2019

Pan, X., Cimino, J. J. (2015). Identifying the Clinical Laboratory Tests from Unspecified “Other Lab Test” Data for Secondary Use. American Medical Informatics Association, 1018–1023. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765675/

Pantai Hospital. (2024). Clinical Pathology Laboratory. Pantai Hospital. [Accessed 18 Feb 2024]. https://www.pantai.com.my/medical-specialties/clinical-lab

Pentella, M., Weinstein, M. P., Beekmann, S. E., Polgreen, P. M., & Ellison, R. T. (2020). Impact of changes in clinical microbiology laboratory location and ownership on the practice of infectious diseases. Journal of Clinical Microbiology, 58(5). https://doi.org/10.1128/jcm.01508-19

Plebani, M. (2018). Clinical laboratory: bigger is not always better. Diagnosis, 5(2), 41–46. https://doi.org/10.1515/dx-2018-0019

Procop, G. W., Winn, W. (2003). Outsourcing Microbiology and Offsite Laboratories. Archives of Pathology & Laboratory Medicine, 127(5), 623–624. https://doi.org/10.5858/2003-127-0623-omaol

Rabaan, A. A., Al‐Tawfiq, J. A. (2021). Improving turnaround time of molecular diagnosis of Middle East respiratory syndrome coronavirus in a hospital in Saudi Arabia. Transactions of the Royal Society of Tropical Medicine and Hygiene, 115(9), 1000–1003. https://doi.org/10.1093/trstmh/trab014

Rahman, P., Nandi, A., Hebert, C. (2020). Amplifying domain expertise in clinical data pipelines. JMIR Medical Informatics, 8(11), e19612. https://doi.org/10.2196/19612

Schmidt, A. M., Bobek, J., Mathis-Edenhofer, S., Schwarz, T., & Bachner, F. (2022). Cross-border healthcare collaborations in Europe (2007–2017): Moving towards a European Health Union? Health Policy, 126(12), 1241–1247. https://doi.org/10.1016/j.healthpol.2022.10.011

Sikaris, K. A. (2017). Enhancing the clinical value of medical laboratory testing. PubMed, 38(3), 107–114. https://pubmed.ncbi.nlm.nih.gov/29332975

Simsim, D. A., Ahmed, N. J., Almalki, Z. S. (2021). Current Practice of Using Technology in Health-care Delivery in Saudi Arabia: Challenges and Solutions. Asian Journal of Pharmaceutics, 15(1). https://doi.org/10.22377/ajp.v15i1.3935

Sluss, P. M. (2014). Reference laboratory utilization management. Clinica Chimica Acta, 427, 167–172. https://doi.org/10.1016/j.cca.2013.09.035

Standley, C. J., Muhayangabo, R., Bah, M. S., Barry, A. M., Bile, E., Fischer, J. E., Heegaard, W., Koivogui, L., Lakiss, S. K., Sorrell, E. M., VanSteelandt, A., Dahourou, A. G., Martel, L. D. (2019). Creating a National Specimen Referral System in Guinea: Lessons from Initial Development and Implementation. Frontiers in Public Health, 7, 83. https://doi.org/10.3389/fpubh.2019.00083

Strain, A. K., Sullivan, M. (2019). Strengthening laboratory partnerships, enhancing recruitment, and improving retention through training and outreach activities: the Minnesota Experience. Public Health Reports, 134(2_suppl), 11S-15S. https://doi.org/10.1177/0033354919874085

Tzankov, A., Tornillo, L. (2016). Hands-On Experience: Accreditation of Pathology Laboratories according to ISO 15189. Pathobiology, 84(3), 121–129. https://doi.org/10.1159/000449254

UKAS. (2023). Medical Laboratory Accreditation. ISO 15189. National Accreditation Body for the United Kingdom. [Accessed 18 Feb 2024]. https://www.ukas.com/accreditation/standards/medical-laboratory-accreditation/

WHO. (2014). Companion Handbook to the WHO Guidelines for the Programmatic Management of Drug-Resistant Tuberculosis. National Library of Medicine. [Accessed 19 Feb 2024]. https://www.ncbi.nlm.nih.gov/books/NBK247440/

WHO. (2020a). Strong Preparedness and Leadership for a successful COVID-19 Response in Malaysia. World Health Organization. [Accessed 17 Feb 2024]. https://www.who.int/news-room/feature-stories/detail/strong-preparedness-and-leadership-for-a-successful-covid-19-response-in-malaysia

WHO. (2020b). Guidance for laboratories shipping specimens to WHO reference laboratories that provide confirmatory testing for COVID-19 virus. (2020). World Health Organization. [Accessed 19 Feb 2024]. https://www.who.int/publications/i/item/guidance-for-laboratories-shipping-specimens-to-who-reference-laboratories-that-provide-confirmatory-testing-for-covid-19-virus

WHO. (2021). Global Strategy on Digital Health 2020-2025. (2021). World Health Organization. [Accessed 17 Feb 2024]. https://www.who.int/publications/i/item/9789240020924

WHO. (2024). Laboratory Quality Management. World Health Organization. [Accessed 18 Feb 2024]. https://www.who.int/activities/laboratory-quality-management

Zima, T. (2017). Accreditation of medical laboratories – system, process, benefits for labs. Journal of Medical Biochemistry, 36(3), 231–237. https://doi.org/10.1515/jomb-2017-0025

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Published

2024-05-15

How to Cite

Saffinye, N. N., Razali, R., & R. Khairuddin, R. F. (2024). Biomedical Laboratory Practices and Challenges in Digitalization: A Review. Journal of Science and Mathematics Letters, 12(2), 93–102. https://doi.org/10.37134/jsml.vol12.2.7.2024

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