Abstract

With advances in medical technology, clinical laboratories face challenges such as staff shortages, increased testing demands, and higher workloads. To address these issues, this study examines a medical center in Taipei, Taiwan, which implemented a Laboratory Automated Closed Loop System through the STARS strategy (Smart Testing, Transformative Processes, Advanced Equipment, Rapid Transmission, Strategic Reporting). The implementation included Asia’s first Beckman Coulter DxI-9000 immunoassay analyzer, the world’s first dual-track system connecting different brands, and Taiwan’s first Tempus600 Ultra- Speed pneumatic tube system. Results showed that outpatient self-registration efficiency improved by 10-18%, while the utilization rates of the new system for emergency and inpatient specimen transport reached 72.49% and 37.49%, respectively. Regarding turnaround time (TAT), biochemistry testing was reduced by 57%, and hematology testing by 58%. Through Business Process Reengineering (BPR), laboratory workflows were simplified by approximately 40%, staff walking distances decreased by 70%, and automatic report release rates increased by 1-2 times. The study confirms that the automated closed-loop system effectively enhances laboratory performance, reduces the risk of human error, and significantly improves overall service quality.

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