COVID-19-another influential event impacts on laboratory medicine management

J Clin Lab Anal. 2021 Jun;35(6):e23804. doi: 10.1002/jcla.23804. Epub 2021 May 25.

Abstract

Background: Before public health emergencies became a major challenge worldwide, the scope of laboratory management was only related to developing, maintaining, improving, and sustaining the quality of accurate laboratory results for improved clinical outcomes. Indeed, quality management is an especially important aspect and has achieved great milestones during the development of clinical laboratories.

Current status: However, since the coronavirus disease 2019 (COVID-19) pandemic continues to be a threat worldwide, previous management mode inside the separate laboratory could not cater to the demand of the COVID-19 public health emergency. Among emerging new issues, the prominent challenges during the period of COVID-19 pandemic are rapid-launched laboratory-developed tests (LDTs) for urgent clinical application, rapid expansion of testing capabilities, laboratory medicine resources, and personnel shortages. These related issues are now impacting on clinical laboratory and need to be effectively addressed.

Conclusion: Different from traditional views of laboratory medicine management that focus on separate laboratories, present clinical laboratory management must be multidimensional mode which should consider consolidation of the efficient network of regional clinical laboratories and reasonable planning of laboratories resources from the view of overall strategy. Based on relevant research and our experience, in this review, we retrospect the history trajectory of laboratory medicine management, and also, we provide existing and other feasible recommended management strategies for laboratory medicine in future.

Keywords: COVID-19; laboratory medicine; public health emergency; quality management; rapid-launched LDTs.

Publication types

  • Review

MeSH terms

  • COVID-19 / diagnosis*
  • COVID-19 Testing*
  • Clinical Laboratory Services* / organization & administration
  • Clinical Laboratory Services* / standards
  • Clinical Laboratory Techniques / standards*
  • Humans
  • Laboratories* / organization & administration
  • Laboratories* / standards
  • Point-of-Care Testing
  • Public Health
  • Quality Assurance, Health Care