Step

Objective

Key strategy to achieve the objective

1

Test requesting: ≤7 minutes

The test requesting will be made online. The laboratory will be computerized.

2

Laboratory tests’ billing: ≤10 minutes

The number of counter for the payment of fees will be increased: 4 counters instead of just one.

3

Sampling: ≤5 minutes instead of 10 minutes

The sampling area will be expanded: 30 square meters instead of 12 square meters. The number of beds and phlebotomists will be increased: 7 instead of 3.

4

Transport and distribution of collected samples: ≤5 minutes

The staff responsible for transporting the samples will be on time and steady. Absences, tardiness, and early departures may result in corrective action up to and including termination of employment. In addition, it will be necessary to install a satellite laboratory.

5

Reception and sorting: ≤6 minutes instead of 20 minutes

The staff responsible for receiving the samples and verifying their compliance will be punctual and regular. Unscheduled absences, tardiness, and unscheduled early departures (whether excused or unexcused) will be severely penalized.

6

Sample preparation procedure: ≤4 minutes instead of 15 minutes

Centrifugation time will be reduced using 3.5 mL BD vacutainer BarricorTM tube centrifuged 3 min at 4000 × g.

7

Sample analysis: ≤8 minutes instead of 25 minutes

Laboratory will implement the point-of-care testing (POCT). The POCT will be used in satellite laboratories. In the central laboratory, personnel will use high-powered automatons which are able to analyze several samples of patients in a short time.

8

Biological validation: ≤10 minutes instead of 76 minutes

The number of doctors responsible for this work will be increased: 2 doctors per unity instead of just one per 4 unities.

9

Making the result available: ≤3 minutes instead of 40 minutes

The doctor who validated the results is also the responsible for recording in the validated results on the computer to constitute a database.