ATOMS(A Laboratory Specimen Collection and Management System)
ATOMS facilitates the complete automation of the laboratory ordering and resulting process, from the point of physician-patient contact until sample delivery to the laboratory, through the integration of a novel software solution and physical output devices consisting of wireless hand-held devices and remote mobile printers.
ATOMS is patented in Singapore since 14 August 2007, titled "Laboratory Specimen Collection Management System" (Singapore Patent Application No: 200705750-8)
Cicada's ATOMS is an essential laboratory workflow component that integrates seamlessly with the resident Laboratory Information Management System (LIMS) of the hospital to facilitate specimen collection by nurses, phlebotomists and doctors.
ATOMS comes with its own user-centric designed Clinician Order Entry system or it can be integrated into the existing Order Entry system. ATOMS is a focused laboratory order and specimen collection software system which supports applications used by doctors, nurses and phlebotomists, specifically for the ordering and management of laboratory samples or specimens.
ATOMS facilitates the complete automation of the laboratory ordering process, from the point of physician-patient contact until sample delivery to the laboratory, through the integration of a novel software solution and physical output devices consisting of wireless hand-held devices and remote mobile printers. Successful implementation of ATOMS will result in a unique blend of technology which will ensure that laboratories receive complete electronic laboratory orders and pre-labeled sample tubes which are ready for direct analyzer placement. ATOMS also integrates seamlessly with the healthcare facility's electronic medical records and laboratory information management systems.
One of the greatest benefits of the solutions is the efficient flow of real-time information that is critical to implementing effective and safe treatment plans.
Cicada's ATOMS will enable the attending clinician (doctor or phlebotomist) to perform an electronic test order which will interface and integrate with the resident LIMS. Cicada's ATOMS will collect and sort these test requests and present them to the nurses/phlebotomists as meaningful information to carry out their duties effectively and productively. As the patient appears at the specimen collection (blood, urine, stool, mouth swab) station, ATOMS will facilitate the right tests for the right patient by ensuring that there is synchronicity between patient ID and tests ordered.
ATOMS is configured as a "closed loop" system, customized and designed to specifically maximize the efficiency of the specimen collection process, while eliminating any opportunity for error. The illustration below describes the workflow of ATOMS as compared to most current typical workflows.
ATOMS Value Propositions1. Bedside pathology ordering by doctors and nurse practitioners for hospital patients
2. Robust positive-patient identification
3. Bedside phlebotomy management and order entry
4. Electronic linkage between ATOMS and LIMS (Laboratory Information Management System)
5. Savings in time and associated costs arising from the use of ATOM
6. Modular design and User-centric
7. Operating system independent
8. Seamless integration with current infrastructure
9. Interoperability based on international standards (HL 7, ICD-9, ICD-10, SNOMED-CT)
ATOMS System ArchitectureClinicians can carry out test orders through computer terminals from anywhere in the hospital. The test orders are stored in the ATOMS server. During sample collection, the phlebotomist or nurse accesses the ATOMS application through computer-on-wheels that may be in a wired or wireless environment. The ATOMS server will access the hospital's LIMS or LIS LAN server to get the required accession numbers for the patient samples.
Time and Cost SavingsThe savings in time and associated costs arising from the use of ATOMS can be categorized into the following areas:
1. Labor savings in collection and receipt process equivalent to at least 2 FTEs (fulltime equivalents)
2. Label and material savings due to label errors resulting in multiple sticks
3. Labor time associated with handling lost or misplaced samples
4. Labor time associated with identifying or correcting errors
5. Management of time in corrective action, interviews, and reports
US statistics quote figures of 770,000 annual deaths and injuries, up to 6 per 100 unanticipated bed occupancies, and US$5.6 million in cost. Studies in the United States have shown that on average, a hospital can save up to US$200,000 per year (Bologna, Hardy, Mutter, 2001). Major regional hospitals are equivalent in size to American hospitals, and assuming equivalent standards of practice, each hospital can be expected to benefit from savings of S$320,000 per year providing a significant return on investment.