Gas Handling System Supplier, Installer - Laboratories

All our projects are designed to comply with local and international regulations and standards; where we integrate safety requirements, best practices and workflow to help our clients streamline their operations under the brand “WEBGEEKZ SOLUTION”. We have an experienced team with a wealth of knowledge of Laboratory operations, design & Laboratory Information System.

The power of WEBGEEKZ SOLUTIONS is achieved through the consolidation of what are now separate systems into one totally integrated and scalable solution integrating workflow, worklists and data exchange between various work areas collating into an optimised Laboratory Information System. This process is conducted in order to promote a paperless work environment.

“WEBGEEKZ SOLUTIONS” takes care by automating of the following cycle in the Laboratory.

The solution “WEBGEEKZ SOLUTION” is a milestone in itself. “WEBGEEKZ SOLUTIONS” Laboratory Information System has been designed on the basis of Total Quality Management trying to put in systematic workflow to enhance the performance in various work areas of the Laboratory.

TQM framework

Quality Laboratory Processes

This refers to the policies, procedures, personnel standards and physical resources that determine how work gets done in the laboratory. Laboratory method manuals describe the standard operating processes for producing test results.

Quality Control (QC)

This refers to procedures for monitoring the work processes, detecting Problems and making corrections prior to delivery of reports or services. Statistical process control, or statistical quality control, is the major procedure for monitoring the analytical performance of laboratory methods.

Quality Assessment (QA)

This involves the totality of Features and characteristics that bear on the achievement and satisfaction of customer needs. Characteristics such as turnaround time, patient preparation, specimen acquisition, etc., are Monitored through QA activities.

“WEBGEEKZ SOLUTIONS” is designed to optimize the Turnaround Time with an uncompromised system on Quality of the Laboratory thereby increasing productivity and brand. Any LIS must have this series of valid relations from the client to the results. How the relations are implemented may vary, as it is, at least partially, dependent on the database topology.

Request Line Audit

“WEBGEEKZ SOLUTIONS ”, allows to audit these links – both top-down and bottom-up – for example when making a follow-up of a complaint as Described in the scenario above. “WEBGEEKZ SOLUTIONS” permits a detailed audit of this kind in both directions.

Sample Line Audit

The result should be produced by an investigation performed on a given sample that has been collected from a certain individual. Implicit in this statement is ““MIDLAND SOLUTIONS LIMS ENTERPRISE” provides systems for sample labelling and identification that acts together with the sample cycle so as to prevent Sample exchange by mistake.

Medical validation

A technologist responsible for patient results validation is using a “MIDLAND SOLUTIONS LIMS ENTERPRISE” workstation. In the investigation of an unexpected result value of the measurement of parameter, alerted by a delta-check alarm, the technologist performs the following.

Sample view

The results of the other measurements performed in the same sample, as this might give a clue, Logically the technologist then follows the relations from the result, through the investigation up to the sample and from the sample down through all investigations requested for that sample to their results.

Historical view

As no explanation for the unexpected value was found, technologist then displays all previous results of the same kind. In this case the route is from the results through the investigation and sample up to the patient, and from the patient down through all samples and investigations of the same type to their results. He now may inspect the historical view of that investigation. (The two last results of this view could be the basis for the delta-check alarm.)

Cumulative view

Finally, it was necessary to display a complete cumulative view of results for this patient. The traces now combine those of the sample and historical views (see above): When moving down from the patient, a set of sample views is generated.

Audit View

To make the audit view possible, it is important that there is workflow information available of all Major events along the sample audit trail. All deletions and changes anywhere along this audit trail are traceable in “WEBGEEKZ SOLUTIONS”.

Analytical trace ability

As defined by accredited bodies, is very important for quality management: The result of an investigation should be traceable back to appropriate analytical standards "through an unbroken chain of comparisons". “WEBGEEKZ SOLUTIONS” supports analytical trace ability. “WEBGEEKZ SOLUTIONS” always permit tracing of measurement result back to a certain analytical run on a given instrument (or in some cases, runs on several types of analytical equipment used in the Measurement procedure). “WEBGEEKZ SOLUTIONS” also provides possibilities to record information on the analytical quality of this/these analytical run(s), where this is possible and desirable. Examples of this kind of information include

• Calibration data
• Results of internal quality controls
• Warning and error messages/codes issued by the analytic equipment employed

“WEBGEEKZ SOLUTIONS” presents this information in a user-friendly way on screen and on paper.

Quality status of an analytical result

“WEBGEEKZ SOLUTIONS” makes it possible to review easily every aspect of quality that may determine the validity and reliability of measurement results. Not forcing the technologist to look up for information in various sources, possibly located at different sites in the laboratory, to review the quality context of the unexpected result A technologist responsible for patient results validation is using a ““WEBGEEKZ SOLUTIONS” workstation.

Calibration Assessment

“WEBGEEKZ SOLUTIONS” acquires calibration data on-line, and to store, process and display it graphically. Data of previous calibration data is also maintained. Automatic monitoring of the raw data produced during calibration is used to alert the operator when the calibration data falls outside specified parameters. When raw data for calibration falls outside the specified parameters, the computer system trigger a fault diagnosis process and suggest corrective action.

Quality control

“WEBGEEKZ SOLUTIONS” acquires on-line, store and process data obtained during real time quality control, necessary for the technical validation of patient results, and long-time quality control, used to assess the performance of each method of measurement over a period of time.

Technical validation phase

“WEBGEEKZ SOLUTIONS” has tools for computer-assisted validation of results and alerting functions, which may free the staff from the burden of evaluating a mass of no suspicious data. Relevant traces of the validation activity is stored in the database both for auditing and Documentation As results are transmitted from the analyzer a number of checks are applied to them to ensure that they are technically correct. Results that fail technical validation are put onto a technical validation fail list for Investigation before a report is issued. Technologist monitors the technical validation fail list and results may be held while the samples are sent to a list for reanalysis as neat samples, diluted samples, or using increased volumes. Results on the technical validation fail list may be edited with the result from a manual or non-interfaced analysis replacing the original. The report may be passed for clinical validation with some results suppressed if the sample quality is suspect or interference is suspected. Comments may be added to the results explaining problems detected during technical validation.

Instrument specific checks - Technical Limit check

The results are checked to ensure that they are within the measurable limits for the analyzer. Results outside the technical limits may be reanalyzed, as dilutions or larger sample volumes. In some cases they may be reported as less than or greater than the limit exceeded. Clinically critical results that exceed the technical limits of the analyzer, and have no other errors, may be Added to an action queue to be given as interim report. E.g. if a glucose result exceeds the technical limits of an analyzer, an interim report is given to the medical team indicating that the glucose is greater than the technical limit and the actual value will follow.

Analyzer Error checks

Modern analyzers perform a number of self-monitoring functions and may Append a flag to patient results indicating the analyzer status. Patient results that have a flag indicating an analyzer error that may affect the quality of results (e.g. sampling mechanism operating erratically) must be held for review and/or re-analysis.

Reaction monitoring check

Reaction monitoring is an integral part of the analytical function of most Analyzers. Deviations from predetermined limits will result in an error flag appended to the patient result. This type of monitoring is most commonly applied to enzyme activity analysis to ensure that reactions are linear and substrate depletion does not occur. Results with reaction monitoring error flags must be held for re-analysis.

Sample Integrity check

Some analyzers monitor the quality of the sample and report on the level of Haemolysis, lipaemia and icterus. These indices are reported with the test results and if they are outside specified limits some results may be suppressed and a comment added to the report indicating the possibility of interference. Some analyzers have clot detection and short sample detection systems, and results from samples that may contain a clot, or are short samples must be held for review and /or re-analysis.

Real-Time Quality Control Status (RTQC Status)

The Fundamental process in assessing the validity of patients‟ results is establishing the RTQC status. This process may be a simple target value and allowable range for each control material used, or the use of multi-rule and multi-stage processes. The RTQC status must be acceptable for patient results to pass this stage of production. Acceptable RTQC status ensures that the patients‟ result fall within the defined Allowable Analytical Error (AAE) for each analysis.

Clinical Validation Phase

The purpose of this process is to run a “clinical believability” or plausibility check on the results and to identify results requiring discussion with and /or urgent communication to the medical team, i.e. to ensure that results in the final patient report are consistent with each other, previous results, clinical diagnosis and treatment, and do not fit a result pattern that indicates sample contamination or mix-up. Clinically implausible results might indicate a laboratory error; hence it is useful to check further before results are released. The ultimate purpose is to ensure that the report can be used in the diagnosis and treatment of the patient. The results in the final patient report may have been generated by a number of different analyzers and/or manual methods. Clinical validation is normally performed once patient results have passed Technical validation. Failure during the Clinical Validation phase will result in further investigation of the report and may include re-analysis of the sample, checking the labeling and identification of the sample, confirming the all preanalytical variables are known, and that the performance of the analyzers is acceptable. Clinical validation may be used to identify results that are clinically critical and should be communicated to the medical team treating the patient. Results that fail clinical validation are put onto a clinical validation queue for investigation before a report is issued. Senior laboratory staff process this queue by investigating each failed report and confirming the validity of the results. The report is thus validated and can be released to the medical team. The staff processing the validation queue may add comments and explanations to the report, and transfer the report to the ward or for discussion with the medical team. If the results are outside defined limits (e.g. Sodium < 120 mmol/l) the validated report may also be added to a review queue for the Laboratory physician.

To assist Clinical Validation, “WEBGEEKZ SOLUTIONS“ provides appropriate checking algorithms. Here follow short descriptions of commonly used checks

Limits-based checks

Results that fall outside predefined warning and panic limits, and pass delta checks and clinical detail checks, are held for further investigation or communication to the medical team. As for results that fail the technical limits, clinically critical results that exceed the warning or panic limits can be released as interim report if the laboratory physician has not authenticated the results. - Delta-checks.

This process involves the comparison of present results with past results and checking that there is not an unreasonable change between the two results. This is the most common form of clinical validation and is useful in detecting sample mix-ups, pre-analytical errors or laboratory error not detected by technical validation.

Result Pattern checks (Co-relational Checks)

This is also referred to as Internal Consistency checks. It Involves checking abnormal results with other results on the same sample to confirm that they conform to a pattern consistent with a known condition, e.g. a report with a raised creatinine should also have a Raised urea. Results that do not fit an acceptable pattern must be held for further investigation. Results can also be checked for patterns that indicate incorrect anti-coagulant use (e.g. ETDA) or incorrect storage of samples (e.g. sample left un-separated overnight).

Clinical Details checks

This process evaluates the results with the available details of the medical Context. The results are evaluated against the known clinical details of diagnosis, treatment and progression of disease states. The clinical details may be available from the request form or be available from an integrated Hospital Information System and LIS. Results that are not consistent with the clinical Details must be held for further investigation. Laboratories produce large amounts of data and “WEBGEEKZ SOLUTIONS” can help in ensuring the quality of this data. Filtering suspicious data can help focus resources and prevent data pollution.

With plug and play modules (Optional Systems), which can be linked to the Core System “WEBGEEKZ SOLUTIONS” optimizes the workflow and the turnaround time as per the requirement of the customers. The Core System (LISPE-CO-001) has been designed to take care of the day-to-day activities of the Lab with the Modules & its features mentioned below.

Core System Modules

Front Desk Module

• Booking and Appointments
• Registration
• Money Transactions
• Inquiry module

Sample Sorting

• Sample Collection
• Sample Pooling
• Verification Module

Result Entry Module

• Biochemistry Module
• Hematology Module
• Microbiology Module (Culture Entry)
• Clinical Pathology Module
• Immunology Module
• Histopathology module

Authentication (Validation) Module

• Multilevel Authentication
• Auto Authentication
• Department wise Authentication
• Forwarding of Results
• Send for repeats
• Co-relation of parameters

Automation

• Bi-directional Interface
• Unidirectional Interface
• Repeat Runs
• Delta checks
• Reflex Tests
• Load List Generation by Machine
• Quality Assurance

Report Module

• Auto print Module
• Batch Print Module
• Auto Sorter Module

Masters Module

MIS Module

Additional / Optional Modules

• Scheduling Of Investigations
• Work Area Management
• Web Application
• Mobile Messaging
• Dispatch scheduler
• Intranet Application
• Kiosk System Module
• Compliances
• Integration to HIS
• Quality Control
• Interpretative Reports / Reflex Tests
• Reagent Monitoring System
• Doctor Referral Module

Verification Features Module

• Security Logins for each User
• Auto Locking of the Screen
• Password Protection
• Permanent Patient ID (Auto Generation)
• Unique ID Acceptance (Civil ID, Social Security ID)
• Temporary Patients / Permanent Patient facility
• Search Criteria for Patients
• File No for Hospital Patients
• Nationality Of the patient can be maintained
• Age Group Classification Normal Ranges
• Alphabetical search for Investigations
• Category wise selection of Investigations
• Investigation Sensitive Helps
• Department wise Investigation displayed
• Search of Test by Name or Alias
• Investigation can be marked as urgent
• Auto deletion of an Investigation if selected in profile
• Facility to eliminate same tests selected in profiles
• Tracking of changes to Normal ranges with results per visit for each patient
• Auto modification of Normal ranges if Age & Sex modified
• Patient records are locked once authenticated
• Security and audit trial for each activity
• Diagnosis referred from doctors can be entered stored
• Information for the patients also provided on the receipt for delivery of report for special tests controlled through auto schedulers
• Facility to select Dispatch Center
• Test Process Date and Dispatch date calculation according to Auto Scheduler
• Parameter Prompt Screen (Patient Preparation)
• E.g. In Creatinine Clearance Test, For Body Surface Area Patients Height and Weight is required which can be queried to the patient and entered at RECEPTION while registration
• Normal Range Calculation according to Patient‟s age and gender
• Front Desk Security for cash handling by avoiding clerks to delete registered patient
• Restricts operators from manipulating with data

Sample Features Collection

• Current Test Status for a patient is displayed
• Collections report by operator
• Sample Collection module will automatically display the list of registered patients for whom the sample is not yetcollected
• The system provides an easy interface to generate barcode for a selected patient
• Specific No are defined for Samples for unique identification (Lab No / Sample ID) can be set by Department / Category
• Lab No. can be in the form of DEPT. CODE + YEAR + MONTH + SERIAL NO. FOR THE DEPARTMENT
• Lab No‟s Barcode generated with suffix like PP/G1/G2 etc for the tests PP Samples, Glucose Tolerance Tests (After 1Hr., 2Hr etc.)
• Any type of barcode can be printed like CODE 39, CODE 128 etc
• If patient could not manage to give sample then test can be marked as SNR ( i.e. Sample Not Received)
• Phlebotomist can put her comments against rejected samples like „SAMPLE INSUFICIENT‟, „SAMPLE HEMOLYSED‟ etc

Note

• The user has an option to deselect a particular test, typically in the case of Post Prandial Blood Sugar, for which the barcode can be generated at a later time
• A unique Lab Accession No. is generated at this point, by department
• This lab accession no is used as a future reference to track his sample processing
• The barcode is stuck on vaccutainer or slides for further processing

Bio-Chemistry, Hematology, Clinical Pathology

• Result Entry done by Patient 2. Result Entry done by Group 3. Result Entry done by Lab No 4. Result Entry done by Worksheet 5. Result Entry done by Test Search criteria‟s as per the defined by technologists, Multi Level Authentication Co relational System, Comments log for each sample at every step Comments for Report printing, Delta Checks, Clinical Checks, Technical Checks Reflex Testing, Rerun Tracking, Culture View, Abnormal History, Parametric History, Repeat of results, Repeat List, Medical equipment error logs are displayed for Authentication
• Formula for calculating parameter values
• Reports Dispatched cannot be modified except the Super user
• Co-relational results can be viewed. Rerun marking can be tracked
• Comments by all categories can be recorded against the patient
• Comments for patients report printing can be recorded
• Only rerun values are run during integration to medical equipment
• Auto alerts for critical ranges. Authentication for various groups
• Internal security module to track individual sample for departments
• Work area wise schedule can be printed
• Work area wise worksheet can be printed for result entry
• Work list can be timed for technicians to improve efficiency
• Work list for medical equipments
• Work list for rerun samples with rack no & sector no.
• Zero values in the result will have confirmatory prompt
• Intricate features Like (Track of sample Number and collection time can be printed on reports for CRF)
• Facility for viewing previous results by parameters
• Outside Lab Investigation sorting facility. Internal Doctors
• Demarcations for Normal, Alert and Critical ranges

Microbiology

• Patients Demography with Display of Specimen, Colony Count, Incubation Period and Incubation culture line
• Stain selection to add available stains from the list
• Addition of physical examinations from the list available
• Organisms with respective antibiotics are displayed automatically
• Co-related results for that patient are listed for confirming the results
• Search of patients by antibiotics or organisms
• Previous diagnosis with respect to stain, organisms can be listed

Reports Features

• Batch Reports of Completed Jobs
• Auto Authentication
• Auto Printing
• Auto Sorter as per Dispatch Centre
• Manual Reporting
• Pending Test
• Daily Register
• List Print
• Receipts

NOTE

Any Report can be designed including any possible layout required by the customer to display their listing as reports to improve the brand and quality of reporting. After the required Authentication rules that are assigned in the software the results are Authenticated automatically.

• Batch reporting by Centre
• Printing of All jobs together
• Printing of Incomplete Jobs
• Search Facility
• Column Sorting facility
• List of the Pending Test for user defined period can be generated
• Pending Tests can also be generated by Category
• Print Preview
• List feature is widely used to have hands on information for the List of Investigations, Profiles, List of Doctors, List of Centre Presently related to the Lab
• Tests & Profiles are Listed with their Cost
• Doctors and Centre are listed with their complete Data: Tel. No., Contact Person, and Address etc.
• Abnormal and All results can be printed
• Workload Sheet by equipment
• Result Entry Sheet by work area
• Post Samples (PP) Work list
• Abnormal Tests by Patient
• Abnormal Test Analysis in graphical format
• Analytical report for parametric comparison
• Daily worksheet
• System allows the authentication of reports, as and when the tests are ready (after process), automatically relives the operators of the tedious tasks of selection and authentication of general reports, thus saving quality Manpower.

M I S Features

• By Doctor referrals
• Test Statistics
• Equipment test statistics
• Audit Trial Report
• Graphical Analysis
• Outside Lab Analysis
• Daily Transactions
• Test / Profile Summary Report
• Audit Report
• Turn Around Time Tracking Report
• Outside Lab Analysis Report
• The system to monitor the sample flow inside the lab

WEBGEEKZ Solutions Link

The interfacing software designed for handling data transfer from medical equipments to update the empirical data to WEBGEEKZ SOLUTIONS. WEBGEEKZ SOLUTIONS LINK Core system (LIS-VLCO-001) would take care of handling the data from different equipments, which is sorted and posted against patients recorded in WEBGEEKZ SOLUTIONS.

MIDLAND Solutions Link Core (LISPEVLCO- 001) features

• The connectivity software
• Values transferred from medical equipments are first passed through level of authentication
• Filter to the results before updating the main results

The software is designed to handle two equipments in case of bi- directional Interfacing at one node the maximum of which depends on the availability of Ports.

• In case of Uni-directional, four equipments can be handled at one node.
• Machine Master is provided wherein the machine is synchronized with WEBGEEKZ SOLUTIONS LINK.
• Mapping of parameters facility is provided to code and encode the parameters name transfer from the equipment to the Host.
• Machine Test Codes would be used to define the test parameters used by the equipment.
• Typically this feature is used in conjunction with Interfacing of medical equipment (both unidirectional & bi-directional).
• The system provides an easy to use interface to authenticate or approve the results available against each parameter.
• To aid the authentication, the user can view graphically, the comparison of his previous values with the current parameter for the same or combination with other parameters.
• This system provides an assurance to the doctor for his authentication.

Optional Systems WEBGEEKZ Solutions Catalogue Codes

• Schedule Listing Of Investigations LISPE OSLI – 001
• Work Area Management LISPE OWAM – 001
• Web Application LISPE OWES – 001
• Unidirectional Integration system LIS OVLU – 001
• Bi-directional Integration system LIS OVLB – 001
• Dispatch scheduler system LISPE ODSS – 001
• Intranet Application System LISPE OIA – 01
• Kiosk System LISPE– OKS – 01
• Health Standard System LISPE OHSS – 01
• Mobile Messaging System LISPE OMMS – 01
• Integration to HIS LISPE – OIHIS 001
• Quality Control System LISPE OQCS – 001

LISPE – OSLI – 001 Scheduling Listing of Investigations Feature

Certain tests can be scheduled for a particular day for processing on the basis of the workload. The system will automatically assign the processing date, as defined in the master, for the tests selected and also the dispatch date for the same.

Note

• If the processing date falls on a holiday as defined in the master, the system will automatically pick the next processing day for the tests
• The user will still have the option of changing the processing and the dispatch day online, if required.

LISPE – OWAM – 001 Work Area Management Features

• The system to monitor the work area inside the Lab.
• Work list as per scheduled time with respect to work areas can be printed.
• Work list for medical equipment technicians can be printed.
• Worksheet for technicians with timed schedule can be printed.
• Typically in any laboratory the workload is divided between the technicians for every department. Moreover within the department work areas are defined for different investigations carried out.
• The system allows the technicians to print the worksheets based on the rights defined to he/her. The technicians will note the results of the investigations on the worksheet

Note

• The worksheet will list the patients for which the investigations are to be carried out, by lab accession no.
• The worksheets will carry a unique Work List No.
• This Work List No can be used to call back the worksheet for entering the results for the listed patients 4. The system also provides the facility to authenticate the worksheet for reporting.

LISPE – OWES – 001 Web Enabled System Features

• It gives a great advantage and improves the efficiency of the front desk if the workload of patient registration and dispatch of reports are shared on the Internet. This system provides the above facility.
• The patient on registration gets a unique ID, which he/she has to carry to laboratory for his/her identification. E-mail with a URL and Password is also sent with which the reports can be viewed on the Internet securely.
• The status of the report on the internet can also be viewed on the internet

Note

Rights will be provided by the administrator for the patients to view the status. Rights for the registration by consultants are also provided by the administrator.

LIS-OVLB-001 Bi-Directional Software System per medical equipment Features

• Bar-coded samples having accession nos. are loaded in the machines
• WEBGEEKZ SOLUTIONSLINK will automatically download the tests to the medical equipment when requested
• No Manual intervention is required. As and when results are calculated they are automatically sent to host

WEBGEEKZ SOLUTIONSLINK captures the data and automatically updates against the patient

LISPE – ODSS – 001 Dispatch Scheduler System Features

• The system is to enhance the schedule of dispatch.
• The system allocates dispatch No to each Test to keep track of test requested by Patients are dispatched properly
• The system will facilitate the operator to view the status of every sample.
• Additionally the operator will flag the record of the patient whenever the reports are handed over to him or sent to wards.

It marks the last step in the sample processing cycle.

LIS-OVLU-001 Uni-Directional Software System per Medical equipment. Features

• Lab Id (Accession No.) and tests are entered in equipment
• As and when results are calculated they are automatically sent to host WEBGEEKZ SOLUTIONSLINK captures the data and automatically updates against the patient
• LISPE – OIA – 01 Intranet Application System Features (Connectivity between centers) Satellite System
• This facility would help to give a centralized database to monitor the entire center at one place.

LISPE – IMP – 001 Implementation & Training Features

• Implementation and Training would depend on the following factors. Total No of User Nodes, Total Staff to be trained; Optional Features incorporated thereby increasing the job of masters, Adaptability of staff to computers, etc.