Time norms for laboratory tests by specialists of clinical diagnostic and microbiological laboratories
Authors:   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Son I. M. , Ivanova M. A. ,   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Vavilova T. V. ,   Almazov National Medical Research Center the Ministry of Health of Russia, Lyutsko V. V. ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Sachek O.I. ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Oskova L.P. ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Vorykhanov A.V. ,   City Clinical Hospital № 4
Published: January 2023

Introduction. Changes in material and technical conditions and the introduction of high-tech methods in the field of health care, as in any other industry, indicates the need to study the work process of specialists in order to make organizational decisions to optimize their activities. Purpose of the study: to establish the norms of time for laboratory research and the structure of working time costs for specialists with higher education engaged in clinical laboratory diagnostics. M a t e r i a l a n d m e t h o d s . As part of the implementation of the action plan (“road map”) for the approval of standard sectoral labor standards in the health sector in 2016–2020. With the involvement of the main specialists of the Ministry of Health of the Russian Federation in the pilot regions of the country, photo-timing studies and an expert assessment of the working process of specialists with higher education engaged in laboratory diagnostics were carried out. Photo-timing research and expert assessment of the workflow of specialists with higher education engaged in laboratory diagnostics were carried out using specially developed maps of technological operations, on the basis of which statistical data processing was carried out and the costs of working time of specialists were determined. Calculations of time norms were carried out taking into account the performance of laboratory studies using automated and semi-automated workflow technologies and semi-automatic methods. To assess the data obtained, analytical research and analytical calculation methods were used, as well as expert (based on the experience of leading specialists in laboratory diagnostics) and statistical (data from forms of federal statistical observation № 30) methods. The study involved highly qualified specialists with at least five years of experience in this industry. R e s u l t s . It was found that in the structure of working time costs of specialists with higher education, engaged in laboratory diagnostics, more than half of the working time (54.3%) is occupied by the main activity, work with medical documentation takes up to 14.5% of the working time. The minimum time in the structure of working time costs falls on other activities (4.1%). C o n c l u s i o n . The average duration of various types of laboratory research has been established, which will allow rationally planning the volume of activities and calculating the number of specialists with higher education to perform clinical laboratory research using modern technologies in the labor process.